30 research outputs found

    Development of formulation and technology of non-dairy soy-coconut yogurt

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    Yogurt provides an organism with probiotics, which can help digestion. However, many people do not consume dairy for a lot of reasons such as lactose intolerance, milk protein allergy, environmental and ethical concerns. The aim of the research was to develop formulation and technology of plant-based yogurt made of coconut and soy milk. The possibility of using the composition of coconut and soy milk was investigated. The effect of using different ratios of coconut and soy milk on rheological and sensory acceptability was studied. Soy milk containing 20, 30, 40 and 50% coconut milk were used in the production of soy yoghurt using commercially available yoghurt starter. The physico-chemical composition, water activity, rheological and organoleptic properties, fatty acid composition and microorganism viability were investigated. Presented production procedure enables the manufacture of a product with satisfactory functional properties and organoleptic properties

    The concept Β«teacher – studentΒ» in the art cultures of Russia, West and East

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    The article presents peculiarities of teaching in different cultures. The author shows their dependence on the world outlook, mentality and artistic traditions of a particular culture. All these features manifest themselves in the concept β€œteacherstudent” which exists in the foundation of any system of art educationΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ особСнности обучСния Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Π°Ρ…. Показана ΠΈΡ… Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒ ΠΎΡ‚ мировоззрСния, ΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ ΠΈ худоТСствСнных Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΉ ΠΊΠΎΠ½ΠΊΡ€Π΅Ρ‚Π½ΠΎΠΉ ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ‹, Π° Ρ‚Π°ΠΊΠΆΠ΅ проявлСниС этих особСнностСй Π² ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚Π΅ Β«ΡƒΡ‡ΠΈΡ‚Π΅Π»ΡŒ – ΡƒΡ‡Π΅Π½ΠΈΠΊΒ», ΡΡƒΡ‰Π΅ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΌ Π² основС любой систСмы худоТСствСнного ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈ

    Philosophical judgment of the phenomenon of destiny

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    This article examines the notion of destiny and the phenomenon of destiny from the point of view of domestic and foreign philosophers, psychoanalysts and scientistsРассмотрСны понятиС ΠΈ Ρ„Π΅Π½ΠΎΠΌΠ΅Π½ ΡΡƒΠ΄ΡŒΠ±Ρ‹ с Ρ‚ΠΎΡ‡ΠΊΠΈ зрСния отСчСствСнных ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Ρ… философов, психоаналитиков, СстСствоиспытатСлС

    Art design in the context of modern culture artisation

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    Art design is based on the principles of high art. Being actual kind of design, it additionally aestheticizes all components of modern culture. Artisation reveals new and unexpected opportunities to combine traditional forms of artistic activity and advances in technology, indicating the aesthetic orientation of contemporary culture. Therefore artisation of modern culture is a breeding ground for the active development of the art designАрт-Π΄ΠΈΠ·Π°ΠΉΠ½ основан Π½Π° ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠ°Ρ… высокого искусства. Являясь Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹ΠΌ Π²ΠΈΠ΄ΠΎΠΌ Π΄ΠΈΠ·Π°ΠΉΠ½Π°, ΠΎΠ½ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ эстСтизируСт всС ΡΠΎΡΡ‚Π°Π²Π»ΡΡŽΡ‰ΠΈΠ΅ соврСмСнной ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ‹. Артизация раскрываСт Π½ΠΎΠ²Ρ‹Π΅ Π½Π΅ΠΎΠΆΠΈΠ΄Π°Π½Π½Ρ‹Π΅ возмоТности сочСтания Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Ρ„ΠΎΡ€ΠΌ худоТСствСнной Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ ΠΈ достиТСний Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ, Ρ‡Ρ‚ΠΎ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΠ΅Ρ‚ ΠΎΠ± эстСтичСской ориСнтированности соврСмСнной ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ‹. ΠŸΠΎΡΡ‚ΠΎΠΌΡƒ артизация соврСмСнной ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ‹ являСтся ΠΏΠΎΡ‡Π²ΠΎΠΉ для Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ развития Π°Ρ€Ρ‚-Π΄ΠΈΠ·Π°ΠΉΠ½

    Algorithm of morphological diagnostics of small cell lung cancer on bronchial biopsy

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    Results of cytologicai, histological and immunohistochemical analyses of bronchial biopsies of 95 patients with small cell lung cancer have been provided in this paper. In 85.3% of the cases small cell lung cancer within optic level has been verified by complex cytologicai and histological diagnosis. In the rest of 14.7% of the cases it has been revealed the necessity of using additional analysis methods to detect a version of small cell lung cancer. In 24 cases immunohistochemical analysis has been made, in 10 of them - to confirm morphological diagnosis of small cell lung cancer, in 14 of them - to detect a version of small cell lung tumour by using different antibodies sets depending on differentially diagnostic series. Immunohistochemical analysis has shown that 20 tumours have immunophenotype of small cell lung cancer, trustworthy lung adenocarcinoma, diffuse large cell Π’-cell lymphoma and mammary gland carcinoma. It has been worked out an algorithm of complex histological, cytologicai and immunohistochemical methods of diagnostics. Using it allows to improve diagnostics of small cell lung cancer on data of bronchial biopsies.Π’ Ρ€Π°Π±ΠΎΡ‚Π΅ ΠΏΡ€ΠΈΠ²Π΅Π΄Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ цитологичСского, гистологичСского ΠΈ иммуногистохимичСского исслСдований биопсий Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ² 95 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌΠΈ опухолями Π»Π΅Π³ΠΊΠΈΡ…. Π’ 85,3% случаСв достовСрно Π²Π΅Ρ€ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ Π½Π° свСтооптичСском ΡƒΡ€ΠΎΠ²Π½Π΅ ΠΏΡ€ΠΈ ΠΏΠΎΠΌΠΎΡ‰ΠΈ комплСксного цитологичСского ΠΈ гистологичСского исслСдования, Π² ΠΎΡΡ‚Π°Π²ΡˆΠΈΡ…ΡΡ 14,7% случаСв выявлСна Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ провСдСния Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² исслСдования для опрСдСлСния Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π° ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹Ρ… ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ Π»Π΅Π³ΠΊΠΈΡ…. Π’ 24 случаях ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ иммуногистохимичСскоС исслСдованиС, Π² 10 случаях - для подтвСрТдСния морфологичСского Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, Π² 14 β€” для опрСдСлСния Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π° ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ с использованиСм Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… Π½Π°Π±ΠΎΡ€ΠΎΠ² Π°Π½Ρ‚ΠΈΡ‚Π΅Π» Π² зависимости ΠΎΡ‚ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-диагностичСско ряда. Π’ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ иммуногистохимичСского исслСдования выявлСно, Ρ‡Ρ‚ΠΎ 20 ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ ΠΈΠΌΠ΅ΡŽΡ‚ ΠΈΠΌΠΌΡƒΠ½ΠΎΡ„Π΅Π½ΠΎΡ‚ΠΈΠΏ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, ΠΎΡΡ‚Π°Π²ΡˆΠΈΠ΅ΡΡ Ρ‡Π΅Ρ‚Ρ‹Ρ€Π΅ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹Π΅ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ β€” ΠΈΠΌΠΌΡƒΠ½ΠΎΡ„Π΅Π½ΠΎΡ‚ΠΈΠΏ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π° плоскоклСточного Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, Π½ΠΈΠ·ΠΊΠΎΠ΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ Π°Π΄Π΅Π½ΠΎΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΡ‹ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ солидного строСния, ΠΊΡ€ΡƒΠΏΠ½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ Π’-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ Π»ΠΈΠΌΡ„ΠΎΠΌΡ‹ ΠΈ ΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΡ‹ ΠΌΠΎΠ»ΠΎΡ‡Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹. Π‘Ρ„ΠΎΡ€ΠΌΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½ Π°Π»Π³ΠΎΡ€ΠΈΡ‚ΠΌ комплСксного гистологичСского, цитологичСского ΠΈ иммуногистохимичСского ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² исслСдования, использованиС ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ позволяСт ΠΎΠΏΡ‚ΠΈΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ диагностику ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ ΠΏΠΎ Π΄Π°Π½Π½Ρ‹ΠΌ биопсий Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ²

    Morphological diagnostics off small cell lung cancer

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    Now lung cancer (LC) has remained the most widespread malignant tumour and the most frequent cause of death of people with this disease (this disease) in the world. It's accepted to divide all histological types of LC into small cell and non-small cell variants that is caused by essentially different ways of treatment. Small cell lung cancer (SCLC) is a malignant epithelial tumour of neuroendocrinal nature consisting of small round or oval cells with scant cytoplasm, finely granular nuclear chromatin and absent nucleoli. Necrosis is typically extensive and mitotic activity is high. Combined SCLC contains a component of any nonΒ­small cell lung cancer in a tumour structure. Immunohistochemical research of SCLC shows positive reaction on synaptophysin, C056 and chromogranin. The main method to receive material for morphological research at SCLC is bronchoscopy combined with forceps biopsy of affected bronchus. Small size of bronchial biopsy material and its crash during intake make morphological diagnostics difficult. Exact morphological diagnostics of SCLC is essentially important because it defines tactics of treatment which consists mainly in chemotherapy.Π’ настоящСС врСмя Ρ€Π°ΠΊ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ (Π Π›) остаСтся Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ распространСнной злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ ΠΈ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ частой ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΎΠΉ смСрти Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… злокачСствСнными новообразованиями Π² ΠΌΠΈΡ€Π΅. ΠŸΡ€ΠΈΠ½ΡΡ‚ΠΎ ΠΏΠΎΠ΄Ρ€Π°Π·Π΄Π΅Π»ΡΡ‚ΡŒ всС гистологичСскиС Ρ‚ΠΈΠΏΡ‹ Π Π› Π½Π° ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ ΠΈ Π½Π΅ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Ρ‹, Ρ‡Ρ‚ΠΎ обусловлСно ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠΈΠ°Π»ΡŒΠ½ΠΎ Ρ€Π°Π·Π½Ρ‹ΠΌΠΈ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π°ΠΌΠΈ ΠΊ Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ. ΠœΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ (ΠœΠ Π›) являСтся злокачСствСнной ΡΠΏΠΈΡ‚Π΅Π»ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ нСйроэндокринной ΠΏΡ€ΠΈΡ€ΠΎΠ΄Ρ‹, состоящСй ΠΈΠ· ΠΌΠ΅Π»ΠΊΠΈΡ… ΠΎΠΊΡ€ΡƒΠ³Π»Ρ‹Ρ… ΠΈΠ»ΠΈ ΠΎΠ²Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΊΠ»Π΅Ρ‚ΠΎΠΊ со скудной Ρ†ΠΈΡ‚ΠΎΠΏΠ»Π°Π·ΠΌΠΎΠΉ, Π½Π΅ΠΆΠ½ΠΎ-Π³Ρ€Π°Π½ΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΌ ядСрным Ρ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΈΠ½ΠΎΠΌ ΠΈ отсутствиСм ΡΠ΄Ρ€Ρ‹ΡˆΠ΅ΠΊ. Π₯Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½ΠΎ ΠΎΠ±ΠΈΠ»ΠΈΠ΅ Π½Π΅ΠΊΡ€ΠΎΠ·ΠΎΠ² ΠΈ высокая митотичСская Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ. ΠšΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ ΠœΠ Π› содСрТит Π² структурС ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ любого Π½Π΅ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ°. ΠŸΡ€ΠΈ иммуногистохимичСском исслСдовании ΠœΠ Π› Π΄Π°Π΅Ρ‚ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΡƒΡŽ Ρ€Π΅Π°ΠΊΡ†ΠΈΡŽ Π½Π° синаптофизин, CD56 ΠΈ Ρ…Ρ€ΠΎΠΌΠΎΠ³Ρ€Π°Π½ΠΈΠ½. ΠžΡΠ½ΠΎΠ²Π½Ρ‹ΠΌ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ получСния ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° для морфологичСского исслСдования ΠΏΡ€ΠΈ ΠœΠ Π› являСтся бронхоскопия Π² сочСтании со Ρ‰ΠΈΠΏΡ†ΠΎΠ²ΠΎΠΉ биопсиСй ΠΏΠΎΡ€Π°ΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ Π±Ρ€ΠΎΠ½Ρ…Π°. ЗатрудняСт ΠΌΠΎΡ€Ρ„ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ диагностику ΠΌΠ°Π»Ρ‹ΠΉ Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΏΠΎΠ»ΡƒΡ‡Π°Π΅ΠΌΠΎΠ³ΠΎ кусочка Ρ‚ΠΊΠ°Π½ΠΈ ΠΈ Π΅Π³ΠΎ Ρ€Π°Π·Π΄Π°Π²Π»ΠΈΠ²Π°Π½ΠΈΠ΅ ΠΏΡ€ΠΈ Π·Π°Π±ΠΎΡ€Π΅. Вочная морфологичСская диагностика ΠœΠ Π› ΠΊΡ€Π°ΠΉΠ½Π΅ Π²Π°ΠΆΠ½Π°, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ ΠΎΠ½Π° опрСдСляСт Ρ‚Π°ΠΊΡ‚ΠΈΠΊΡƒ лСчСния, которая Π·Π°ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ΡΡ прСимущСствСнно Π² Ρ…ΠΈΠΌΠΈΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠΈ

    Pathomorphology of small cell lung cancer on bronchial biopsy (histological and cytological comparisons)

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    In the paper there have been shown the results of histological and cytological studies of bronchial biopsies of patients with small cell lung tumors, compared data of histological and cytological studies and defined the structure of small cell lung cancer (variants of cyto-histological structure). In 85.3% of the cases it was managed to verify precisely the small-cell lung cancer, and in the remaining 14.7% of the cases it was revealed the need for immunohistochemical studies to identify the version of small-cell bronchial cancer. In 82.7% of the cases in the structure of small-cell lung cancer there was revealed the prevalence of oat cell variant including oat cell variant proper, oat cell variant with parts of intermediate cellular texture, oat cell variant of lymphocyte-like texture and oat cell variant with parts of both intermediate cellular and lymphocyte-like texture. In 9.9% of the cases small cell lung cancer had intermediate cellular texture, and in 7.4% of the cases variant of small cell lung cancer could not have been identified because of the evident crush phenomenon caused by the fragility of the tumor tissue and its crushing when obtaining biopsy material. In 60.0% of the cases the cytological findings coincided with the histological ones and the tumor structure in the smear test matched histological structure of SCLC. Integrated use of histological and cytological methods makes it possible to improve the diagnostics of small cell lung cancer on bronchial biopsy findings.Π’ Ρ€Π°Π±ΠΎΡ‚Π΅ ΠΏΡ€ΠΈΠ²Π΅Π΄Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ гистологичСского ΠΈ цитологичСского исслСдований биопсий Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ² Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ΠΌΠ΅Π»ΠΊΠΎΒ­ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌΠΈ опухолями Π»Π΅Π³ΠΊΠΈΡ…, сопоставлСны Π΄Π°Π½Π½Ρ‹Π΅ гистологичСского ΠΈ цитологичСского исслСдований ΠΈ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π° структура ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ (Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Ρ‹ Ρ†ΠΈΡ‚ΠΎ-гистологичСского строСния). Π’ 85,3% случаСв ΡƒΠ΄Π°Π»ΠΎΡΡŒ Ρ‚ΠΎΡ‡Π½ΠΎ Π²Π΅Ρ€ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, Π² ΠΎΡΡ‚Π°Π²ΡˆΠΈΡ…ΡΡ 14,7% случаСв выявлСна Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ иммуногистохимичСского исслСдования для опрСдСлСния Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π° ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹Ρ… ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ². Π’ структурС ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ Π² 82,7% случаСв выявлСно ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ овсяноклСточного Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π°, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰Π΅Π³ΠΎ собствСнно овсяноклСточный Π²Π°Ρ€ΠΈΠ°Π½Ρ‚, овсяноклСточный Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ с участками ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ строСния, овсяноклСточный Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ с участками Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚ΠΎΠΏΠΎΠ΄ΠΎΠ±Π½ΠΎΠ³ΠΎ строСния ΠΈ овсяноклСточный Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ с участками ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ ΠΈ Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚ΠΎΠΏΠΎΠ΄ΠΎΠ±Π½ΠΎΠ³ΠΎ строСния. Π’ 9,9% случаСв ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊ ΠΈΠΌΠ΅Π» ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ΅ строСниС, Π° Π² 7,4% случаСв Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Π½Π΅ ΡƒΠ΄Π°Π»ΠΎΡΡŒ ΠΈΠ·-Π·Π° Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹Ρ… явлСний ΠΊΡ€Π°Ρˆ-Ρ„Π΅Π½ΠΎΠΌΠ΅Π½Π°, обусловлСнного Ρ…Ρ€ΡƒΠΏΠΊΠΎΡΡ‚ΡŒΡŽ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ ΠΈ Π΅Ρ‘ Ρ€Π°Π·Π΄Π°Π²Π»ΠΈΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΏΡ€ΠΈ ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈΠΈ Π±ΠΈΠΎΠΏΡ‚Π°Ρ‚Π°. ЦитологичСскиС Π΄Π°Π½Π½Ρ‹Π΅ Π² 60,0% случаСв совпадали с гистологичСскими ΠΈ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹Π΅ структуры Π² ΠΌΠ°Π·ΠΊΠ°Ρ… повторяли гистологичСскоС строСниС ΠœΠ Π›. КомплСксноС использованиС гистологичСского ΠΈ цитологичСского ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² позволяСт ΡƒΠ»ΡƒΡ‡ΡˆΠΈΡ‚ΡŒ диагностику ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ ΠΏΠΎ Π΄Π°Π½Π½Ρ‹ΠΌ биопсий Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ²

    Morphometry of cells of small-cell lung cancer in histological and cytological samples

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    A morphometric comparative study of the sizes of small cell lung cancer cells in histological specimens and cytological smears obtained from 103 patients was carried out. It was shown that the area of tumor cells in cytological samples was significantly 4 times more than in histological sections. The cause of the identified phenomena is the differences in the features of fixation and preparation of the preparations, as well as the possibility of deforming the tumor cells.ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ морфомСтричСскоС ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ исслСдованиС Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠ² ΠΊΠ»Π΅Ρ‚ΠΎΠΊ ΠΌΠ΅Π»ΠΊΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ Π² гистологичСских ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°Ρ… ΠΈ цитологичСских ΠΌΠ°Π·ΠΊΠ°Ρ…, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… ΠΎΡ‚ 103 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…. Показано, Ρ‡Ρ‚ΠΎ ΠΏΠ»ΠΎΡ‰Π°Π΄ΡŒ ΠΊΠ»Π΅Ρ‚ΠΎΠΊ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π² цитологичСских ΠΎΠ±Ρ€Π°Π·Ρ†Π°Ρ… достовСрно практичСски Π² 4 Ρ€Π°Π·Π° большС, Ρ‡Π΅ΠΌ Π² гистологичСских срСзах. ΠŸΡ€ΠΈΡ‡ΠΈΠ½Π° выявлСнного явлСния – различия Π² ΠΌΠ΅Ρ‚ΠΎΠ΄Π°Ρ… фиксации ΠΈ изготовлСния ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², Π° Ρ‚Π°ΠΊΠΆΠ΅ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ Π΄Π΅Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΈ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹Ρ… ΠΊΠ»Π΅Ρ‚ΠΎΠΊ

    Methods of liquid based cytology and cell block in morphological diagnostics of lung tumors

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    The article contains a detailed description of methods of liquid-based cytology and cell block, based on literature data and personal experience. The capabilitiesof these methods have been assessed in order to improve the quality of morphological diagnosis of lung cancer by testing the material of lung resectates. The lung resectates have been comprehensively investigated histologically and cytologically with the use of standard techniques as well as methods of liquid-based cytology and cell block; in some of the cases immunohistochemical and immunocytochemical studies have been done additionally. The results of morphological studies of lung resectates, done with the use of methods of liquid-based cytology and cell block, have demonstrated the data that is identical to standard methods that has provided their high diagnostic value. Immunohistochemical and immunocytochemical studies of the materials of paraffin blocks and cell block have demonstrated identical responses on prevalence and intensity. Thus, cell block compared with liquid-based cytology has a number of advantages, namely the ability of doing a study of any cytological material along with production of high-quality drugs that are closer to histological ones due to the possibility of access to the internal cell structures that allows them to doimmunocytochemical study, which results are considered to be the most important thing to define further tactics of patient management, especially in the absence of the possibility of obtaining histological material.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΈΠ·Π»ΠΎΠΆΠ΅Π½Π° подробная характСристика ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Тидкостной Ρ†ΠΈΡ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ Ρ†ΠΈΡ‚ΠΎΠ±Π»ΠΎΠΊΠ°, основанная Π½Π° Π΄Π°Π½Π½Ρ‹Ρ… Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹ ΠΈ собствСнного ΠΎΠΏΡ‹Ρ‚Π°. ΠŸΡ€ΠΎΠΈΠ·Π²Π΅Π΄Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° возмоТностСй Π΄Π°Π½Π½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊ для ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡ качСства морфологичСской диагностики Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ ΠΏΡƒΡ‚Π΅ΠΌ ΠΈΡ… Π°ΠΏΡ€ΠΎΠ±Π°Ρ†ΠΈΠΈ Π½Π° ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π΅ Ρ€Π΅Π·Π΅ΠΊΡ‚Π°Ρ‚ΠΎΠ² Π»Π΅Π³ΠΊΠΈΡ…. Π Π΅Π·Π΅ΠΊΡ‚Π°Ρ‚Ρ‹ Π»Π΅Π³ΠΊΠΈΡ… комплСксно исслСдованы гистологичСски ΠΈ цитологичСски с использованиСм стандартных ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊ, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌΠΈ Тидкостной Ρ†ΠΈΡ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ Ρ†ΠΈΡ‚ΠΎΠ±Π»ΠΎΠΊΠ°, Π² рядС случаСв Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ иммуногистохимичСскоС ΠΈ иммуноцитохимичСскоС исслСдования. Π’ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ морфологичСского исслСдования Ρ€Π΅Π·Π΅ΠΊΡ‚Π°Ρ‚ΠΎΠ² Π»Π΅Π³ΠΊΠΈΡ… ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌΠΈ Тидкостной Ρ†ΠΈΡ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ Ρ†ΠΈΡ‚ΠΎΠ±Π»ΠΎΠΊΠ° ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Ρ‹ Π΄Π°Π½Π½Ρ‹Π΅, ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ‡Π½Ρ‹Π΅ стандартным ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠ°ΠΌ, Π΄ΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‰ΠΈΠ΅ ΠΈΡ… Π²Ρ‹ΡΠΎΠΊΡƒΡŽ Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Ρ†Π΅Π½Π½ΠΎΡΡ‚ΡŒ. Π¦ΠΈΡ‚ΠΎΠ±Π»ΠΎΠΊ, ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Тидкостной Ρ†ΠΈΡ‚ΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ, ΠΈΠΌΠ΅Π΅Ρ‚ ряд прСимущСств, Π·Π°ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰ΠΈΡ…ΡΡ Π² возмоТности исслСдования любого цитологичСского ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° с ΠΈΠ·Π³ΠΎΡ‚ΠΎΠ²Π»Π΅Π½ΠΈΠ΅ΠΌ высококачСствСнных ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², Π±ΠΎΠ»Π΅Π΅ ΠΏΡ€ΠΈΠ±Π»ΠΈΠΆΠ΅Π½Π½Ρ‹Ρ… ΠΊ гистологичСским благодаря доступу ΠΊ Π²Π½ΡƒΡ‚Ρ€Π΅Π½Π½ΠΈΠΌ структурам ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, Ρ‡Ρ‚ΠΎ позволяСт ΠΏΠΎΠ»Π½ΠΎΡ†Π΅Π½Π½ΠΎ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΡ‚ΡŒ иммуноцитохимичСскоС ΠΈ молСкулярно-гСнСтичСскоС исслСдования, Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²Π°ΠΆΠ½Ρ‹ для опрСдСлСния дальнСйшСй Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ вСдСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, особСнно Π² условиях отсутствия возмоТности получСния гистологичСского ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π°

    Nosological structure of respiratory organs pathology according to operational material and biopsies.

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    To learn the nosological structure of respiratory system pathology, the analyses of the results of pathological research of biopsy and resection material from 1584 patients in 2018. As a result of this research there was found the significant predominance of biopsy material over the resection material that could be explained by the diagnosis tasks and surgical tactics depending on the kind of case and its phase. In the structure of respiratory system pathology it was detected the significant predominance of lungs cancer, the correlation of histological forms of which depends on the kind of morphological material, and in this case to specify the diagnosis it is necessary to make immunohistochemistry.C Ρ†Π΅Π»ΡŒΡŽ изучСния нозологичСской структуры ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΎΡ€Π³Π°Π½ΠΎΠ² дыхания ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² патоморфологичСского исслСдования биопсийного ΠΈ Ρ€Π΅Π·Π΅ΠΊΡ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° 1584 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π·Π° 2018Π³ΠΎΠ΄. Π’ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ исслСдования выявлСно сущСствСнноС ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ биопсийного ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° Π½Π°Π΄ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹ΠΌ, Ρ‡Ρ‚ΠΎ ΠΌΠΎΠΆΠ½ΠΎ ΠΎΠ±ΡŠΡΡΠ½ΠΈΡ‚ΡŒ Π·Π°Π΄Π°Ρ‡Π°ΠΌΠΈ диагностики ΠΈ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ хирургичСского лСчСния Π² зависимости ΠΎΡ‚ Π²ΠΈΠ΄Π° заболСвания ΠΈ Π΅Π³ΠΎ стадии. Π’ структурС Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ ΠΎΡ€Π³Π°Π½ΠΎΠ² дыхания выявлСно Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ Ρ€Π°ΠΊΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ гистологичСских Ρ„ΠΎΡ€ΠΌ ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ отличаСтся Π² зависимости ΠΎΡ‚ Π²ΠΈΠ΄Π° морфологичСского ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π°, ΠΏΡ€ΠΈ этом Π² рядС случаСв для уточнСния Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° трСбуСтся ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ иммуногистохимичСского исслСдования
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