20 research outputs found

    ΠŸΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Π΅ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ соврСмСнных ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π² Π½Π΅ΠΎΠ½Π°Ρ‚Π°Π»ΡŒΠ½ΠΎΠΉ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅

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    The articleΒ  presentsΒ  an analysis of literature dataΒ  on modernΒ  protective regimensΒ  for invasive respiratory supportΒ  in premature newbornsΒ  with respiratory distressΒ  syndrome. We have considered positive and negativeΒ  aspects of the used methodsΒ  of invasive ventilation of the lungs, which are currently widely used as a methodΒ  of respiratory therapyΒ  in obstetric hospitalsΒ  at any level, even in the categoryΒ  of childrenΒ  with extremely and very low birth weight. ModernΒ  protective mechanical ventilation provides for 2 main directions for reducing ventilator-induced lung damage: a decrease in tidal volume (Vt) and the principleΒ  of tolerableΒ  (permissive) hypercapnia. The use of the technique of permissive hypercapnia and regimens with a target volume can reduce the likelihood of ventilator-induced lung injury in newborns. Despite the limited indications for mechanical ventilation in modern neonatology and the widespread use of non-invasive ventilation, for patients who really need mechanical ventilation, the use of volume-targeted regimens offers the best chance of reducingΒ  ventilation complications.ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹ ΠΏΠΎ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡŽ соврСмСнных ΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ€Π΅ΠΆΠΈΠΌΠΎΠ² ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π½Π΅Π΄ΠΎΠ½ΠΎΡˆΠ΅Π½Π½Ρ‹Ρ… Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… с рСспираторным дистрСсс-синдромом. РассмотрСны ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ ΠΈ ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ стороны ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅ΠΌΡ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ вСнтиляции Π»Π΅Π³ΠΊΠΈΡ…, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π² настоящСС врСмя нашли ΡˆΠΈΡ€ΠΎΠΊΠΎΠ΅ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π² качСствС ΠΌΠ΅Ρ‚ΠΎΠ΄Π° рСспираторной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π² Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΈΡ… стационарах любого уровня, Π² Ρ‚ΠΎΠΌ числС Ρƒ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ с ΡΠΊΡΡ‚Ρ€Π΅ΠΌΠ°Π»ΡŒΠ½ΠΎ ΠΈ ΠΎΡ‡Π΅Π½ΡŒ Π½ΠΈΠ·ΠΊΠΎΠΉ массой Ρ‚Π΅Π»Π° ΠΏΡ€ΠΈ Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠΈ. БоврСмСнная протСктивная Π˜Π’Π› прСдусматриваСт Π΄Π²Π° основных направлСния сниТСния вСнтилятор-ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ поврСТдСния Π»Π΅Π³ΠΊΠΈΡ…: ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΠ΅ Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎΒ  объСма (Vt) ΠΈ ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΒ  допустимой  (пСрмиссивной) Π³ΠΈΠΏΠ΅Ρ€ΠΊΠ°ΠΏΠ½ΠΈΠΈ. ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠΈΒ  пСрмиссивной Π³ΠΈΠΏΠ΅Ρ€ΠΊΠ°ΠΏΠ½ΠΈΠΈ ΠΈ Ρ€Π΅ΠΆΠΈΠΌΠΎΠ² с Ρ†Π΅Π»Π΅Π²Ρ‹ΠΌ объСмом позволяСт  ΡΠ½ΠΈΠ·ΠΈΡ‚ΡŒ Π²Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒ вСнтилятор-ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ поврСТдСния Π»Π΅Π³ΠΊΠΈΡ… Ρƒ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ. НСсмотря Π½Π° ΠΎΠ³Ρ€Π°Π½ΠΈΡ‡Π΅Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ ΠΊ Π˜Π’Π› Π² соврСмСнной Π½Π΅ΠΎΠ½Π°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΡˆΠΈΡ€ΠΎΠΊΠΎΠΌΡƒ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡŽ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ вСнтиляции, для ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Π΄Π΅ΠΉΡΡ‚Π²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π½ΡƒΠΆΠ΄Π°ΡŽΡ‰ΠΈΡ…ΡΡ Π² Π˜Π’Π›, ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Ρ€Π΅ΠΆΠΈΠΌΠΎΠ² с Ρ†Π΅Π»Π΅Π²Ρ‹ΠΌ объСмом Π΄Π°Π΅Ρ‚ Π»ΡƒΡ‡ΡˆΠΈΠ΅ ΡˆΠ°Π½ΡΡ‹ Π½Π° ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΠ΅ ослоТнСний вСнтиляции

    ИспользованиС Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ рСспираторного дистрСсс-синдрома Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ…

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    The article analyzes literature data on modern methods of non-invasive respiratory support for premature newborns with respiratory distress syndrome. The article describes positive and negative aspects of the contemporary methods and devices of non-invasive lung ventilation widely used as a starting method of respiratory therapy in obstetrics units of any level, including children with extremely and very low birth weight. The choice of the device and management tactics often depends on the facilities and financial situation of medical units as well as on the experience of medical professionals using specialized equipment.ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π΄Π°Π½Π½Ρ‹Ρ… Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹ ΠΏΠΎ соврСмСнным ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π½Π΅Π΄ΠΎΠ½ΠΎΡˆΠ΅Π½Π½Ρ‹Ρ… Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… с рСспираторным дистрСсс-синдромом. РассмотрСны ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ ΠΈ ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ стороны ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅ΠΌΡ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² ΠΈ устройств для Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ вСнтиляции Π»Π΅Π³ΠΊΠΈΡ…, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π² настоящСС врСмя нашли ΡˆΠΈΡ€ΠΎΠΊΠΎΠ΅ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π² качСствС стартового ΠΌΠ΅Ρ‚ΠΎΠ΄Π° рСспираторной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π² Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΈΡ… стационарах любого уровня, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ с ΡΠΊΡΡ‚Ρ€Π΅ΠΌΠ°Π»ΡŒΠ½ΠΎ ΠΈ ΠΎΡ‡Π΅Π½ΡŒ Π½ΠΈΠ·ΠΊΠΎΠΉ массой Ρ‚Π΅Π»Π° ΠΏΡ€ΠΈ Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠΈ. Π’Ρ‹Π±ΠΎΡ€ устройства ΠΈ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ провСдСния часто зависит ΠΎΡ‚ укомплСктованности ΠΈ финансовой обСспСчСнности Π»Π΅Ρ‡Π΅Π±Π½Ρ‹Ρ… ΡƒΡ‡Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉ, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΎΡ‚ ΠΎΠΏΡ‹Ρ‚Π° Π²Ρ€Π°Ρ‡Π°, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡŽΡ‰Π΅Π³ΠΎ ΡΠΏΠ΅Ρ†ΠΈΠ°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΡƒΡŽ Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚ΡƒΡ€Ρƒ

    The vagus nerve and the cardio-gastric reflex

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    Advanced approaches in the treatment of neonatal respiratory distress syndrome using non-invasive respiratory support

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    The article analyzes literature data on modern methods of non-invasive respiratory support for premature newborns with respiratory distress syndrome. The article describes positive and negative aspects of the contemporary methods and devices of non-invasive lung ventilation widely used as a starting method of respiratory therapy in obstetrics units of any level, including children with extremely and very low birth weight. The choice of the device and management tactics often depends on the facilities and financial situation of medical units as well as on the experience of medical professionals using specialized equipment

    Screening of Avena sativa cultivars for iron, zinc, manganese, protein and oil content and fatty acid composition in whole grains

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    The common oat (Avena sativa L.) is an excellent source of nutritional compounds. The objectives of this study were: (1) to identify oat accessions cultivated in Russia with high nutritive values of grain components, including iron (Fe), zinc (Zn), manganese (Mn), protein, oil and fatty acids, and (2) to determine how the measured components are interrelated. Fifty oat accessions from the Russian germplasm collection held at the Vavilov Institute of Plant Genetic Resources were characterized. Considerable genetic variation appeared to exist in almost all nutritional contents among genotypes grown in the same environment. Genotypic variations for seed Fe and Zn were moderate (1.9–2.7-fold), while those for Mn were relatively high (10.5-fold). A 1.8-fold variation between the lowest (10.9%) and highest (19.3%) protein content in the oat grain was found. High variation in oil content (2.7–8.1%) was found among the 50 cultivated oat accessions. Major fatty acids in oat oil were linoleic (C18:2) and oleic (C18:1) acids with higher C18:2 than C18:1 in all accessions. Oil, oleic acid, protein and Zn content show a positive correlation. The identifed oat cultivars with high nutritive values would be promising for breeding programs and for providing important nutrient sources for human consumption

    First experience with SONG-M measurements on board CORONAS-F satellite

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    353-357One of the experiments on CORONAS-F satellite is SONG-M devoted to the study of hard electromagnetic and neutron emissions from the sun. This paper presents the first results of the observations of Ξ³-ray emissions obtained by the instrument SONG-M during the period August 200l-May 2002

    Short-term variability of macro- and trace elements in Elymus repens L. and Urtica dioica L.

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    Abstract Background: The main aim of the research was to study short-term changes in the concentrations of elements in two widely distributed plant species, couch grass and nettle and in the rhizosphere soil of the plants. Methods: The sampling of plants and soil was carried out on three dates: 3, 10, and 25 May 2021. On each day of sampling, the plants and soil were collected three times: at 9:00, 14:00, and 19:00. The ICP-OES and ICP-MS analytical techniques were used for determination of elements in the plant and soil samples. The Raman spectroscopy was applied to study variations in the organic compounds. Results: The concentrations of both macro-nutrients and trace elements in plants varied greatly over daytime on all dates of sampling. The differences between concentrations of many elements in the plants collected at different times during a day were statistically significant. There were also statistically significant differences between concentrations of some elements (Na, Mg, P, K, Fe, Ba) in the plants collected on different dates. The relative intensity of diffuse luminescence of the rhizosphere soil of couch grass and nettle was different during daytime and also differed between the soils taken from roots of the two plant species, especially in the beginning of May. Conclusions: The experimental data indicates that the daily variations of the element concentrations in plants might be a result of multiple effects of various factors. The differences in the daily element variations in the couch grass and nettle growing in the same site and collected simultaneously might be due to the fact that these plants belong to different clades. The diurnal fluctuations (that also include regular changes in the element concentrations in plants) can be different for monocotyledons (couch grass) and dicotyledons (nettle). New experimental findings on short-term variations in the concentrations of macro-nutrients and trace elements can help to gain a new insight into accumulation of the elements in different plant species and also be useful in agricultural practice
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