72 research outputs found
Features of micro- and ultrastructure of low-fat butter and its low-fat analogues
The aim of the research was to study the features of the structure of low-fat butter and butter pastes, which, in terms of composition and properties, more fully meet the requirements of a healthy diet than high-fat types of butter. The objects of research were: butter with fat content of 72.5%; butter with fat content of 55% made with the addition of skimmed milk powder; butter of the same fat content with the addition of stabilizers based on guar and xanthan gums and emulsifiers based on monoand diglycerides of fatty acids; butter pastes with fat content of 45% with similar additives used to increase the stability of the process of butter formation and improve the texture. The microstructure was studied using an MBI-6 microscope, and the ultramicrostructure was studied using a Phillips electron microscope. In the first case, the sample was prepared by crushing the sample, in the second one β by the method of ultrafast freeze-fracture and etching. Researches have shown that the use of the introduced ingredients improves the homogeneity of the structure of the studied products. Due to the ability of milk proteins and stabilizers to retain moisture, it is more evenly distributed and well retained in the fat matrix of the product, formed from crystalline and liquid fat in the form of a continuous phase, which is confirmed by a sufficient penetration depth of the fat-soluble dye. Plasma droplets in butter with fat content of 72.5% and 55% are more isolated than in butter pastes, as indicated by the greater penetration depth of the water-soluble dye. The average diameter of isolated moisture droplets in low-fat products was 3.3β5.4 ΞΌm, and the average diameter of the fat globules that form the basis of the crystalline framework was 5.4β7.4 ΞΌm, depending on the composition of the product. For butter with fat content of 72.5%, the values of these indicators were 2.8 and 4.0 ΞΌm. The results of the study indicate the presence of differences in the sizes of structural elements, but at the same time confirm the uniformity of the structure of low-fat products, allowing them to be attributed to dispersions Β«water-in-oilΒ»
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Deep and extensive meltwater system beneath the former Eurasian Ice Sheet in the Kara Sea
Abstract
The Eurasian ice sheet extended across the Barents and Kara Seas during the late Quaternary, yet evidence on past ice dynamics and thermal structure across its huge eastern periphery remains largely unknown. Here we use three-dimensional seismic data sets covering βΌ4500 km2 of the Kara Sea west of Yamal Peninsula, Siberia (71Β°β73Β°N), to identify, for the first time in the Russian Arctic seas, several buried generations of vast subglacial tunnel valley networks. Individual valleys are up to 50 km long and are incised as much as 400 m deep; among the largest tunnel valleys ever reported. This discovery represents the first documentation of an extensively warm-based eastern margin of the Eurasian ice sheet during the Quaternary glaciations. The presence of major subglacial channel networks on the shallow shelf, with no evidence of ice streaming, suggests that significant meltwater discharge and subsequent freshwater forcing of ocean circulation may be long-lived rather than catastrophic, occurring during the latest stages of deglaciation in areas where the ice sheet flows slowly and is grounded largely above sea level. Furthermore, the first account of an extensive hydrological network across large areas of the Kara Sea provides important empirical evidence for active subglacial hydrological processes that should be considered in future numerical modeling of the eastern margin of the Quaternary Eurasian ice sheet.</jats:p
Inclusive Tourism: Concept and Essence
Inclusive tourism is a way of looking at tourism activities and services, involving all people, visitors and residents, in the same activities and creating dialogue, peace and human development. In turn, the dynamics of inclusive tourism is likely to depend on an economic model that reflects current trends in the personalization of the tourism offer. The aim of the research: to consider the issues of the conceptual apparatus of inclusive tourism, aspects of the formation of inclusive tourism. Research objective: to analyze the works of domestic and foreign scientists and specialists in the field of inclusive tourism, to offer the authorβs definition of inclusive tourism. Research methods: analysis of normative legal documents, the method of comparative analysis and generalization, construction of own hypotheses. As a result of the study it was concluded that the analysis of the regulatory framework governing the development of tourism shows its insufficient perfection, as so far it does not reflect the development of inclusive tourism, also during the study of scientific research on this topic the authorβs definition of βinclusive tourismβ is given
Indicators of the osteoclastogenesis system in men with different clinical types of ankylosing spondylitis
Objective: to evaluate the osteoclastogenesis regulatory system β osteoprotegerin/receptor activator of nuclear factor-ΞΊΞ² ligand (OPG/RANKL)Β system β in men with different clinical types of ankylosing spondylitis (AS).Subjects and methods. The osteoclastogenesis regulatory system was studied in 60 men, including 40 patients diagnosed with AS complying withΒ the 1984 New York criteria and 20 men without AS. RANKL, a major stimulant of osteoclastogenesis, and OPG, a decoy receptor that bindsΒ RANKL and, accordingly, blocks osteoclastogenesis, were investigated.Results. It was shown that in the patients with AS, RANKL concentrations were normal and the content of OPG and OPG/RANKL ratio provedΒ to be significantly higher than those in the men without AS. The highest OPG concentrations were recorded in patients with the axial form of thisΒ disease, its moderate activity and early X-ray stage. No relationship was found between the level of RANKL and the clinical characteristics ofΒ AS; however, there was a tendency to a slight increase in its concentration in patients with extraskeletal manifestations of AS, its high activity,Β high functional class, and late X-ray stage.Conclusion. The considerable increase in OPG levels and OPG/RANKL ratio was ascertained to be associated to the fact that 94% of theΒ patients with late-stage AS characterized by the presence of numerous syndesmophytes. These changes must be compensatory in response toΒ modestly increased RANKL level and enhanced bone resorption
Characteristics of offenses among minors are on the stationary involuntary treatment
86 adolescent patients, who are on inpatient involuntary treatment, were studied. It was determined that the leading data from minors are mentally retarded and organic mental disorders, schizophrenia and personality disorders were isolated. Analysis of socially dangerous actions showed that the predominant property offenses were committed as a rule in the band and on several episodes. The greatest dependence types of offenses with mental disorders have provided substance abuse, namely, substance abuse, most of the offense committed in a state of intoxication (alcohol, toxic, narcotic). Substance Abuse had expressed connection with the arson and intentional infliction of grievous bodily harm. Serious offenses - murder, single repeated robberies committed by patients with schizophrenia. And personality disorder had quite a strong bond as with the structure of an organic disorder, psychopathy as a group theft, single looting, robberies and thefts. Immaturity volitional components of metal reactions in mentally retarded adolescents led to the predominance of offenses as acts of hooliganism and rape.ΠΠ·ΡΡΠ΅Π½ΠΎ 86 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ²ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°, Π½Π°Ρ
ΠΎΠ΄ΡΡΠΈΠ΅ΡΡ Π½Π° ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠΌ ΠΏΡΠΈΠ½ΡΠ΄ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ. ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΎ, ΡΡΠΎ Π²Π΅Π΄ΡΡΠΈΠΌΠΈ Ρ Π΄Π°Π½Π½ΡΡ
Π½Π΅ΡΠΎΠ²Π΅ΡΡΠ΅Π½Π½ΠΎΠ»Π΅ΡΠ½ΠΈΡ
ΡΠ²Π»ΡΠ»Π°ΡΡ ΡΠΌΡΡΠ²Π΅Π½Π½Π°Ρ ΠΎΡΡΡΠ°Π»ΠΎΡΡΡ ΠΈ ΠΎΡΠ³Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΈΡ
ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΡΠΈΠ·ΠΎΡΡΠ΅Π½ΠΈΡ ΠΈ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π° Π»ΠΈΡΠ½ΠΎΡΡΠΈ Π±ΡΠ»ΠΈ Π΅Π΄ΠΈΠ½ΠΈΡΠ½ΡΠΌΠΈ. Π°Π½Π°Π»ΠΈΠ· ΠΎΠ±ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΎΠΏΠ°ΡΠ½ΡΡ
Π΄Π΅ΠΉΡΡΠ²ΠΈΠΉ ΠΏΠΎΠΊΠ°Π·Π°Π», ΡΡΠΎ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°ΡΡΠΈΠΌΠΈ Π±ΡΠ»ΠΈ ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΠΏΡΠ°Π²ΠΎΠ½Π°ΡΡΡΠ΅Π½ΠΈΡ ΡΠΎΠ²Π΅ΡΡΠ°Π΅ΠΌΡΠ΅ ΠΊΠ°ΠΊ ΠΏΡΠ°Π²ΠΈΠ»ΠΎ Π² Π³ΡΡΠΏΠΏΠ΅ ΠΈ ΠΏΠΎ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΠΌ ΡΠΏΠΈΠ·ΠΎΠ΄Π°ΠΌ. ΠΠ°ΠΈΠ±ΠΎΠ»ΡΡΡΡ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΡ Π²ΠΈΠ΄ΠΎΠ² ΠΏΡΠ°Π²ΠΎΠ½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Ρ ΠΏΡΠΈΡ
ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ ΠΏΡΠ΅Π΄ΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ, Π° ΠΈΠΌΠ΅Π½Π½ΠΎ ΡΠΎΠΊΡΠΈΠΊΠΎΠΌΠ°Π½ΠΈΠΈ, Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π΅ ΡΠ»ΡΡΠ°Π΅Π² ΠΏΡΠ°Π²ΠΎΠ½Π°ΡΡΡΠ΅Π½ΠΈΡ ΡΠΎΠ²Π΅ΡΡΠ°Π»ΠΈΡΡ Π² ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ ΠΎΠΏΡΡΠ½Π΅Π½ΠΈΡ (Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΡΠ½ΠΎΠ³ΠΎ, ΡΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ, Π½Π°ΡΠΊΠΎΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ). ΡΠΎΠΊΡΠΈΠΊΠΎΠΌΠ°Π½ΠΈΠΈ ΠΈΠΌΠ΅Π»ΠΈ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΡ ΡΠ²ΡΠ·Ρ Ρ ΠΏΠΎΠ΄ΠΆΠΎΠ³Π°ΠΌΠΈ ΠΈ ΡΠΌΡΡΠ»Π΅Π½Π½ΠΎΠΌΡ ΠΏΡΠΈΡΠΈΠ½Π΅Π½ΠΈΡ ΡΡΠΆΠΊΠΎΠ³ΠΎ Π²ΡΠ΅Π΄Π° Π·Π΄ΠΎΡΠΎΠ²ΡΡ. Π’ΡΠΆΠ΅Π»ΡΠ΅ ΠΏΡΠ°Π²ΠΎΠ½Π°ΡΡΡΠ΅Π½ΠΈΡ β ΡΠ±ΠΈΠΉΡΡΠ²ΠΎ, ΠΎΠ΄ΠΈΠ½ΠΎΡΠ½ΡΠ΅ Π½Π΅ΠΎΠ΄Π½ΠΎΠΊΡΠ°ΡΠ½ΡΠ΅ Π³ΡΠ°Π±Π΅ΠΆΠΈ ΡΠΎΠ²Π΅ΡΡΠ΅Π½Ρ Π±ΠΎΠ»ΡΠ½ΡΠΌΠΈ Ρ ΡΠΈΠ·ΠΎΡΡΠ΅Π½ΠΈΠ΅ΠΉ. Π Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ ΡΠΈΠ»ΡΠ½ΡΡ ΡΠ²ΡΠ·Ρ ΠΈΠΌΠ΅Π»ΠΈ Π»ΠΈΡΠ½ΠΎΡΡΠ½ΡΠ΅ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΠΊΠ°ΠΊ Ρ ΡΡΡΡΠΊΡΡΡΠ΅ ΠΎΡΠ³Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΡΠ°ΠΊ ΠΏΡΠΈΡ
ΠΎΠΏΠ°ΡΠΈΠΈ Ρ Π³ΡΡΠΏΠΏΠΎΠ²ΡΠΌΠΈ ΠΊΡΠ°ΠΆΠ°ΠΌΠΈ, ΠΎΠ΄ΠΈΠ½ΠΎΡΠ½ΡΠΌΠΈ Π³ΡΠ°Π±Π΅ΠΆΠ°ΠΌΠΈ, ΡΠ°Π·Π±ΠΎΡΠΌΠΈ ΠΈ ΡΠ³ΠΎΠ½Π°ΠΌΠΈ. ΠΠ΅Π·ΡΠ΅Π»ΠΎΡΡΡ Π²ΠΎΠ»Π΅Π²ΡΡ
ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠΎΠ² ΠΏΡΠΈΡ
ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ΅Π°ΠΊΡΠΈΠΉ Ρ ΡΠΌΡΡΠ²Π΅Π½Π½ΠΎ ΠΎΡΡΡΠ°Π»ΡΡ
ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ², ΠΏΡΠΈΠ²Π΅Π»ΠΈ ΠΊ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΡ ΠΏΡΠ°Π²ΠΎΠ½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π² Π²ΠΈΠ΄Π΅ Ρ
ΡΠ»ΠΈΠ³Π°Π½ΡΠΊΠΈΡ
ΠΏΠΎΡΡΡΠΏΠΊΠΎΠ² ΠΈ ΠΈΠ·Π½Π°ΡΠΈΠ»ΠΎΠ²Π°Π½ΠΈΡ
ΠΠΈΠ·ΠΊΠ°Ρ ΠΌΠΈΠ½Π΅ΡΠ°Π»ΡΠ½Π°Ρ ΠΏΠ»ΠΎΡΠ½ΠΎΡΡΡ ΠΊΠΎΡΡ ΠΈ ΠΊΠ°ΠΊ ΡΠ°ΠΊΡΠΎΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΎΡΡΠ΅ΠΎΠΏΠΎΡΠΎΠ·Π° Ρ ΠΌΡΠΆΡΠΈΠ½, ΡΡΡΠ°Π΄Π°ΡΡΠΈΡ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡΡΡΡΠΈΠΌ ΡΠΏΠΎΠ½Π΄ΠΈΠ»ΠΈΡΠΎΠΌ, ΠΈ ΡΠΏΠΎΡΠΎΠ±Ρ Π΅Π΅ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ
Objective: to estimate bone mineral density (BMD) in men with ankylosing spondylosis (AS).Subjects and methods. Seventy-two male patients (mean age 43.2Β±9.1 years) diagnosed with extended- or late-stage AS (according to the 1984Β modified New York criteria) (a study group) were followed up. A control group consisted of 70 apparently healthy men of the same age (46.7Β±1.9Β years) with neither a history of bone fractures and no complains about osteoporosis (OP). In the study and control groups, BMD was determinedΒ by dual-energy X-ray absorptiometry.Results. The patients with AS were found to have statistically significantly lower BMD in the femoral neck and lumbar spine. In the study group,Β osteopenic syndrome (OPS) was identified in 44 (61.1%): osteopenia (OPe) in 16 (22.2%) and OP in 28 (38.9%). In the control group, OPSΒ was detected in 16 (21.62%) patients, OPe in 12 (16.21%), and OP in 4 (5.40%). Lower BMD was noted in both the femoral neck and lumbarΒ spine in the extended stage of AS and only in the femoral neck in its late stage.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΎΡΠ΅Π½ΠΈΡΡ ΠΌΠΈΠ½Π΅ΡΠ°Π»ΡΠ½ΡΡ ΠΏΠ»ΠΎΡΠ½ΠΎΡΡΡ ΠΊΠΎΡΡΠΈ (ΠΠΠ) Ρ ΠΌΡΠΆΡΠΈΠ½ Ρ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡΡΡΡΠΈΠΌ ΡΠΏΠΎΠ½Π΄ΠΈΠ»ΠΈΡΠΎΠΌ (ΠΠ‘).ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠΎΠ΄ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ΠΌ Π½Π°Ρ
ΠΎΠ΄ΠΈΠ»ΠΎΡΡ 72 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΠΌΡΠΆΡΠΊΠΎΠ³ΠΎ ΠΏΠΎΠ»Π° Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ ΠΠ‘ (ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΡΡ-ΠΠΎΡΠΊΡΠΊΠΈΠΌ ΠΊΡΠΈΡΠ΅ΡΠΈΡΠΌ 1984 Π³.) Ρ ΡΠ°Π·Π²Π΅ΡΠ½ΡΡΠΎΠΉ ΠΈΠ»ΠΈ ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠ΅ΠΉ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ; ΡΡΠ΅Π΄Π½ΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² β 43,2Β±9,1 Π³ΠΎΠ΄Π° (ΠΎΡΠ½ΠΎΠ²Π½Π°Ρ Π³ΡΡΠΏΠΏΠ°). ΠΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΡΡ Π³ΡΡΠΏΠΏΡ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ 70 ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π΄ΠΎΡΠΎΠ²ΡΡ
ΠΌΡΠΆΡΠΈΠ½ ΡΠΎΠ³ΠΎ ΠΆΠ΅ Π²ΠΎΠ·ΡΠ°ΡΡΠ° (46,7Β±1,9 Π³ΠΎΠ΄Π°), ΡΠ°Π½Π΅Π΅ Π½Π΅ ΠΈΠΌΠ΅Π²ΡΠΈΡ
ΠΏΠ΅ΡΠ΅Π»ΠΎΠΌΠΎΠ² ΠΊΠΎΡΡΠ΅ΠΉ ΠΈ Π½Π΅ ΠΏΡΠ΅Π΄ΡΡΠ²Π»ΡΡΡΠΈΡ
ΠΆΠ°Π»ΠΎΠ± Π½Π° ΠΠ.Β Π£ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π½ΡΡ
ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΠΈ ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ»ΠΈ ΠΠΠ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π΄Π²ΡΡ
ΡΠ½Π΅ΡΠ³Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ²ΡΠΊΠΎΠΉ Π°Π±ΡΠΎΡΠ±ΡΠΈΠΎΠΌΠ΅ΡΡΠΈΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΡΡΠ²Π»Π΅Π½ΠΎ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠ΅ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΠΠ Π² ΡΠ΅ΠΉΠΊΠ΅ Π±Π΅Π΄ΡΠ° ΠΈ ΠΏΠΎΡΡΠ½ΠΈΡΠ½ΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠ° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΠ‘. ΠΡΡΠ΅ΠΎΠΏΠ΅Π½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΈΠ½Π΄ΡΠΎΠΌ (ΠΠΠ‘) ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ Ρ 44 (61,1%) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ: ΠΎΡΡΠ΅ΠΎΠΏΠ΅Π½ΠΈΡ (ΠΠΠ΅) βΒ Ρ 16 (22,2%) ΠΈ ΠΠ β Ρ 28 (38,9%). Π ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ ΠΠΠ‘ Π²ΡΡΠ²Π»Π΅Π½ Ρ 16 (21,62%) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ²: ΠΠΠ΅ β Ρ 12 (16,21%) ΠΈ ΠΠ β Ρ 4Β (5,40%). Π ΡΠ°Π·Π²Π΅ΡΠ½ΡΡΠΎΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΠ‘ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΠΠ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ ΠΊΠ°ΠΊ Π² ΡΠ΅ΠΉΠΊΠ΅ Π±Π΅Π΄ΡΠ°, ΡΠ°ΠΊ ΠΈ Π² ΠΏΠΎΡΡΠ½ΠΈΡΠ½ΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠ°, Π² ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ ΡΡΠ°Π΄ΠΈΠΈ β ΡΠΎΠ»ΡΠΊΠΎ Π² ΡΠ΅ΠΉΠΊΠ΅ Π±Π΅Π΄ΡΠ°
ΠΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΡΠΈΡΡΠ΅ΠΌΡ ΠΎΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΠΎΠ³Π΅Π½Π΅Π·Π° Ρ ΠΌΡΠΆΡΠΈΠ½ Ρ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π²Π°ΡΠΈΠ°Π½ΡΠ°ΠΌΠΈ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡΡΡΡΠ΅Π³ΠΎ ΡΠΏΠΎΠ½Π΄ΠΈΠ»ΠΈΡΠ°
Objective: to evaluate the osteoclastogenesis regulatory system β osteoprotegerin/receptor activator of nuclear factor-ΞΊΞ² ligand (OPG/RANKL)Β system β in men with different clinical types of ankylosing spondylitis (AS).Subjects and methods. The osteoclastogenesis regulatory system was studied in 60 men, including 40 patients diagnosed with AS complying withΒ the 1984 New York criteria and 20 men without AS. RANKL, a major stimulant of osteoclastogenesis, and OPG, a decoy receptor that bindsΒ RANKL and, accordingly, blocks osteoclastogenesis, were investigated.Results. It was shown that in the patients with AS, RANKL concentrations were normal and the content of OPG and OPG/RANKL ratio provedΒ to be significantly higher than those in the men without AS. The highest OPG concentrations were recorded in patients with the axial form of thisΒ disease, its moderate activity and early X-ray stage. No relationship was found between the level of RANKL and the clinical characteristics ofΒ AS; however, there was a tendency to a slight increase in its concentration in patients with extraskeletal manifestations of AS, its high activity,Β high functional class, and late X-ray stage.Conclusion. The considerable increase in OPG levels and OPG/RANKL ratio was ascertained to be associated to the fact that 94% of theΒ patients with late-stage AS characterized by the presence of numerous syndesmophytes. These changes must be compensatory in response toΒ modestly increased RANKL level and enhanced bone resorption.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΎΡΠ΅Π½ΠΈΡΡ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΡΠΈΡΡΠ΅ΠΌΡ ΡΠ΅Π³ΡΠ»ΡΡΠΈΠΈ ΠΎΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΠΎΠ³Π΅Π½Π΅Π·Π° β ΠΎΡΡΠ΅ΠΎΠΏΡΠΎΡΠ΅Π³Π΅ΡΠΈΠ½/Π»ΠΈΠ³Π°Π½Π΄ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠ° Π°ΠΊΡΠΈΠ²Π°ΡΠΎΡΠ°Β Π½ΡΠΊΠ»Π΅Π°ΡΠ½ΠΎΠ³ΠΎ ΡΠ°ΠΊΡΠΎΡΠ° ΞΊΞ² (OPG/RANKL) β Ρ ΠΌΡΠΆΡΠΈΠ½ Ρ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π²Π°ΡΠΈΠ°Π½ΡΠ°ΠΌΠΈ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡΡΡΡΠ΅Π³ΠΎ ΡΠΏΠΎΠ½Π΄ΠΈΠ»ΠΈΡΠ° (ΠΠ‘).ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π‘ΠΈΡΡΠ΅ΠΌΠ° ΡΠ΅Π³ΡΠ»ΡΡΠΈΠΈ ΠΎΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΠΎΠ³Π΅Π½Π΅Π·Π° ΠΈΠ·ΡΡΠ°Π»Π°ΡΡ Ρ 60 ΠΌΡΠΆΡΠΈΠ½: 40 Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ ΠΠ‘, ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠΌ ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΡΡ-ΠΠΎΡΠΊΡΠΊΠΈΠΌ ΠΊΡΠΈΡΠ΅ΡΠΈΡΠΌ (1984 Π³.) ΠΈ 20 ΠΌΡΠΆΡΠΈΠ½ Π±Π΅Π· ΠΠ‘. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π»ΠΈ RANKL β ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΡΡΠΈΠΌΡΠ»ΡΡΠΎΡ ΠΎΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΠΎΠ³Π΅Π½Π΅Π·Π° ΠΈ OPG β Β«ΡΠ΅ΡΠ΅ΠΏΡΠΎΡ-Π»ΠΎΠ²ΡΡΠΊΡΒ», ΡΠ²ΡΠ·ΡΠ²Π°ΡΡΠΈΠΉ RANKL ΠΈ, ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ, Π±Π»ΠΎΠΊΠΈΡΡΡΡΠΈΠΉ ΠΎΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΠΎΠ³Π΅Π½Π΅Π·.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΠ‘ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΡ RANKL Π±ΡΠ»Π° Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΠΎΠΉ, Π° ΡΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅ OPG ΠΈ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠ΅Β OPG/RANKL ΠΎΠΊΠ°Π·Π°Π»ΠΎΡΡ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎ Π²ΡΡΠ΅, ΡΠ΅ΠΌ Ρ ΠΌΡΠΆΡΠΈΠ½ Π±Π΅Π· ΠΠ‘. ΠΠ°ΠΈΠ±ΠΎΠ»ΡΡΠ°Ρ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΡ OPG Π·Π°ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π½Π° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΒ Π°ΠΊΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΎΡΠΌΠΎΠΉ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ, ΡΠΌΠ΅ΡΠ΅Π½Π½ΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΈ ΡΠ°Π½Π½Π΅ΠΉ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ°Π΄ΠΈΠ΅ΠΉ. ΠΠ΅ Π²ΡΡΠ²Π»Π΅Π½ΠΎ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠΎΠ²Π½Ρ RANKL ΠΎΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ ΠΠ‘, ΠΎΠ΄Π½Π°ΠΊΠΎ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° ΡΠ΅Π½Π΄Π΅Π½ΡΠΈΡ ΠΊ Π½Π΅Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌΡ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΡ Π΅Π³ΠΎ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π½Π°Π»ΠΈΡΠΈΠ΅ΠΌ Π²Π½Π΅ΡΠΊΠ΅Π»Π΅ΡΠ½ΡΡ
ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ ΠΠ‘, Π²ΡΡΠΎΠΊΠΎΠΉ ΡΡΠ΅ΠΏΠ΅Π½ΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ, Π²ΡΡΠΎΠΊΠΈΠΌ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΌ ΠΊΠ»Π°ΡΡΠΎΠΌ ΠΈΒ ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ°Π΄ΠΈΠ΅ΠΉ ΠΠ‘.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΠΎΠ²Π½Ρ OPG ΠΈ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ OPG/RANKL ΠΌΠΎΠΆΠ΅Ρ Π±ΡΡΡ ΡΠ²ΡΠ·Π°Π½ΠΎ Ρ ΡΠ΅ΠΌ, ΡΡΠΎ 94%Β ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈΠΌΠ΅Π»ΠΈ ΠΏΠΎΠ·Π΄Π½ΡΡ ΡΡΠ°Π΄ΠΈΡ ΠΠ‘, Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΡΡΡΡΡΡ Π½Π°Π»ΠΈΡΠΈΠ΅ΠΌ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
ΡΠΈΠ½Π΄Π΅ΡΠΌΠΎΡΠΈΡΠΎΠ². ΠΠ°Π½Π½ΡΠ΅ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ, Π²Π΅ΡΠΎΡΡΠ½ΠΎ, ΠΌΠΎΠ³ΡΡ Π½ΠΎΡΠΈΡΡ ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΎΡΠ½ΡΠΉ Ρ
Π°ΡΠ°ΠΊΡΠ΅Ρ Π² ΠΎΡΠ²Π΅Ρ Π½Π° Π½Π΅Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΠΎΠ²Π½Ρ RANKL ΠΈ ΡΡΠΈΠ»Π΅Π½ΠΈΠ΅ ΠΊΠΎΡΡΠ½ΠΎΠΉ ΡΠ΅Π·ΠΎΡΠ±ΡΠΈΠΈ
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