72 research outputs found

    Features of micro- and ultrastructure of low-fat butter and its low-fat analogues

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    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 3.3–5.4 ΞΌm, and the average diameter of the fat globules that form the basis of the crystalline framework was 5.4–7.4 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»

    Inclusive Tourism: Concept and Essence

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    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 author’s 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 author’s definition of β€œinclusive tourism” is given

    Indicators of the osteoclastogenesis system in men with different clinical types of ankylosing spondylitis

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    Objective: to evaluate the osteoclastogenesis regulatory system – osteoprotegerin/receptor activator of nuclear factor-ΞΊΞ² ligand (OPG/RANKL)Β system – 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

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    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.Π˜Π·ΡƒΡ‡Π΅Π½ΠΎ 86 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² подросткового возраста, находящиСся Π½Π° стационарном ΠΏΡ€ΠΈΠ½ΡƒΠ΄ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ. ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ, Ρ‡Ρ‚ΠΎ Π²Π΅Π΄ΡƒΡ‰ΠΈΠΌΠΈ Ρƒ Π΄Π°Π½Π½Ρ‹Ρ… Π½Π΅ΡΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½Π½ΠΎΠ»Π΅Ρ‚Π½ΠΈΡ… являлась умствСнная ΠΎΡ‚ΡΡ‚Π°Π»ΠΎΡΡ‚ΡŒ ΠΈ органичСскиС психичСскиС расстройства, ΡˆΠΈΠ·ΠΎΡ„Ρ€Π΅Π½ΠΈΡ ΠΈ расстройства личности Π±Ρ‹Π»ΠΈ Π΅Π΄ΠΈΠ½ΠΈΡ‡Π½Ρ‹ΠΌΠΈ. Π°Π½Π°Π»ΠΈΠ· общСствСнно опасных дСйствий ΠΏΠΎΠΊΠ°Π·Π°Π», Ρ‡Ρ‚ΠΎ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‰ΠΈΠΌΠΈ Π±Ρ‹Π»ΠΈ имущСствСнныС ΠΏΡ€Π°Π²ΠΎΠ½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΡΠΎΠ²Π΅Ρ€ΡˆΠ°Π΅ΠΌΡ‹Π΅ ΠΊΠ°ΠΊ ΠΏΡ€Π°Π²ΠΈΠ»ΠΎ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΈ ΠΏΠΎ нСскольким эпизодам. ΠΠ°ΠΈΠ±ΠΎΠ»ΡŒΡˆΡƒΡŽ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒ Π²ΠΈΠ΄ΠΎΠ² ΠΏΡ€Π°Π²ΠΎΠ½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ с психичСской ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ прСдоставили наркологичСскиС заболСвания, Π° ΠΈΠΌΠ΅Π½Π½ΠΎ токсикомании, Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π΅ случаСв ΠΏΡ€Π°Π²ΠΎΠ½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΡΠΎΠ²Π΅Ρ€ΡˆΠ°Π»ΠΈΡΡŒ Π² состоянии опьянСния (алкогольного, токсичСского, наркотичСского). токсикомании ΠΈΠΌΠ΅Π»ΠΈ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΡƒΡŽ связь с ΠΏΠΎΠ΄ΠΆΠΎΠ³Π°ΠΌΠΈ ΠΈ ΡƒΠΌΡ‹ΡˆΠ»Π΅Π½Π½ΠΎΠΌΡƒ ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π΅Π½ΠΈΡŽ тяТкого Π²Ρ€Π΅Π΄Π° Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡŽ. ВяТСлыС ΠΏΡ€Π°Π²ΠΎΠ½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ – убийство, ΠΎΠ΄ΠΈΠ½ΠΎΡ‡Π½Ρ‹Π΅ Π½Π΅ΠΎΠ΄Π½ΠΎΠΊΡ€Π°Ρ‚Π½Ρ‹Π΅ Π³Ρ€Π°Π±Π΅ΠΆΠΈ ΡΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½Ρ‹ Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌΠΈ с ΡˆΠΈΠ·ΠΎΡ„Ρ€Π΅Π½ΠΈΠ΅ΠΉ. И достаточно ΡΠΈΠ»ΡŒΠ½ΡƒΡŽ связь ΠΈΠΌΠ΅Π»ΠΈ личностныС расстройства, ΠΊΠ°ΠΊ с структурС органичСского расстройства, Ρ‚Π°ΠΊ психопатии с Π³Ρ€ΡƒΠΏΠΏΠΎΠ²Ρ‹ΠΌΠΈ ΠΊΡ€Π°ΠΆΠ°ΠΌΠΈ, ΠΎΠ΄ΠΈΠ½ΠΎΡ‡Π½Ρ‹ΠΌΠΈ Π³Ρ€Π°Π±Π΅ΠΆΠ°ΠΌΠΈ, разбоями ΠΈ ΡƒΠ³ΠΎΠ½Π°ΠΌΠΈ. ΠΠ΅Π·Ρ€Π΅Π»ΠΎΡΡ‚ΡŒ Π²ΠΎΠ»Π΅Π²Ρ‹Ρ… ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠ² психичСских Ρ€Π΅Π°ΠΊΡ†ΠΈΠΉ Ρƒ умствСнно отсталых подростков, ΠΏΡ€ΠΈΠ²Π΅Π»ΠΈ ΠΊ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΡŽ ΠΏΡ€Π°Π²ΠΎΠ½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Π² Π²ΠΈΠ΄Π΅ хулиганских поступков ΠΈ изнасилования

    Низкая ΠΌΠΈΠ½Π΅Ρ€Π°Π»ΡŒΠ½Π°Ρ ΠΏΠ»ΠΎΡ‚Π½ΠΎΡΡ‚ΡŒ кост ΠΈ ΠΊΠ°ΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ риска развития остСопороза Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½, ΡΡ‚Ρ€Π°Π΄Π°ΡŽΡ‰ΠΈΡ… Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ спондилитом, ΠΈ способы Π΅Π΅ ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΠΈ

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    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.ЦСль исслСдования – ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΠΌΠΈΠ½Π΅Ρ€Π°Π»ΡŒΠ½ΡƒΡŽ ΠΏΠ»ΠΎΡ‚Π½ΠΎΡΡ‚ΡŒ кости (МПК) Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ с Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΌ спондилитом (АБ).ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Под наблюдСниСм Π½Π°Ρ…ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ 72 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° муТского ΠΏΠΎΠ»Π° с Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ АБ (согласно ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΌ Нью-Йоркским критСриям 1984 Π³.) с Ρ€Π°Π·Π²Π΅Ρ€Π½ΡƒΡ‚ΠΎΠΉ ΠΈΠ»ΠΈ ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ стадиСй заболСвания; срСдний возраст ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² – 43,2Β±9,1 Π³ΠΎΠ΄Π° (основная Π³Ρ€ΡƒΠΏΠΏΠ°). ΠšΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ составили 70 практичСски Π·Π΄ΠΎΡ€ΠΎΠ²Ρ‹Ρ… ΠΌΡƒΠΆΡ‡ΠΈΠ½ Ρ‚ΠΎΠ³ΠΎ ΠΆΠ΅ возраста (46,7Β±1,9 Π³ΠΎΠ΄Π°), Ρ€Π°Π½Π΅Π΅ Π½Π΅ ΠΈΠΌΠ΅Π²ΡˆΠΈΡ… ΠΏΠ΅Ρ€Π΅Π»ΠΎΠΌΠΎΠ² костСй ΠΈ Π½Π΅ ΠΏΡ€Π΅Π΄ΡŠΡΠ²Π»ΡΡŽΡ‰ΠΈΡ… ΠΆΠ°Π»ΠΎΠ± Π½Π° ОП.Β Π£ обслСдованных основной ΠΈ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏ опрСдСляли МПК ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ двухэнСргСтичСской рСнтгСновской абсорбциомСтрии.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования. ВыявлСно статистичСски достовСрноС сниТСниС МПК Π² шСйкС Π±Π΅Π΄Ρ€Π° ΠΈ поясничном ΠΎΡ‚Π΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡ‡Π½ΠΈΠΊΠ° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с АБ. ΠžΡΡ‚Π΅ΠΎΠΏΠ΅Π½ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ синдром (ОПБ) установлСн Ρƒ 44 (61,1%) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² основной Π³Ρ€ΡƒΠΏΠΏΡ‹: остСопСния (ОПС) – у 16 (22,2%) ΠΈ ОП – Ρƒ 28 (38,9%). Π’ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΠ΅ ОПБ выявлСн Ρƒ 16 (21,62%) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ²: ОПС – Ρƒ 12 (16,21%) ΠΈ ОП – Ρƒ 4Β (5,40%). Π’ Ρ€Π°Π·Π²Π΅Ρ€Π½ΡƒΡ‚ΠΎΠΉ стадии АБ сниТСниС МПК ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ ΠΊΠ°ΠΊ Π² шСйкС Π±Π΅Π΄Ρ€Π°, Ρ‚Π°ΠΊ ΠΈ Π² поясничном ΠΎΡ‚Π΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡ‡Π½ΠΈΠΊΠ°, Π² ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ стадии – Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Π² шСйкС Π±Π΅Π΄Ρ€Π°

    ΠŸΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ систСмы остСокластогСнСза Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ с Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ клиничСскими Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π°ΠΌΠΈ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ спондилита

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    Objective: to evaluate the osteoclastogenesis regulatory system – osteoprotegerin/receptor activator of nuclear factor-ΞΊΞ² ligand (OPG/RANKL)Β system – 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.ЦСль исслСдования – ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ состояниС систСмы рСгуляции остСокластогСнСза – остСопротСгСрин/Π»ΠΈΠ³Π°Π½Π΄ Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€Π° Π°ΠΊΡ‚ΠΈΠ²Π°Ρ‚ΠΎΡ€Π°Β Π½ΡƒΠΊΠ»Π΅Π°Ρ€Π½ΠΎΠ³ΠΎ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π° ΞΊΞ² (OPG/RANKL) – Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ с Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ клиничСскими Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π°ΠΌΠΈ Π°Π½ΠΊΠΈΠ»ΠΎΠ·ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ спондилита (АБ).ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. БистСма рСгуляции остСокластогСнСза ΠΈΠ·ΡƒΡ‡Π°Π»Π°ΡΡŒ Ρƒ 60 ΠΌΡƒΠΆΡ‡ΠΈΠ½: 40 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ АБ, ΡΠΎΠΎΡ‚Π²Π΅Ρ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠΌ ΠΌΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΌ Нью-Йоркским критСриям (1984 Π³.) ΠΈ 20 ΠΌΡƒΠΆΡ‡ΠΈΠ½ Π±Π΅Π· АБ. ИсслСдовали RANKL – основной стимулятор остСокластогСнСза ΠΈ OPG – Β«Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€-Π»ΠΎΠ²ΡƒΡˆΠΊΡƒΒ», ΡΠ²ΡΠ·Ρ‹Π²Π°ΡŽΡ‰ΠΈΠΉ RANKL ΠΈ, соотвСтствСнно, Π±Π»ΠΎΠΊΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ остСокластогСнСз.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования. Показано, Ρ‡Ρ‚ΠΎ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… АБ концСнтрация RANKL Π±Ρ‹Π»Π° Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ, Π° содСрТаниС OPG ΠΈ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅Β OPG/RANKL оказалось достовСрно Π²Ρ‹ΡˆΠ΅, Ρ‡Π΅ΠΌ Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ Π±Π΅Π· АБ. Наибольшая концСнтрация OPG зарСгистрирована Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с аксиальной Ρ„ΠΎΡ€ΠΌΠΎΠΉ заболСвания, ΡƒΠΌΠ΅Ρ€Π΅Π½Π½ΠΎΠΉ ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ активности ΠΈ Ρ€Π°Π½Π½Π΅ΠΉ рСнтгСнологичСской стадиСй. НС выявлСно зависимости уровня RANKL ΠΎΡ‚ клиничСских характСристик АБ, ΠΎΠ΄Π½Π°ΠΊΠΎ ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½Π° тСндСнция ΠΊ Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌΡƒ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡŽ Π΅Π³ΠΎ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ΠΌ внСскСлСтных проявлСний АБ, высокой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ активности, высоким Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌ классом ΠΈΒ ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ рСнтгСнологичСской стадиСй АБ.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. УстановлСно, Ρ‡Ρ‚ΠΎ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ уровня OPG ΠΈ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ OPG/RANKL ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ связано с Ρ‚Π΅ΠΌ, Ρ‡Ρ‚ΠΎ 94%Β ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΠΈΠΌΠ΅Π»ΠΈ позднюю ΡΡ‚Π°Π΄ΠΈΡŽ АБ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰ΡƒΡŽΡΡ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ΠΌ мноТСствСнных синдСсмофитов. Π”Π°Π½Π½Ρ‹Π΅ измСнСния, вСроятно, ΠΌΠΎΠ³ΡƒΡ‚ Π½ΠΎΡΠΈΡ‚ΡŒ компСнсаторный Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ Π² ΠΎΡ‚Π²Π΅Ρ‚ Π½Π° Π½Π΅Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ уровня RANKL ΠΈ усилСниС костной Ρ€Π΅Π·ΠΎΡ€Π±Ρ†ΠΈΠΈ
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