257 research outputs found
Event Index - an LHCb Event Search System
During LHC Run 1, the LHCb experiment recorded around collision
events. This paper describes Event Index - an event search system. Its primary
function is to quickly select subsets of events from a combination of
conditions, such as the estimated decay channel or number of hits in a
subdetector. Event Index is essentially Apache Lucene optimized for read-only
indexes distributed over independent shards on independent nodes.Comment: Report for the proceedings of the CHEP-2015 conferenc
Π‘ΠΈΠ½ΡΠ΅Π· ΠΏΠΎΡ ΡΠ΄Π½ΠΈΡ ΡΠΏΡΡΠΎ[ΡΠ½Π΄ΠΎΠ»-3,1β-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½Ρ, Π²ΠΈΠ²ΡΠ΅Π½Π½Ρ ΡΡ Π°Π½ΡΠΈΠΌΡΠΊΡΠΎΠ±Π½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ° ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΈΠΉ Π΄ΠΎΠΊΡΠ½Π³ Π½Π° ΡΡΠ°ΡΡΠ»ΠΎΠΊΠΎΠΊΠΎΠ²ΡΠΉ Π΄Π΅Π³ΡΠ΄ΡΠΎΡΠΊΠ²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·Ρ
Aim. To synthesize the series of new spiro[indole-3,1β-pyrrolo[3,4-c]pyrrole]-2,4β,6β-trione derivatives, study their physicochemical characteristics, antibacterial activity and precision of the molecular docking on the model of staphylococcal dehydrosqualene synthase.Materials and methods. The methods of organic synthesis, instrumental methods for analysis of organic compounds, as well as the molecular docking method in silico and agar diffusion method in vitro were used.Results and discussion. To synthesize new bis-derivatives of 3βa, 6βa-dihydro-3βH-spiro[indole-3,1β-pyrrolo[3,4-c]pyrrole]-2,4β,6β-triones the three-component reaction of 1,6-maleimidamidohexane with L-amino acids and isatin was studied. New bis-spiro derivatives were isolated with a double excess of the corresponding isatin and L-amino acids. With the equimolar ratio of three reagents 6-N-maleimidohexyl derivatives spiro[indole-3,1β-pyrrolo[3,4-c] pyrrole]-2,4β,6β-triones were isolated with the yields of 30-90 %. To prove their reactivity two symmetrical bis-spirooxindoles were counter-synthesized by condensation of two 6-N-maleimidohexyl spiro-2-oxindole derivatives with isatin, L-phenylalanine or sarcosine with the yields of 35 and 38 %. In the microbiological screening it was found that some compounds revealed the activity against S. aureus at the level of cefalexin and against C. albicans fungi relative to fluconazole. The docking in silico identified a high ability of the compounds studied to interact with at least six key amino acid residues β Arg45, Asp48, Asp52, Gln165, Asn168 and Asp172 of the active center of S. aureus dehydrosqualene synthase (CrtM).Conclusions. It has been found that the one-pot three-component reaction of isatin, L-amino acids and 1,6-maleimidohexane as a function of the mole ratio of the reagents leads to both bis-derivatives of spiro[indole-3,1β-pyrrolo[3,4-c]pyrrole]-2,4β,6β-trione, and to the corresponding asymmetric 6-N-maleimidohexyl derivatives. The substances synthesized have predominantly shown the activity in relation to gram-positive bacteria and yeast-like fungi. For the first time it has been demonstrated by the molecular docking method that the compounds studied forming a complex with a high docking score are potential inhibitors of staphylococci CrtM.Π¦Π΅Π»Ρ ΡΠ°Π±ΠΎΡΡ β ΡΠΈΠ½ΡΠ΅Π· ΡΡΠ΄Π° ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ
ΡΠΏΠΈΡΠΎ[ΠΈΠ½Π΄ΠΎΠ»-3,1β-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΠΎΠ², ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΈΡ
ΡΠΈΠ·ΠΈΠΊΠΎ-Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ, Π°Π½ΡΠΈΠ±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΈ ΠΏΡΠ΅ΡΠΈΠ·ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π΄ΠΎΠΊΠΈΠ½Π³Π° Π½Π° ΠΌΠΎΠ΄Π΅Π»ΠΈ Π΄Π΅Π³ΠΈΠ΄ΡΠΎΡΠΊΠ²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·Ρ ΡΡΠ°ΡΠΈΠ»ΠΎΠΊΠΎΠΊΠΊΠΎΠ².ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠ΅ΡΠΎΠ΄Ρ ΠΎΡΠ³Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΈΠ½ΡΠ΅Π·Π°, ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΡΠΎΠ΅Π½ΠΈΡ ΠΎΡΠ³Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΠΉ, ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΡΠΉ Π΄ΠΎΠΊΠΈΠ½Π³ in silico, ΠΌΠ΅ΡΠΎΠ΄ Π΄ΠΈΡΡΡΠ·ΠΈΠΈ Π² Π°Π³Π°Ρ in vitro.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΈΡ
ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. Π‘ ΡΠ΅Π»ΡΡ ΡΠΈΠ½ΡΠ΅Π·Π° Π½ΠΎΠ²ΡΡ
Π±ΠΈΡ-ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ
3βa, 6βa-Π΄ΠΈΠ³ΠΈΠ΄ΡΠΎ-3βH-ΡΠΏΠΈΡΠΎ[ΠΈΠ½Π΄ΠΎΠ»-3,1β-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΠΎΠ² ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π° ΡΡΠ΅Ρ
ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½Π°Ρ ΡΠ΅Π°ΠΊΡΠΈΡ 1,6-ΠΌΠ°Π»Π΅ΠΈΠ½Π°ΠΌΠΈΠ΄ΠΎΠ³Π΅ΠΊΡΠ°Π½Π° Ρ L-Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡΠ°ΠΌΠΈ ΠΈ ΠΈΠ·Π°ΡΠΈΠ½ΠΎΠΌ. ΠΠΎΠ²ΡΠ΅ Π±ΠΈΡ-ΡΠΏΠΈΡΠΎΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠ΅ Π±ΡΠ»ΠΈ Π²ΡΠ΄Π΅Π»Π΅Π½Ρ ΠΏΡΠΈ Π΄Π²ΡΡ
ΠΊΡΠ°ΡΠ½ΠΎΠΌ ΠΈΠ·Π±ΡΡΠΊΠ΅ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΡ
ΠΈΠ·Π°ΡΠΈΠ½ΠΎΠ² ΠΈ L-Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ. ΠΡΠΈ ΡΠΊΠ²ΠΈΠΌΠΎΠ»ΡΠ½ΠΎΠΌ ΡΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠΈ ΡΡΠ΅Ρ
ΡΠ΅Π°Π³Π΅Π½ΡΠΎΠ² Π½Π°ΠΌΠΈ Π±ΡΠ»ΠΈ Π²ΡΠ΄Π΅Π»Π΅Π½Ρ 6-N-ΠΌΠ°Π»Π΅ΠΈΠ½ΠΈΠΌΠΈΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠ΅ 3βa,6βa-Π΄ΠΈΠ³ΠΈΠ΄ΡΠΎ-3βH-ΡΠΏΠΈΡΠΎ[ΠΈΠ½Π΄ΠΎΠ»-3,1β-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΠΎΠ² Ρ Π²ΡΡ
ΠΎΠ΄Π°ΠΌΠΈ 30-90 %. ΠΠ»Ρ Π΄ΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΡΡΠ²Π° ΠΈΡ
ΡΠ΅Π°ΠΊΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΠΈ ΠΎΡΡΡΠ΅ΡΡΠ²Π»Π΅Π½ Π²ΡΡΡΠ΅ΡΠ½ΡΠΉ ΡΠΈΠ½ΡΠ΅Π· Π΄Π²ΡΡ
ΡΠΈΠΌΠΌΠ΅ΡΡΠΈΡΠ½ΡΡ
Π±ΠΈΡ-ΡΠΏΠΈΡΠΎΠΎΠΊΡΠΈΠ½Π΄ΠΎΠ»ΠΎΠ² ΠΊΠΎΠ½Π΄Π΅Π½ΡΠ°ΡΠΈΠ΅ΠΉ Π΄Π²ΡΡ
6-N-ΠΌΠ°Π»Π΅ΠΈΠ½ΠΈΠΌΠΈΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ
Ρ ΠΈΠ·Π°ΡΠΈΠ½ΠΎΠΌ, L-ΡΠ΅Π½ΠΈΠ»Π°Π»Π°Π½ΠΈΠ½ΠΎΠΌ ΠΈΠ»ΠΈ ΡΠ°ΡΠΊΠΎΠ·ΠΈΠ½ΠΎΠΌ Ρ Π²ΡΡ
ΠΎΠ΄Π°ΠΌΠΈ 35 ΠΈ 38 %. Π ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠΊΡΠΈΠ½ΠΈΠ½Π³Π΅ Π½Π°ΠΉΠ΄Π΅Π½Ρ ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΡΠΎΡΠ²ΠΈΠ»ΠΈ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π² ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠΈ S. aureus Π½Π° ΡΡΠΎΠ²Π½Π΅ ΡΠ΅ΡΠ°Π»Π΅ΠΊΡΠΈΠ½Π° ΠΈ Π³ΡΠΈΠ±ΠΎΠ² C. albicans ΠΎΡΠ½ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΠ»ΡΠΊΠΎΠ½Π°Π·ΠΎΠ»Π°. Π Π΄ΠΎΠΊΠΈΠ½Π³Π΅ in silico Π²ΡΡΠ²Π»Π΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π½ΡΡ
ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΠΉ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΎΠ²Π°ΡΡ ΠΊΠ°ΠΊ ΠΌΠΈΠ½ΠΈΠΌΡΠΌ Ρ ΡΠ΅ΡΡΡΡ ΠΊΠ»ΡΡΠ΅Π²ΡΠΌΠΈ Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡΠ½ΡΠΌΠΈ ΠΎΡΡΠ°ΡΠΊΠ°ΠΌΠΈ Arg45, Asp48, Asp52, Gln165, Asn168 ΠΈ Asp172 Π°ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΠ΅Π½ΡΡΠ° Π΄Π΅Π³ΠΈΠ΄ΡΠΎΡΠΊΠ°Π²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·Ρ (CrtM) ΡΡΠ°ΡΠΈΠ»ΠΎΠΊΠΎΠΊΠΊΠΎΠ².ΠΡΠ²ΠΎΠ΄Ρ. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΠΎΠ΄Π½ΠΎΡΠ΅Π°ΠΊΡΠΎΡΠ½Π°Ρ ΡΡΠ΅Ρ
ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½Π°Ρ ΡΠ΅Π°ΠΊΡΠΈΡ ΠΈΠ·Π°ΡΠΈΠ½Π°, L-Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΠΈ 1,6-ΠΌΠ°Π»Π΅ΠΈΠ½Π°ΠΌΠΈΠ΄ΠΎΠ³Π΅ΠΊΡΠ°Π½Π° Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΌΠΎΠ»ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΡΠ΅Π°Π³Π΅Π½ΡΠΎΠ² ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊΠ°ΠΊ ΠΊ Π±ΠΈΡ-ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠΌ 3βa,6βa-Π΄ΠΈΠ³ΠΈΠ΄ΡΠΎ-3βH-ΡΠΏΠΈΡΠΎ[ΠΈΠ½Π΄ΠΎΠ»-3,1β-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½Π°, ΡΠ°ΠΊ ΠΈ ΠΊ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠΌ Π½Π΅ΡΠΈΠΌΠΌΠ΅ΡΡΠΈΡΠ½ΡΠΌ 6-N-ΠΌΠ°Π»Π΅ΠΈΠ½ΠΈΠΌΠΈΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΠΌ. Π‘ΠΈΠ½ΡΠ΅Π·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²Π° ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΏΡΠΎΡΠ²ΠΈΠ»ΠΈ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΊ Π³ΡΠ°ΠΌΠΌΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΡΠΌ Π±Π°ΠΊΡΠ΅ΡΠΈΡΠΌ ΠΈ Π΄ΡΠΎΠΆΠΆΠ΅ΠΏΠΎΠ΄ΠΎΠ±Π½ΡΠΌ Π³ΡΠΈΠ±Π°ΠΌ. ΠΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π΄ΠΎΠΊΠΈΠ½Π³Π° Π²ΠΏΠ΅ΡΠ²ΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π½ΡΠ΅ ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΡ ΡΠ²Π»ΡΡΡΡΡ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΡΠΌΠΈ ΠΈΠ½Π³ΠΈΠ±ΠΈΡΠΎΡΠ°ΠΌΠΈ Π΄Π΅Π³ΠΈΠ΄ΡΠΎΡΠΊΠ²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·Ρ (CrtM) ΡΡΠ°ΡΠΈΠ»ΠΎΠΊΠΎΠΊΠΊΠΎΠ², ΠΎΠ±ΡΠ°Π·ΡΡ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡ Ρ Π²ΡΡΠΎΠΊΠΈΠΌ Π²ΡΠΈΠ³ΡΡΡΠ΅ΠΌ ΡΠ½Π΅ΡΠ³ΠΈΠΈ.ΠΠ΅ΡΠ° ΡΠΎΠ±ΠΎΡΠΈ β ΡΠΈΠ½ΡΠ΅Π· ΡΡΠ΄Ρ Π½ΠΎΠ²ΠΈΡ
ΠΏΠΎΡ
ΡΠ΄Π½ΠΈΡ
ΡΠΏΡΡΠΎ[ΡΠ½Π΄ΠΎΠ»-3,1β-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΡΠ², Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ ΡΡ
ΡΡΠ·ΠΈΠΊΠΎ-Ρ
ΡΠΌΡΡΠ½ΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ, Π°Π½ΡΠΈΠ±Π°ΠΊΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ° ΠΏΡΠ΅ΡΠΈΠ·ΡΠΉΠ½ΠΎΠ³ΠΎ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π΄ΠΎΠΊΡΠ½Π³Ρ Π½Π° ΠΌΠΎΠ΄Π΅Π»Ρ Π΄Π΅Π³ΡΠ΄ΡΠΎΡΠΊΠ²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·ΠΈ ΡΡΠ°ΡΡΠ»ΠΎΠΊΠΎΠΊΡΠ².ΠΠ°ΡΠ΅ΡΡΠ°Π»ΠΈ ΡΠ° ΠΌΠ΅ΡΠΎΠ΄ΠΈ. ΠΠ΅ΡΠΎΠ΄ΠΈ ΠΎΡΠ³Π°Π½ΡΡΠ½ΠΎΠ³ΠΎ ΡΠΈΠ½ΡΠ΅Π·Ρ, ΡΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½Ρ ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π²ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½Π½Ρ Π±ΡΠ΄ΠΎΠ²ΠΈ ΠΎΡΠ³Π°Π½ΡΡΠ½ΠΈΡ
ΡΠΏΠΎΠ»ΡΠΊ, ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΈΠΉ Π΄ΠΎΠΊΡΠ½Π³ in silico, ΠΌΠ΅ΡΠΎΠ΄ Π΄ΠΈΡΡΠ·ΡΡ Π² Π°Π³Π°Ρ in vitro.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΡΠ° ΡΡ
ΠΎΠ±Π³ΠΎΠ²ΠΎΡΠ΅Π½Π½Ρ. Π ΠΌΠ΅ΡΠΎΡ ΡΠΈΠ½ΡΠ΅Π·Ρ Π½ΠΎΠ²ΠΈΡ
Π±ΡΡ-ΠΏΠΎΡ
ΡΠ΄Π½ΠΈΡ
3βa,6βa-Π΄ΠΈΠ³ΡΠ΄ΡΠΎ-3βH-ΡΠΏΡΡΠΎ[ΡΠ½Π΄ΠΎΠ»-3,1β-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c] ΠΏΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΡΠ² Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½ΠΎ ΡΡΠΈΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½Ρ ΡΠ΅Π°ΠΊΡΡΡ 1,6-ΠΌΠ°Π»Π΅ΡΠ½Π°ΠΌΡΠ΄ΠΎΠ³Π΅ΠΊΡΠ°Π½Ρ Π· L-Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡΠ°ΠΌΠΈ ΡΠ° ΡΠ·Π°ΡΠΈΠ½ΠΎΠΌ. ΠΠΎΠ²Ρ Π±ΡΡ-ΡΠΏΡΡΠΎΠΏΠΎΡ
ΡΠ΄Π½Ρ Π±ΡΠ»ΠΈ Π²ΠΈΠ΄ΡΠ»Π΅Π½Ρ ΠΏΡΠΈ Π΄Π²ΠΎΠΊΡΠ°ΡΠ½ΠΎΠΌΡ Π½Π°Π΄Π»ΠΈΡΠΊΡ Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π½ΠΈΡ
ΡΠ·Π°ΡΠΈΠ½ΡΠ² ΡΠ° L-Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ. ΠΡΠΈ Π΅ΠΊΠ²ΡΠΌΠΎΠ»ΡΠ½ΠΎΠΌΡ ΡΠΏΡΠ²Π²ΡΠ΄Π½ΠΎΡΠ΅Π½Π½Ρ ΡΡΡΠΎΡ
ΡΠ΅Π°Π³Π΅Π½ΡΡΠ² Π½Π°ΠΌΠΈ Π±ΡΠ»ΠΈ ΡΠ·ΠΎΠ»ΡΠΎΠ²Π°Π½Ρ 6-N-ΠΌΠ°Π»Π΅ΡΠ½ΡΠΌΡΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»ΠΏΠΎΡ
ΡΠ΄Π½Ρ ΡΠΏΡΡΠΎ[ΡΠ½Π΄ΠΎΠ»-3,1β-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΡΠ² Π· Π²ΠΈΡ
ΠΎΠ΄Π°ΠΌΠΈ 30-90 %. ΠΠ»Ρ Π΄ΠΎΠΊΠ°Π·Ρ ΡΠ΅Π°ΠΊΡΡΠΉΠ½ΠΎΡ Π·Π΄Π°ΡΠ½ΠΎΡΡΡ Π·Π΄ΡΠΉΡΠ½Π΅Π½ΠΎ Π·ΡΡΡΡΡΡΠ½ΠΈΠΉ ΡΠΈΠ½ΡΠ΅Π· Π΄Π²ΠΎΡ
ΡΠΈΠΌΠ΅ΡΡΠΈΡΠ½ΠΈΡ
Π±ΡΡ-ΡΠΏΡΡΠΎ-2-ΠΎΠΊΡΡΠ½Π΄ΠΎΠ»ΡΠ² ΠΊΠΎΠ½Π΄Π΅Π½ΡΠ°ΡΡΡΡ Π΄Π²ΠΎΡ
6-N-ΠΌΠ°Π»Π΅ΡΠ½ΡΠΌΡΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»ΠΏΠΎΡ
ΡΠ΄Π½ΠΈΡ
Π· Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π½ΠΈΠΌΠΈ ΡΠ·Π°ΡΠΈΠ½Π°ΠΌΠΈ, L-ΡΠ΅Π½ΡΠ»Π°Π»Π°Π½ΡΠ½ΠΎΠΌ Π°Π±ΠΎ ΡΠ°ΡΠΊΠΎΠ·ΠΈΠ½ΠΎΠΌ Π· Π²ΠΈΡ
ΠΎΠ΄Π°ΠΌΠΈ 35 ΡΠ° 38 % Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π½ΠΎ. Π£ ΠΌΡΠΊΡΠΎΠ±ΡΠΎΠ»ΠΎΠ³ΡΡΠ½ΠΎΠΌΡ ΡΠΊΡΠΈΠ½ΡΠ½Π³Ρ Π²ΠΈΡΠ²Π»Π΅Π½ΠΎ ΡΠΏΠΎΠ»ΡΠΊΠΈ, ΡΠΊΡ ΠΏΡΠΈΠ³Π½ΡΡΡΡΡΡ ΡΡΡΡ S. aureus Π½Π° ΡΡΠ²Π½Ρ ΡΠ΅ΡΠ°Π»Π΅ΠΊΡΠΈΠ½Ρ ΡΠ° Π³ΡΠΈΠ±ΡΠ² C. albicans Ρ ΠΏΠΎΡΡΠ²Π½ΡΠ½Π½Ρ Π· ΡΠ»ΡΠΊΠΎΠ½Π°Π·ΠΎΠ»ΠΎΠΌ. Π£ Π΄ΠΎΠΊΡΠ½Π³Ρ in silico ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ Π²ΠΈΡΠΎΠΊΡ Π·Π΄Π°ΡΠ½ΡΡΡΡ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½ΠΈΡ
ΠΌΠΎΠ»Π΅ΠΊΡΠ» Π²Π·Π°ΡΠΌΠΎΠ΄ΡΡΡΠΈ ΡΠΊ ΠΌΡΠ½ΡΠΌΡΠΌ ΡΠ· ΡΡΡΡΡΠΌΠ° ΠΊΠ»ΡΡΠΎΠ²ΠΈΠΌΠΈ Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡΠ½ΠΈΠΌΠΈ Π·Π°Π»ΠΈΡΠΊΠ°ΠΌΠΈ Arg45, Asp48, Asp52, Gln165, Asn168 ΡΠ° Asp172 Π°ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΠ΅Π½ΡΡΡ Π΄Π΅Π³ΡΠ΄ΡΠΎΡΠΊΠ°Π²Π°Π»Π΅Π½-ΡΠΈΠ½ΡΠ°Π·ΠΈ (CrtM) ΡΡΠ°ΡΡΠ»ΠΎΠΊΠΎΠΊΡΠ².ΠΠΈΡΠ½ΠΎΠ²ΠΊΠΈ. ΠΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΠΎ ΠΎΠ΄Π½ΠΎΡΠ΅Π°ΠΊΡΠΎΡΠ½Π° ΡΡΠΈΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½Π° ΡΠ΅Π°ΠΊΡΡΡ ΡΠ·Π°ΡΠΈΠ½ΡΠ², L-Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΡΠ° 1,6-ΠΌΠ°Π»Π΅ΡΠ½Π°ΠΌΡΠ΄ΠΎΠ³Π΅ΠΊΡΠ°Π½Ρ Π² Π·Π°Π»Π΅ΠΆΠ½ΠΎΡΡΡ Π²ΡΠ΄ ΠΌΠΎΠ»ΡΠ½ΠΎΠ³ΠΎ ΡΠΏΡΠ²Π²ΡΠ΄Π½ΠΎΡΠ΅Π½Π½Ρ ΡΠ΅Π°Π³Π΅Π½ΡΡΠ² ΠΏΡΠΈΠ·Π²ΠΎΠ΄ΠΈΡΡ ΡΠΊ Π΄ΠΎ Π±ΡΡ-3βa,6βa-Π΄ΠΈΠ³ΡΠ΄ΡΠΎ-3βH-ΡΠΏΡΡΠΎ[ΡΠ½Π΄ΠΎΠ»-3,1β-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,4β,6β-ΡΡΠΈΠΎΠ½ΡΠ², ΡΠ°ΠΊ Ρ Π΄ΠΎ Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π½ΠΈΡ
Π½Π΅ΡΠΈΠΌΠ΅ΡΡΠΈΡΠ½ΠΈΡ
6-N-ΠΌΠ°Π»Π΅ΡΠ½ΡΠΌΡΠ΄ΠΎΠ³Π΅ΠΊΡΠΈΠ»-ΠΏΠΎΡ
ΡΠ΄Π½ΠΈΡ
. Π‘ΠΈΠ½ΡΠ΅Π·ΠΎΠ²Π°Π½Ρ ΡΠ΅ΡΠΎΠ²ΠΈΠ½ΠΈ ΠΏΠ΅ΡΠ΅Π²Π°ΠΆΠ½ΠΎ ΠΏΡΠΎΡΠ²ΠΈΠ»ΠΈ Π°ΠΊΡΠΈΠ²Π½ΡΡΡΡ Π΄ΠΎ Π³ΡΠ°ΠΌΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΠΈΡ
Π±Π°ΠΊΡΠ΅ΡΡΠΉ ΡΠ° Π΄ΡΡΠΆΠ΄ΠΆΠΎΠΏΠΎΠ΄ΡΠ±Π½ΠΈΡ
Π³ΡΠΈΠ±ΡΠ². ΠΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π΄ΠΎΠΊΡΠ½Π³Ρ Π²ΠΏΠ΅ΡΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΠΎ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Ρ ΡΠΏΠΎΠ»ΡΠΊΠΈ Ρ ΠΏΠΎΡΠ΅Π½ΡΡΠΉΠ½ΠΈΠΌΠΈ ΡΠ½Π³ΡΠ±ΡΡΠΎΡΠ°ΠΌΠΈ Π΄Π΅Π³ΡΠ΄ΡΠΎΡΠΊΠ²Π°Π»Π΅Π½ΡΠΈΠ½ΡΠ°Π·ΠΈ (CrtM) ΡΡΠ°ΡΡΠ»ΠΎΠΊΠΎΠΊΡΠ², ΡΡΠ²ΠΎΡΡΡΡΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡ ΡΠ· Π²ΠΈΡΠΎΠΊΠΈΠΌ Π²ΠΈΠ³ΡΠ°ΡΠ΅ΠΌ Π΅Π½Π΅ΡΠ³ΡΡ
Development and Microstructural Improvement of Spin Cast High-Speed Steel Rolls
A detailed microstructural analysis was conducted on a series of radial shell samples extracted from commercially produced centrifugally spin casted high-speed steel (HSS) work rolls for finishing hot strip mills (HSM). The systematic microstructural analysis was coupled with a numerical and experimental investigation to improve the life of HSS rolls. An integrated computational-experimental approach was developed to optimize the response of the HSS roll material that permitted the enhancement of the microstructure and properties of the HSS roll shell layer. Local continuous microstructural transformations through the thickness of the shell: carbide formation, precipitation, dissolution sequence and phase changes, were studied in great details. The analyses were conducted with the aid of advanced metallographic and experimental methods, finite-element (FE) analysis, and using commercial software systems to conduct thermodynamic-kinetics predictions.
In order to analyze a response of the HSS roll to the hardening heat treatment (HT) and to control stress-strain evolution, a 3-D FE model was developed of the composite structure of the roll. The multilayered model considers nonlinear material properties of each individual layer as a function of temperature, based on measured chemical composition gradients through the HSS shell. Transient coupled thermal-stress analysis was performed, using actual measured surface temperatures as boundary conditions (BC) for the FE model. The allowable thermal stress-strain levels were established and compared with a) thermodynamically predicted high temperature mechanical properties and b) room temperature test results of the shear strengths for the shell, bonding and core. In addition, sub-structuring and image-based processing techniques were implemented to aid in the development of a meso-scale FE model to simulate the local response of a given microstructural constituents and matrix under particular thermal conditions. The fundamental interpretation of multilayered structure and multi-scale approach help to understand the kinetics phenomena associated with continuous local microstructural transformations due to nonlinear heat transfer. The results from the microstructural observations were in good agreement with the numerical predictions.
The major impact of this work clearly indicated that a refined as-cast structure prior to the heat treatment promoted an increased precipitation of carbides during final hardening, which greatly improved strength and performance. A non-conventional HT was defined and implemented in order to provide an additional degree of microstructural pre-conditioning, which homogenized the matrix throughout the HSS shell. The new HT defined the austenitization temperatures and times to modify the morphology of brittle interdendritic eutectic carbide networks and, hence, facilitating the kinetics of dissolution of these carbides. This behavior caused an increase in the solute content of the matrix. As a result, the matrix hardness and strength were increased during subsequent hardening HT in comparison to the conventional HT routes used for as-cast HSS rolls. Reports about rolls with the new material that have been placed in service indicate that the rolls last 50-70% longer
Π‘ΠΈΠ½ΡΠ΅Π· ΡΠΏΡΡΠΎ-2-ΠΎΠΊΡΡΠ½Π΄ΠΎΠ»ΡΠ½ΠΈΡ ΠΏΠΎΡ ΡΠ΄Π½ΠΈΡ ΡΠΌΡΠ΄ΡΠ² ΠΏΡΡΠΎΠ»ΡΠ΄ΠΈΠ½-3,4-Π΄ΠΈΠΊΠ°ΡΠ±ΠΎΠ½ΠΎΠ²ΠΎΡ ΠΊΠΈΡΠ»ΠΎΡΠΈ ΡΠ· Π·Π°Π»ΠΈΡΠΊΠ°ΠΌΠΈ Π±ΡΠΎΠ³Π΅Π½Π½ΠΈΡ ΡΡΡΠΊΠΎΠ²ΠΌΡΡΠ½ΠΈΡ Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΡΠ° ΡΡ Π°Π½ΡΠΈΠ³ΡΠΏΠΎΠΊΡΠΈΡΠ½Π° Π°ΠΊΡΠΈΠ²Π½ΡΡΡΡ
Modification of the spiro-2-oxindole skeleton due to introduction of pharmacophores of the known biologically active substances is a productive way for searching and creating new biologically active molecules with the non-planar structure.Aim. To synthesize spiro-2-oxindole derivatives of pyrrolidine-3,4-dicarboxylic acid imides with residues of biogenic sulfur-containing Ξ±-amino acids and study their anti-hypoxic activity.Results and discussion. Using a three-component one-pot reaction of isatin with sulfur-containing Ξ±-amino acids and maleimides a number of new spiro-imides, including 4β-R4-5β-alkylthio-S-R3-spiro[1-R1-5-R5-3H-indole-3,2(1βH)-pyrrolo[3,4-c]pyrrole]-2,3β,5β(1H,2βaH,4βH)-triones 6a-s, was synthesized with the yields of 55-92 %. The structure and the composition of the compounds synthesized are consistent with the results of X-Ray, elemental analysis, mass and NMR-spectra. It was found that only two of the eight possible enantiomers of spiro-imides were formed. Spiro-imide with a methionine residue in the dose of 10 mg/kg was the most active, and increased the life expectancy in rats with respect to the control group by 33.7 % on average. Against the background of acute asphyxia the preventive administration of piro-imide with a methionine residue in the dose of 5 mg/kg was the most effective; it increased the duration of the bioelectric activity of the heart by 12.1 %.Experimental part. The synthesis of compounds was performed using a three-component condensation in the alcoholic-aqueous medium. The methods of X-Ray, 1H, 13C NMR-spectroscopy, and mass spectrometry were used. The study of the antihypoxic activity was carried out on models of acute normobaric hypoxic hypoxia with hypercapnia and acute asphyxia in male rats of the Wistar line. The antihypoxic effect was assessed by the bioelectric activity of the heart.Conclusions. An effective approach to the synthesis of 4β-R4-5β-alkylthio-S-R3-spiro[1-R1-5-R5-3H-indole- 3,2β(1βH)-pyrrolo[3,4-c]pyrrole]-2,3β,5β(1H,2βaH,4βH)-triones has been developed; among them a compound with a moderate antihypoxic activity has been found.ΠΠΎΠ΄ΠΈΡΠΈΠΊΠ°ΡΠΈΡ ΠΊΠ°ΡΠΊΠ°ΡΠ° ΡΠΏΠΈΡΠΎ-2-ΠΎΠΊΡΠΈΠ½Π΄ΠΎΠ»ΠΎΠ² Π·Π° ΡΡΠ΅Ρ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠΎΡΠΎΠ² ΠΈΠ·Π²Π΅ΡΡΠ½ΡΡ
ΠΠΠ β ΡΡΠΎ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΡΠΉ ΠΏΡΡΡ ΠΏΠΎΠΈΡΠΊΠ° ΠΈ ΡΠΎΠ·Π΄Π°Π½ΠΈΡ Π½ΠΎΠ²ΡΡ
Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ Π°ΠΊΡΠΈΠ²Π½ΡΡ
ΠΌΠΎΠ»Π΅ΠΊΡΠ» Π½Π΅ΠΏΠ»ΠΎΡΠΊΠΎΠ³ΠΎ ΡΡΡΠΎΠ΅Π½ΠΈΡ.Π¦Π΅Π»Ρ ΡΠ°Π±ΠΎΡΡ β ΡΠΈΠ½ΡΠ΅Π· ΡΡΠ΄Π° ΡΠΏΠΈΡΠΎ-2-ΠΎΠΊΡΠΈΠ½Π΄ΠΎΠ»ΡΠ½ΡΡ
ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄Π½ΡΡ
ΠΈΠΌΠΈΠ΄ΠΎΠ² ΠΏΠΈΡΡΠΎΠ»ΠΈΠ΄ΠΈΠ½-3,4-Π΄ΠΈΠΊΠ°ΡΠ±ΠΎΠ½ΠΎΠ²ΠΎΠΉ ΠΊΠΈΡΠ»ΠΎΡΡ Ρ ΠΎΡΡΠ°ΡΠΊΠ°ΠΌΠΈ ΡΠ΅ΡΠΎΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΡ
Ξ±-Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΠΈ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΠΈΡ
Π°Π½ΡΠΈΠ³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΈΡ
ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΡΠΏΠΎΠ»ΡΠ·ΡΡ ΡΡΠ΅Ρ
ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½ΡΡ ΡΠ΅Π°ΠΊΡΠΈΡ ΠΈΠ·Π°ΡΠΈΠ½ΠΎΠ², ΡΠ΅ΡΠΎΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΡ
Ξ±-Π°ΠΌΠΈΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΠΈ ΠΌΠ°Π»Π΅ΠΈΠΌΠΈΠ΄ΠΎΠ², Π±ΡΠ» ΠΏΠΎΠ»ΡΡΠ΅Π½ ΡΡΠ΄ Π½ΠΎΠ²ΡΡ
ΡΠΏΠΈΡΠΎΠΈΠΌΠΈΠ΄ΠΎΠ² β 4β-R4-5β-Π°Π»ΠΊΠΈΠ»ΡΠΈΠΎ-S-R3-ΡΠΏΠΈΡΠΎ[1-R1-5-R5-3H-ΠΈΠ½Π΄ΠΎΠ»-3,2(1βH)-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,3β,5β (1H, 2βaH, 4βH)-ΡΡΠΈΠΎΠ½ΠΎΠ² Ρ Π²ΡΡ
ΠΎΠ΄Π°ΠΌΠΈ 55-92 %. Π‘ΠΎΡΡΠ°Π² ΠΈ ΡΡΡΠΎΠ΅Π½ΠΈΠ΅ ΡΠΈΠ½ΡΠ΅Π·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΠΉ ΡΠΎΠ³Π»Π°ΡΡΡΡΡΡ Ρ Π΄Π°Π½Π½ΡΠΌΠΈ ΡΠ»Π΅ΠΌΠ΅Π½ΡΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π°, ΠΌΠ°ΡΡ ΠΈ Π―ΠΠ -ΡΠΏΠ΅ΠΊΡΡΠΎΠ². Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΠΎΠ±ΡΠ°Π·ΡΡΡΡΡ ΡΠΎΠ»ΡΠΊΠΎ Π΄Π²Π° ΠΈΠ· Π²ΠΎΡΡΠΌΠΈ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΡ
ΡΠ½Π°Π½ΡΠΈΠΎΠΌΠ΅ΡΠΎΠ² ΡΠΏΠΈΡΠΎΠΈΠΌΠΈΠ΄ΠΎΠ². ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π°ΠΊΡΠΈΠ²Π½ΡΠΌ Π½Π° ΠΌΠΎΠ΄Π΅Π»ΠΈ ΠΎΡΡΡΠΎΠΉ Π½ΠΎΡΠΌΠΎΠ±Π°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΠΊΡΠΈΠΈ Ρ Π³ΠΈΠΏΠ΅ΡΠΊΠ°ΠΏΠ½ΠΈΠ΅ΠΉ ΠΎΠΊΠ°Π·Π°Π»ΡΡ ΡΠΏΠΈΡΠΎΠΈΠΌΠΈΠ΄ Ρ ΠΎΡΡΠ°ΡΠΊΠΎΠΌ ΠΌΠ΅ΡΠΈΠΎΠ½ΠΈΠ½Π° Π² Π΄ΠΎΠ·Π΅ 10 ΠΌΠ³/ΠΊΠ³, ΠΊΠΎΡΠΎΡΡΠΉ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°Π» ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΆΠΈΠ·Π½ΠΈ ΠΊΡΡΡ ΠΏΠΎ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΠΊ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π² ΡΡΠ΅Π΄Π½Π΅ΠΌ Π½Π° 33,7 %. ΠΠ° ΡΠΎΠ½Π΅ ΠΎΡΡΡΠΎΠΉ Π°ΡΡΠΈΠΊΡΠΈΠΈ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ Π±ΡΠ»ΠΎ ΠΏΡΠ΅Π²Π΅Π½ΡΠΈΠ²Π½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π² Π΄ΠΎΠ·Π΅ 5 ΠΌΠ³/ΠΊΠ³, ΡΡΠΎ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°Π»ΠΎ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π±ΠΈΠΎΡΠ»Π΅ΠΊΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈΡΠ΅ΡΠ΄ΡΠ° Π½Π° 12,1 %.ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½Π°Ρ ΡΠ°ΡΡΡ. ΠΠ΄Π½ΠΎΡΠ΅Π°ΠΊΡΠΎΡΠ½ΡΠΉ ΡΠΈΠ½ΡΠ΅Π· Π² ΡΠΏΠΈΡΡΠΎΠ²ΠΎ-Π²ΠΎΠ΄Π½ΠΎΠΉ ΡΡΠ΅Π΄Π΅; ΠΌΠ΅ΡΠΎΠ΄Ρ Π Π‘Π, ΡΠΏΠ΅ΠΊΡΡΠΎΡΠΊΠΎΠΏΠΈΠΈ Π―ΠΠ 1Π, 13Π‘, ΠΌΠ°ΡΡ-ΡΠΏΠ΅ΠΊΡΡΠΎΠΌΠ΅ΡΡΠΈΠΈ. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π°Π½ΡΠΈΠ³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° ΠΌΠΎΠ΄Π΅Π»ΡΡ
ΠΎΡΡΡΠΎΠΉ Π½ΠΎΡΠΌΠΎΠ±Π°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π³ΠΈΠΏΠΎΠΊΡΠΈΠΈ Ρ Π³ΠΈΠΏΠ΅ΡΠΊΠ°ΠΏΠ½ΠΈΠ΅ΠΉ ΠΈ ΠΎΡΡΡΠΎΠΉ Π°ΡΡΠΈΠΊΡΠΈΠΈ Π½Π° ΠΊΡΡΡΠ°Ρ
-ΡΠ°ΠΌΡΠ°Ρ
Π»ΠΈΠ½ΠΈΠΈ Wistar. ΠΠ½ΡΠΈΠ³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ ΠΏΡΠΈ Π²Π½ΡΡΡΠΈΠΆΠ΅Π»ΡΠ΄ΠΎΡΠ½ΠΎΠΌ Π²Π²Π΅Π΄Π΅Π½ΠΈΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ ΠΏΠΎ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ Π±ΠΈΠΎΡΠ»Π΅ΠΊΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ΅ΡΠ΄ΡΠ°.ΠΡΠ²ΠΎΠ΄Ρ. Π Π°Π·ΡΠ°Π±ΠΎΡΠ°Π½ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ ΠΊ ΡΠΈΠ½ΡΠ΅Π·Ρ 4β-R4-5β-Π°Π»ΠΊΠΈΠ»ΡΠΈΠΎ-S-R3-ΡΠΏΠΈΡΠΎ[1-R1-5-R5-3H-ΠΈΠ½Π΄ΠΎΠ»-3,2β(1βH)-ΠΏΠΈΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΠΈΡΡΠΎΠ»]-2,3β,5β(1H,2βaH,4βH)-ΡΡΠΈΠΎΠ½ΠΎΠ², ΡΡΠ΅Π΄ΠΈ ΠΊΠΎΡΠΎΡΡΡ
Π½Π°ΠΉΠ΄Π΅Π½ΠΎ ΡΠΎΠ΅Π΄ΠΈΠ½Π΅Π½ΠΈΠ΅ Ρ ΡΠΌΠ΅ΡΠ΅Π½Π½ΠΎΠΉ Π°Π½ΡΠΈΠ³ΠΈΠΏΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡΡ.ΠΠΎΠ΄ΠΈΡΡΠΊΠ°ΡΡΡ ΠΊΠ°ΡΠΊΠ°ΡΡ ΡΠΏΡΡΠΎ-2-ΠΎΠΊΡΡΠ½Π΄ΠΎΠ»ΡΠ² Π·Π° ΡΠ°Ρ
ΡΠ½ΠΎΠΊ ΡΠ²Π΅Π΄Π΅Π½Π½Ρ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠΎΡΡΠ² Π²ΡΠ΄ΠΎΠΌΠΈΡ
ΠΠΠ β ΡΠ΅ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΈΠΉ ΡΠ»ΡΡ
ΠΏΠΎΡΡΠΊΡ Ρ ΡΡΠ²ΠΎΡΠ΅Π½Π½Ρ Π½ΠΎΠ²ΠΈΡ
Π±ΡΠΎΠ»ΠΎΠ³ΡΡΠ½ΠΎ Π°ΠΊΡΠΈΠ²Π½ΠΈΡ
ΠΌΠΎΠ»Π΅ΠΊΡΠ» Π½Π΅ΠΏΠ»Π°ΡΠΊΠΎΡ Π±ΡΠ΄ΠΎΠ²ΠΈ.ΠΠ΅ΡΠ° ΡΠΎΠ±ΠΎΡΠΈ β ΡΠΈΠ½ΡΠ΅Π· ΡΡΠ΄Ρ ΡΠΏΡΡΠΎ-2-ΠΎΠΊΡΡΠ½Π΄ΠΎΠ»ΡΠ½ΠΈΡ
ΠΏΠΎΡ
ΡΠ΄Π½ΠΈΡ
ΡΠΌΡΠ΄ΡΠ² ΠΏΡΡΠΎΠ»ΡΠ΄ΠΈΠ½-3,4-Π΄ΠΈΠΊΠ°ΡΠ±ΠΎΠ½ΠΎΠ²ΠΎΡ ΠΊΠΈΡΠ»ΠΎΡΠΈ ΡΠ· Π·Π°Π»ΠΈΡΠΊΠ°ΠΌΠΈ ΡΡΡΠΊΠΎΠ²ΠΌΡΡΠ½ΠΈΡ
Ξ±-Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡ ΡΠ° Π²ΠΈΠ²ΡΠ΅Π½Π½Ρ ΡΡ
Π°Π½ΡΠΈΠ³ΡΠΏΠΎΠΊΡΠΈΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΡΠ° ΡΡ
ΠΎΠ±Π³ΠΎΠ²ΠΎΡΠ΅Π½Π½Ρ. ΠΠΈΠΊΠΎΡΠΈΡΡΠΎΠ²ΡΡΡΠΈ ΡΡΠΈΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠ½Π΅ ΠΊΠ°ΡΠΊΠ°Π΄Π½Π΅ ΠΏΠ΅ΡΠ΅ΡΠ²ΠΎΡΠ΅Π½Π½Ρ ΡΠ·Π°ΡΠΈΠ½ΡΠ² ΡΠ· ΡΡΡΠΊΠΎΠ²ΠΌΡΡΠ½ΠΈΠΌΠΈ Ξ±-Π°ΠΌΡΠ½ΠΎΠΊΠΈΡΠ»ΠΎΡΠ°ΠΌΠΈ ΡΠ° ΠΌΠ°Π»Π΅ΡΠΌΡΠ΄Π°ΠΌΠΈ Π±ΡΠ»ΠΎ ΡΠΈΠ½ΡΠ΅Π·ΠΎΠ²Π°Π½ΠΎ ΡΡΠ΄ Π½ΠΎΠ²ΠΈΡ
ΡΠΏΡΡΠΎΡΠΌΡΠ΄ΡΠ² β 4β-R4-5β-Π°Π»ΠΊΡΠ»ΡΡΠΎS-R3-ΡΠΏΡΡΠΎ[1-R1-5-R5-3H-ΡΠ½Π΄ΠΎΠ»-3,2β(1βH)-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,3β,5β(1H,2βaH,4βH)-ΡΡΡΠΎΠ½ΡΠ² Π· Π²ΠΈΡ
ΠΎΠ΄Π°ΠΌΠΈ 55-92 %. Π‘ΠΊΠ»Π°Π΄ Ρ Π±ΡΠ΄ΠΎΠ²Ρ ΡΠΈΠ½ΡΠ΅Π·ΠΎΠ²Π°Π½ΠΈΡ
ΡΠΏΠΎΠ»ΡΠΊ ΠΏΡΠ΄ΡΠ²Π΅ΡΠ΄ΠΆΠ΅Π½ΠΎ Π΄Π°Π½ΠΈΠΌΠΈ Π Π‘Π, Π΅Π»Π΅ΠΌΠ΅Π½ΡΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΡΠ·Ρ, ΠΌΠ°Ρ- ΡΠ° Π―ΠΠ -ΡΠΏΠ΅ΠΊΡΡΡΠ². ΠΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΠΎ Π² ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΡΠ²ΠΎΡΡΡΡΡΡΡ Π»ΠΈΡΠ΅ Π΄Π²Π° Π· Π²ΠΎΡΡΠΌΠΈ ΠΌΠΎΠΆΠ»ΠΈΠ²ΠΈΡ
Π΅Π½Π°Π½ΡΡΠΎΠΌΠ΅ΡΡΠ² ΡΠΏΡΡΠΎΡΠΌΡΠ΄ΡΠ². ΠΠ°ΠΉΠ±ΡΠ»ΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΈΠΌ Π½Π° ΠΌΠΎΠ΄Π΅Π»Ρ Π³ΠΎΡΡΡΠΎΡ Π½ΠΎΡΠΌΠΎΠ±Π°ΡΠΈΡΠ½ΠΎΡ Π³ΡΠΏΠΎΠΊΡΠΈΡΠ½ΠΎΡ Π³ΡΠΏΠΎΠΊΡΡΡ Π· Π³ΡΠΏΠ΅ΡΠΊΠ°ΠΏΠ½ΡΡΡ Π²ΠΈΡΠ²ΠΈΠ²ΡΡ ΡΠΏΡΡΠΎΡΠΌΡΠ΄ ΡΠ· Π·Π°Π»ΠΈΡΠΊΠΎΠΌ ΠΌΠ΅ΡΡΠΎΠ½ΡΠ½Ρ Ρ Π΄ΠΎΠ·Ρ 10 ΠΌΠ³/ΠΊΠ³, ΡΠΊΠΈΠΉ Π΄ΠΎΡΡΠΎΠ²ΡΡΠ½ΠΎ Π·Π±ΡΠ»ΡΡΡΠ²Π°Π² ΡΡΠΈΠ²Π°Π»ΡΡΡΡ ΠΆΠΈΡΡΡ ΡΡΡΡΠ² ΡΠΎΠ΄ΠΎ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π² ΡΠ΅ΡΠ΅Π΄Π½ΡΠΎΠΌΡ Π²ΡΠ΄ΠΏΠΎΠ²ΡΠ΄Π½ΠΎ Π½Π° 33,7 %. ΠΠ° ΡΠ»Ρ Π³ΠΎΡΡΡΠΎΡ Π°ΡΡΡΠΊΡΡΡ Π½Π°ΠΉΠ±ΡΠ»ΡΡ Π΅ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΈΠΌ Π±ΡΠ»ΠΎ ΠΉΠΎΠ³ΠΎ ΠΏΡΠ΅Π²Π΅Π½ΡΠΈΠ²Π½Π΅ Π²Π²Π΅Π΄Π΅Π½Π½Ρ Ρ Π΄ΠΎΠ·Ρ 5 ΠΌΠ³/ΠΊΠ³, ΡΠΎ Π·Π±ΡΠ»ΡΡΡΠ²Π°Π»ΠΎ ΡΡΠΈΠ²Π°Π»ΡΡΡΡ Π±ΡΠΎΠ΅Π»Π΅ΠΊΡΡΠΈΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ΅ΡΡΡ Π½Π° 12,1 %.ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½Π° ΡΠ°ΡΡΠΈΠ½Π°. ΠΠ΄Π½ΠΎΡΠ΅Π°ΠΊΡΠΎΡΠ½ΠΈΠΉ ΡΠΈΠ½ΡΠ΅Π· Ρ ΡΠΏΠΈΡΡΠΎΠ²ΠΎ-Π²ΠΎΠ΄Π½ΠΎΠΌΡ ΡΠ΅ΡΠ΅Π΄ΠΎΠ²ΠΈΡΡ; ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π Π‘Π, Π΅Π»Π΅ΠΌΠ΅Π½ΡΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΡΠ·Ρ, ΡΠΏΠ΅ΠΊΡΡΠΎΡΠΊΠΎΠΏΡΡ Π―ΠΠ 1Π, 13Π‘, ΠΌΠ°Ρ-ΡΠΏΠ΅ΠΊΡΡΠΎΠΌΠ΅ΡΡΡΡ; Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ Π°Π½ΡΠΈΠ³ΡΠΏΠΎΠΊΡΠΈΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° ΠΌΠΎΠ΄Π΅Π»ΡΡ
Π³ΠΎΡΡΡΠΎΡ Π½ΠΎΡΠΌΠΎΠ±Π°ΡΠΈΡΠ½ΠΎΡ Π³ΡΠΏΠΎΠΊΡΠΈΡΠ½ΠΎΡ Π³ΡΠΏΠΎΠΊΡΡΡ Π· Π³ΡΠΏΠ΅ΡΠΊΠ°ΠΏΠ½ΡΡΡ Ρ Π³ΠΎΡΡΡΠΎΡ Π°ΡΡΡΠΊΡΡΡ Π½Π° ΡΡΡΠ°Ρ
-ΡΠ°ΠΌΡΡΡ
Π»ΡΠ½ΡΡ Wistar. ΠΠ½ΡΠΈΠ³ΡΠΏΠΎΠΊΡΠΈΡΠ½Ρ Π΄ΡΡ ΠΏΡΠΈ Π²Π½ΡΡΡΡΡΠ½ΡΠΎΡΠ»ΡΠ½ΠΊΠΎΠ²ΠΎΠΌΡ Π²Π²Π΅Π΄Π΅Π½Π½Ρ ΠΎΡΡΠ½ΡΠ²Π°Π»ΠΈ Π·Π° ΡΡΠΈΠ²Π°Π»ΡΡΡΡ Π±ΡΠΎΠ΅Π»Π΅ΠΊΡΡΠΈΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ΅ΡΡΡ.ΠΠΈΡΠ½ΠΎΠ²ΠΊΠΈ. Π ΠΎΠ·ΡΠΎΠ±Π»Π΅Π½ΠΎ Π΅ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΈΠΉ ΠΏΡΠ΄Ρ
ΡΠ΄ Π΄ΠΎ ΡΠΈΠ½ΡΠ΅Π·Ρ 4β-R4-5β-Π°Π»ΠΊΡΠ»ΡΡΠΎ-S-R3-ΡΠΏΡΡΠΎ[1-R1-5-R5-3H-ΡΠ½Π΄ΠΎΠ»-3,2β(1βH)-ΠΏΡΡΠΎΠ»ΠΎ[3,4-c]ΠΏΡΡΠΎΠ»]-2,3β,5β(1H,2βaH,4βH)-ΡΡΡΠΎΠ½ΡΠ², ΡΠ΅ΡΠ΅Π΄ ΡΠΊΠΈΡ
Π·Π½Π°ΠΉΠ΄Π΅Π½ΠΎ ΡΠΏΠΎΠ»ΡΠΊΡ Π· ΠΏΠΎΠΌΡΡΠ½ΠΎΡ Π°Π½ΡΠΈΠ³ΡΠΏΠΎΠΊΡΠΈΡΠ½ΠΎΡ Π°ΠΊΡΠΈΠ²Π½ΡΡΡΡ
Dialectal Atlas of the Arab World - between Intention and Reality
Arabic dialectology has a long history and achieved significant progress in collecting and analyzing linguistic data and its classification. The present paper analyses modern trends in the linguistic situation in the Arab world and defines the topics essential for the Arabic dialectology, which require an urgent solution. During the last century, several attempts have been undertaken to create dialectal atlases of different regions of the Arab world. Besides this, considerable work also has been done on synchronous descriptions of modern and ancient Arabic dialects. Meanwhile these researches do not always reflect fully and adequately the current state of the dialectal continuum, which underwent significant transformations as a result of social and economic changes in the region, development of new technologies. Globalization and leveling of dialectal differences, spread of languages of international communication will lead to disappearance of small dialectal groups and vernaculars, among them those that are not sufficiently described or are little known at all, which presupposes their urgent investigation. In recent years digital methods of research open new horizons for scholars and put on the agenda the task of building of the dialectal atlas of the Arab world basing on the previous experience and data collected as well as application of ICT
ΠΡΠ½ΠΎΠ²ΠΎΠ΄ΡΡΠ²ΠΎ Π‘ΠΈΠ±ΠΈΡΠΈ: ΡΠ΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΉ ΠΊΠ»Π°ΡΡΠ΅Ρ, Π³Π»ΡΠ±ΠΎΠΊΠ°Ρ ΠΏΠ΅ΡΠ΅ΡΠ°Π±ΠΎΡΠΊΠ°, ΡΠΊΡΠΏΠΎΡΡΠ½ΡΠΉ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»
The book deals with the specifics of the functioning of the linen subcomplex of the agro-industrial complex of the Omsk region, the issues of its current state and development are studied. The problems associated with the formation of a flax cluster, the interaction of participants, the development prospects, the evaluation of the economic efficiency of regional flax production are examined. It is intended for managers and specialists of organizations and enterprises of agroindustrial complex engaged in the production and processing of flax, local self-government bodies, scientists, teachers of educational institutions, students in the preparation of bachelors and masters of the agroeconomic direction
ΠΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ ΠΏΡΠΈΡ ΠΈΠ»ΡΠ½ΠΎΡΡΡ Π΄ΠΎ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ Ρ ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π· Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΎΡ Π³ΡΠΏΠ΅ΡΡΠ΅Π½Π·ΡΡΡ Ρ ΠΏΡΠ°ΠΊΡΠΈΡΡ ΡΡΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π»ΡΠΊΠ°ΡΡ
The treatment of arterial hypertension (AH) is one of the most significant problems of modern internal medicine. Elevated blood pressure (BP) is a major risk factor for atherosclerosis, mainly coronary heart disease and damage tothe brain vessels. Medication adherence (MA) is a complex problem in patients with chronic cardiovascular diseases, especially AH.Aim. To study MA when treating patients with AH in a real Ukrainian out-patient practice for 8 weeks.Materials and methods. The sample of 274 patients with AH included men and women over 18 years old with the initial level of office systolic blood pressure (SBP) of 140-179 mm Hg and diastolic blood pressure (DBP) of 99-100 mm Hg against the background of the antihypertensive therapy or without it. Initially, BP was measured at the doctorβs office (office blood pressure) in all patients who were enrolled in the study; the body mass index (BMI), as well as risk factors were calculated, and the concomitant therapy was assessed. The quality of life was determined by a visual analog scale (VAS score). Patient adherence to the drug therapy was evaluated using the Morisky Medication Adherence Scale (MMAS).Results and discussion. To conduct the study according the MMAS test all patients were distributed in two groups with low MA (MMAS = 3 or 4, n = 181) or high MA (MMAS β€ 2, n = 93) by the psychometric scale. The results of the MMAS test obtained were confirmed by the reliability parameter used in psychometrics (Cronbachβs Alpha Λ 0.7). It was found at the end of the study that BP levels less than 140/90 mm Hg of 50.6 % of the Low MA group patients and 47.7 % of the High MA group patients were reached. A decrease in SBP < 140 mm Hg or a decrease in 20 mm Hg and more from the initial level, as well as a decrease in DBP < 90 mm Hg or 10 mm Hg and more was observed in 98.8% of patients in the Low MA group and in 98.4 % in the High MA group. After 8 weeks of observation, the quality of life significantly improved in both groups; however, in the Low MA group this improvement was more pronounced β more than 85 points instead of 82.8 by the VAS scores for the High MA group.Conclusions. The effectiveness of the AH treatment and achievement in the target BP level depend on the patientβs MA. Regular visits to the family doctorβs clinic mobilize patients, and are one of the factors that increase adherence to the treatment, along with pharmaceutical care.Π¦Π΅Π»Ρ. ΠΠ΅ΡΠ΅Π½ΠΈΠ΅ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅ΡΡΠ΅Π½Π·ΠΈΠΈ (ΠΠ) β ΠΎΠ΄Π½Π° ΠΈΠ· Π²Π°ΠΆΠ½Π΅ΠΉΡΠΈΡ
ΠΏΡΠΎΠ±Π»Π΅ΠΌ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ ΠΈ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ. ΠΠΎΠ²ΡΡΠ΅Π½Π½ΠΎΠ΅ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ (ΠΠ) ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΡΠ½ΠΎΠ²Π½ΡΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° Π°ΡΠ΅ΡΠΎΡΠΊΠ»Π΅ΡΠΎΠ·Π°, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ ΡΠ΅ΡΠ΄ΡΠ° ΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ. ΠΡΠΈΠ²Π΅ΡΠΆΠ΅Π½Π½ΠΎΡΡΡ ΠΊ Π»Π΅ΡΠ΅Π½ΠΈΡ (ΠΠ), ΠΈΠ»ΠΈ ΠΊΠΎΠΌΠΏΠ»Π°Π΅Π½Ρ, ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠ»ΠΎΠΆΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ ΠΠ. ΠΡΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΠ ΠΏΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΠ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ°.
ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π Π³ΡΡΠΏΠΏΡ Π±ΡΠ»ΠΈ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 274 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ ΠΠ: ΠΌΡΠΆΡΠΈΠ½Ρ ΠΈ ΠΆΠ΅Π½ΡΠΈΠ½Ρ 49,6-53,2 Π»Π΅Ρ Ρ Π½Π°ΡΠ°Π»ΡΠ½ΡΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌ ΡΠΈΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ 140-179 ΠΌΠΌ ΡΡ. ΡΡ. ΠΈ Π΄ΠΈΠ°ΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ 99-100 ΠΌΠΌ ΡΡ. ΡΡ. Π½Π° ΡΠΎΠ½Π΅ Π°Π½ΡΠΈΠ³ΠΈΠΏΠ΅ΡΡΠ΅Π½Π·ΠΈΠ²Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΈΠ»ΠΈ Π±Π΅Π· Π½Π΅Π΅. Π‘Π½Π°ΡΠ°Π»Π° ΠΊΡΠΎΠ²ΡΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ (ΠΠ) ΠΈΠ·ΠΌΠ΅ΡΡΠ»ΠΈ Ρ Π²ΡΠ΅Ρ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΠΊΠΎΡΠΎΡΡΠ΅ Π±ΡΠ»ΠΈ Π·Π°ΠΏΠΈΡΠ°Π½Ρ Π½Π° ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π² ΠΊΠ°Π±ΠΈΠ½Π΅Ρ Π²ΡΠ°ΡΠ° (Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² ΠΊΠ°Π±ΠΈΠ½Π΅ΡΠ΅ ΠΈΠ»ΠΈ ΠΎΡΠΈΡΠ½ΠΎΠ΅ ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΠ), ΡΠ°ΡΡΡΠΈΡΡΠ²Π°Π»ΠΈ ΠΈΠ½Π΄Π΅ΠΊΡ ΠΌΠ°ΡΡΡ ΡΠ΅Π»Π°, ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΡΡ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ. ΠΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ»ΠΈ ΠΏΠΎ Π²ΠΈΠ·ΡΠ°Π»ΡΠ½ΠΎΠΉ Π°Π½Π°Π»ΠΎΠ³ΠΎΠ²ΠΎΠΉ ΡΠΊΠ°Π»Π΅ (VAS). ΠΠ Π² ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΡΠΊΠ°Π»Ρ ΠΏΡΠΈΠ²Π΅ΡΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΊ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΎΠ·Π½ΠΎΠΌΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎ ΡΠ΅ΡΡΡ ΠΠΎΡΠΈΡΠΊΠΈ (MMAS).
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΈΡ
ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΠ»Ρ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π²ΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Π±ΡΠ»ΠΈ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ, ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ ΡΠ΅ΡΡΡ MMAS, Π½Π° Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ: Ρ Π½ΠΈΠ·ΠΊΠΈΠΌ ΠΈΠ½Π΄Π΅ΠΊΡΠΎΠΌ ΠΠ (MMAS = 3 ΠΈΠ»ΠΈ 4, N = 181) ΠΈ Π²ΡΡΠΎΠΊΠΈΠΌ ΠΈΠ½Π΄Π΅ΠΊΡΠΎΠΌ ΠΠ (MMAS β€ 2, N = 93) ΠΏΡΠΈΡ
ΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΊΠ°Π»Ρ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠ΅ΡΡΠ° MMAS ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Ρ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΎΠΌ Π½Π°Π΄Π΅ΠΆΠ½ΠΎΡΡΠΈ, ΠΏΡΠΈΠ½ΡΡΡΠΌ Π² ΠΏΡΠΈΡ
ΠΎΠΌΠ΅ΡΡΠΈΠΈ (ΠΊΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΠΠ»ΡΡΠ° ΠΡΠΎΠ½Π±Π°Ρ
Π° Λ 0,7). Π ΠΊΠΎΠ½ΡΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π²ΡΡΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΡΡΠΎΠ²Π½ΠΈ ΠΠ Π½ΠΈΠΆΠ΅ 140/90 ΠΌΠΌ ΡΡ. ΡΡ. Π½Π°Π±Π»ΡΠ΄Π°ΡΡΡΡ Ρ 50,6 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π³ΡΡΠΏΠΏΡ Ρ Π½ΠΈΠ·ΠΊΠΈΠΌ ΠΠ ΠΈ Ρ 47,7 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π³ΡΡΠΏΠΏΡ Ρ Π²ΡΡΠΎΠΊΠΈΠΌ ΠΠ. Π‘Π½ΠΈΠΆΠ΅Π½ΠΈΠ΅ Π‘ΠΠ < 140 ΠΌΠΌ ΡΡ. ΡΡ. ΠΈΠ»ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ Π½Π° 20 ΠΌΠΌ ΡΡ. ΡΡ. ΠΈ Π±ΠΎΠ»Π΅Π΅ ΠΎΡ ΠΈΡΡ
ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΡΡΠΎΠ²Π½Ρ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΠΠ < 90 ΠΌΠΌ ΡΡ. ΡΡ. ΠΈΠ»ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ Π½Π° 10 ΠΌΠΌ ΡΡ. ΡΡ. ΠΈ Π±ΠΎΠ»ΡΡΠ΅ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΎΡΡ Ρ 98,8 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π³ΡΡΠΏΠΏΡ Ρ Π½ΠΈΠ·ΠΊΠΎΠΉ ΠΠ ΠΈ Ρ 98,4 % Π³ΡΡΠΏΠΏΡ Ρ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΠ. ΠΠΎΡΠ»Π΅ 8 Π½Π΅Π΄Π΅Π»Ρ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΠ»ΡΡΡΠΈΠ»ΠΎΡΡ Π² ΠΎΠ±Π΅ΠΈΡ
Π³ΡΡΠΏΠΏΠ°Ρ
, Π½ΠΎ Π² Π³ΡΡΠΏΠΏΠ΅ Ρ Π½ΠΈΠ·ΠΊΠΎΠΉ ΠΠ ΡΡΠΎ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ Π±ΡΠ»ΠΎ Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌ β Π±ΠΎΠ»Π΅Π΅ 85 Π±Π°Π»Π»ΠΎΠ² ΠΏΡΠΎΡΠΈΠ² 82,8 ΠΏΠΎ VAS Π΄Π»Ρ Π³ΡΡΠΏΠΏΡ Ρ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΠ.
ΠΡΠ²ΠΎΠ΄Ρ. ΠΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΠ ΠΈ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ ΡΠ΅Π»Π΅Π²ΠΎΠ³ΠΎ ΡΡΠΎΠ²Π½Ρ ΠΠ Π·Π°Π²ΠΈΡΠΈΡ ΠΎΡ ΡΠΊΠ»ΠΎΠ½Π½ΠΎΡΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΠΊ Π»Π΅ΡΠ΅Π½ΠΈΡ. Π Π΅Π³ΡΠ»ΡΡΠ½ΡΠ΅ ΠΏΠΎΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° ΠΌΠΎΠ±ΠΈΠ»ΠΈΠ·ΡΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ ΡΠ²Π»ΡΡΡΡΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· ΡΠ°ΠΊΡΠΎΡΠΎΠ², ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°ΡΡΠΈΡ
, Π½Π°ΡΡΠ΄Ρ Ρ ΡΠ°ΡΠΌΠ°ΡΠ΅Π²ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΎΠΏΠ΅ΠΊΠΎΠΉ, ΠΏΡΠΈΠ²Π΅ΡΠΆΠ΅Π½Π½ΠΎΡΡΡ ΠΊ Π»Π΅ΡΠ΅Π½ΠΈΡ.ΠΠ΅ΡΠ°. ΠΡΠΊΡΠ²Π°Π½Π½Ρ Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΎΡ Π³ΡΠΏΠ΅ΡΡΠ΅Π½Π·ΡΡ (ΠΠ) β ΠΎΠ΄Π½Π° Π· Π½Π°ΠΉΠ²Π°ΠΆΠ»ΠΈΠ²ΡΡΠΈΡ
ΠΏΡΠΎΠ±Π»Π΅ΠΌ ΡΡΡΠ°ΡΠ½ΠΎΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΠΈ ΡΠ° ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠ΅ΡΠ°ΠΏΡΡ. ΠΡΠ΄Π²ΠΈΡΠ΅Π½ΠΈΠΉ Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΈΠΉ ΡΠΈΡΠΊ (ΠΠ’) Ρ ΠΎΡΠ½ΠΎΠ²Π½ΠΈΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΠ·ΠΈΠΊΡ Π°ΡΠ΅ΡΠΎΡΠΊΠ»Π΅ΡΠΎΠ·Ρ, ΠΎΡΠΎΠ±Π»ΠΈΠ²ΠΎ Ρ
Π²ΠΎΡΠΎΠ±ΡΠ΅ΡΡΡ ΡΠ° ΡΡΠ°ΠΆΠ΅Π½Π½Ρ ΠΌΠΎΠ·ΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΊΡΠΎΠ²ΠΎΠΎΠ±ΡΠ³Ρ. ΠΡΠΈΡ
ΠΈΠ»ΡΠ½ΡΡΡΡ Π΄ΠΎ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ (ΠΠ) Ρ ΡΠΊΠ»Π°Π΄Π½ΠΎΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΡ Ρ ΠΏΠ°ΡΡΡΠ½ΡΡΠ² ΡΠ· Ρ
ΡΠΎΠ½ΡΡΠ½ΠΈΠΌΠΈ ΡΠ΅ΡΡΠ΅Π²ΠΎ-ΡΡΠ΄ΠΈΠ½Π½ΠΈΠΌΠΈ Π·Π°Ρ
Π²ΠΎΡΡΠ²Π°Π½Π½ΡΠΌΠΈ, ΠΎΡΠΎΠ±Π»ΠΈΠ²ΠΎ ΠΠ. Π¦Π΅ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ Π±ΡΠ»ΠΎ ΡΠΎΠ·ΡΠΎΠ±Π»Π΅Π½ΠΎ Π΄Π»Ρ Π²ΠΈΠ·Π½Π°ΡΠ΅Π½Π½Ρ ΠΠ ΠΏΡΠ΄ ΡΠ°Ρ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π· ΠΠ ΠΏΡΠΎΡΡΠ³ΠΎΠΌ 8 ΡΠΈΠΆΠ½ΡΠ² Π² ΡΠΌΠΎΠ²Π°Ρ
ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ ΡΡΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π»ΡΠΊΠ°ΡΡ.
ΠΠ°ΡΠ΅ΡΡΠ°Π»ΠΈ ΡΠ° ΠΌΠ΅ΡΠΎΠ΄ΠΈ. Π£ Π³ΡΡΠΏΡ Π· 274 ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π· ΠΠ ΡΠΎΠ»ΠΎΠ²ΡΠΊΠΈ ΡΠ° ΠΆΡΠ½ΠΊΠΈ 49,6-53,2 ΡΠΎΠΊΡΠ² ΡΠ· ΠΏΠΎΡΠ°ΡΠΊΠΎΠ²ΠΈΠΌ ΡΡΠ²Π½Π΅ΠΌ ΡΠΈΡΡΠΎΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΠΊΡ (Π‘ΠΠ’) 140-179 ΠΌΠΌ ΡΡ. ΡΡ. ΡΠ° Π΄ΡΠ°ΡΡΠΎΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΠΊΡ (ΠΠΠ’) 99-100 ΠΌΠΌ ΡΡ. ΡΡ. Π½Π° ΡΠ»Ρ Π°Π½ΡΠΈΠ³ΡΠΏΠ΅ΡΡΠ΅Π½Π·ΠΈΠ²Π½ΠΎΡ ΡΠ΅ΡΠ°ΠΏΡΡ Π°Π±ΠΎ Π±Π΅Π· Π½Π΅Ρ. Π‘ΠΏΠΎΡΠ°ΡΠΊΡ ΠΊΡΠΎΠ²βΡΠ½ΠΈΠΉ ΡΠΈΡΠΊ (ΠΠ’) Π²ΠΈΠΌΡΡΡΠ²Π°Π»ΠΈ Ρ Π²ΡΡΡ
ΠΏΠ°ΡΡΡΠ½ΡΡΠ², ΡΠΊΡ Π±ΡΠ»ΠΈ Π·Π°ΠΏΠΈΡΠ°Π½Ρ Π½Π° Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ Π² ΠΊΠ°Π±ΡΠ½Π΅Ρ Π»ΡΠΊΠ°ΡΡ (Π°ΡΡΠ΅ΡΡΠ°Π»ΡΠ½ΠΈΠΉ ΡΠΈΡΠΊ Ρ ΠΊΠ°Π±ΡΠ½Π΅ΡΡ Π°Π±ΠΎ ΠΎΡΡΡΠ½Π΅ Π²ΠΈΠΌΡΡΡΠ²Π°Π½Π½Ρ ΠΠ’), ΡΠΎΠ·ΡΠ°Ρ
ΠΎΠ²ΡΠ²Π°Π»ΠΈ ΡΠ½Π΄Π΅ΠΊΡ ΠΌΠ°ΡΠΈ ΡΡΠ»Π°, ΡΠ°ΠΊΡΠΎΡΠΈ ΡΠΈΠ·ΠΈΠΊΡ ΠΉ ΠΎΡΡΠ½ΡΠ²Π°Π»ΠΈ ΡΡΠΏΡΡΠ½Ρ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠ΅ΡΠ°ΠΏΡΡ. Π―ΠΊΡΡΡΡ ΠΆΠΈΡΡΡ Π²ΠΈΠ·Π½Π°ΡΠ°Π»ΠΈ Π·Π° Π²ΡΠ·ΡΠ°Π»ΡΠ½ΠΎΡ Π°Π½Π°Π»ΠΎΠ³ΠΎΠ²ΠΎΡ ΡΠΊΠ°Π»ΠΎΡ (VAS). ΠΠ Π² ΡΠ΅ΡΠ°ΠΏΡΡ ΠΎΡΡΠ½ΡΠ²Π°Π»ΠΈ Π·Π° Π΄ΠΎΠΏΠΎΠΌΠΎΠ³ΠΎΡ ΡΠΊΠ°Π»ΠΈ ΠΏΡΠΈΡ
ΠΈΠ»ΡΠ½ΠΎΡΡΡ Π΄ΠΎ ΠΌΠ΅Π΄ΠΈΠΊΠ°-ΠΌΠ΅Π½ΡΠΎΠ·Π½ΠΎΠ³ΠΎ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ ΠΠΎΡΡΡΠΊΠΈ (MMAS).
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΡΠ° ΡΡ
ΠΎΠ±Π³ΠΎΠ²ΠΎΡΠ΅Π½Π½Ρ. ΠΠ»Ρ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½Ρ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ, Π·Π³ΡΠ΄Π½ΠΎ Π· ΡΠ΅ΡΡΠΎΠΌ MMAS, ΡΡΡΡ
ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π±ΡΠ»ΠΎ ΠΎΠ±βΡΠ΄Π½Π°Π½ΠΎ Ρ Π΄Π²Ρ Π³ΡΡΠΏΠΈ: Π· Π½ΠΈΠ·ΡΠΊΠΈΠΌ ΡΠ½Π΄Π΅ΠΊΡΠΎΠΌ ΠΠ (MMAS = 3 Π°Π±ΠΎ 4, N = 181) ΡΠ° Π²ΠΈΡΠΎΠΊΠΈΠΌ ΡΠ½Π΄Π΅ΠΊΡΠΎΠΌ ΠΠ (MMAS β€ 2, N = 93) ΠΏΡΠΈΡ
ΠΎΠΌΠ΅ΡΡΠΈΡΠ½ΠΎΡ ΡΠΊΠ°Π»ΠΈ. ΠΡΡΠΈΠΌΠ°Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΈ ΡΠ΅ΡΡΡ MMAS ΠΏΡΠ΄ΡΠ²Π΅ΡΠ΄ΠΆΠ΅Π½ΠΎ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΎΠΌ Π½Π°Π΄ΡΠΉΠ½ΠΎΡΡΡ, ΠΏΡΠΈΠΉΠ½ΡΡΠΈΠΌ Ρ ΠΏΡΠΈΡ
ΠΎΠΌΠ΅ΡΡΡΡ (ΠΊΠΎΠ΅ΡΡΡΡΡΠ½Ρ ΠΠ»ΡΡΠ° ΠΡΠΎΠ½Π±Π°Ρ
Π° Λ 0,7). ΠΠ°ΠΏΡΠΈΠΊΡΠ½ΡΡ Π΄ΠΎΡΠ»ΡΠ΄ΠΆΠ΅Π½Π½Ρ Π²ΠΈΡΠ²Π»Π΅Π½ΠΎ, ΡΠΎ ΡΡΠ²Π½Ρ ΠΠ’ Π½ΠΈΠΆΡΠ΅ 140/90 ΠΌΠΌ ΡΡ. ΡΡ. ΡΠΏΠΎΡΡΠ΅ΡΡΠ³Π°ΡΡΡΡΡ Ρ 50,6 % ΠΏΠ°ΡΡΡΠ½ΡΡΠ² ΡΠ· Π³ΡΡΠΏΠΈ Π· Π½ΠΈΠ·ΡΠΊΠΈΠΌ ΠΠ ΡΠ° Ρ 47,7 % ΠΏΠ°ΡΡΡΠ½ΡΡΠ² ΡΠ· Π³ΡΡΠΏΠΈ Π· Π²ΠΈΡΠΎΠΊΠΈΠΌ ΠΠ. ΠΠ½ΠΈΠΆΠ΅Π½Π½Ρ Π‘ΠΠ’ < 140 ΠΌΠΌ ΡΡ. ΡΡ. Π°Π±ΠΎ Π·Π½ΠΈΠΆΠ΅Π½Π½Ρ Π½Π° 20 ΠΌΠΌ ΡΡ. ΡΡ. ΡΠ° Π±ΡΠ»ΡΡΠ΅ Π²ΡΠ΄ ΠΏΠΎΡΠ°ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΡΡΠ²Π½Ρ, Π° ΡΠ°ΠΊΠΎΠΆΠΠΠ’ < 90 ΠΌΠΌ ΡΡ. ΡΡ. Π°Π±ΠΎ Π·Π½ΠΈΠΆΠ΅Π½Π½Ρ Π½Π° 10 ΠΌΠΌ ΡΡ. ΡΡ. Ρ Π±ΡΠ»ΡΡΠ΅ ΡΠΏΠΎΡΡΠ΅ΡΡΠ³Π°Π»ΠΎΡΡ Ρ 98,8 % ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π³ΡΡΠΏΠΈ Π· Π½ΠΈΠ·ΡΠΊΠΎΡ ΠΠ ΡΠ° Ρ 98,4 % ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Π³ΡΡΠΏΠΈ Π· Π²ΠΈΡΠΎΠΊΠΎΡ ΠΠ. ΠΡΡΠ»Ρ 8 ΡΠΈΠΆΠ½ΡΠ² ΡΠΏΠΎΡΡΠ΅ΡΠ΅ΠΆΠ΅Π½Π½Ρ ΡΠΊΡΡΡΡ ΠΆΠΈΡΡΡ Π·Π½Π°ΡΠ½ΠΎ ΠΏΠΎΠΊΡΠ°ΡΠΈΠ»Π°ΡΡ Π² ΠΎΠ±ΠΎΡ
Π³ΡΡΠΏΠ°Ρ
, Π°Π»Π΅ Π² Π³ΡΡΠΏΡ Π· Π½ΠΈΠ·ΡΠΊΠΎΡ ΠΠ ΡΠ΅ ΠΏΠΎΠ»ΡΠΏΡΠ΅Π½Π½Ρ Π±ΡΠ»ΠΎ Π±ΡΠ»ΡΡ Π²ΠΈΡΠ°ΠΆΠ΅Π½ΠΈΠΌ β ΠΏΠΎΠ½Π°Π΄ 85 Π±Π°Π»ΡΠ² ΠΏΡΠΎΡΠΈ 82,8 Π·Π° VAS Π΄Π»Ρ Π³ΡΡΠΏΠΈ Π· Π²ΠΈΡΠΎΠΊΠΎΡ ΠΠ.ΠΠΈΡΠ½ΠΎΠ²ΠΊΠΈ. ΠΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡΡΡ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ ΠΠ ΡΠ° Π΄ΠΎΡΡΠ³Π½Π΅Π½Π½Ρ ΡΡΠ»ΡΠΎΠ²ΠΎΠ³ΠΎ ΡΡΠ²Π½Ρ ΠΠ’ Π·Π°Π»Π΅ΠΆΠΈΡΡ Π²ΡΠ΄ ΠΏΡΠΈΡ
ΠΈΠ»ΡΠ½ΠΎΡΡΡ ΠΏΠ°ΡΡΡΠ½ΡΠ° Π΄ΠΎ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ. Π Π΅Π³ΡΠ»ΡΡΠ½Ρ Π²ΡΠ΄Π²ΡΠ΄ΡΠ²Π°Π½Π½Ρ ΠΊΠ»ΡΠ½ΡΠΊΠΈ ΡΡΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π»ΡΠΊΠ°ΡΡ ΠΌΠΎΠ±ΡΠ»ΡΠ·ΡΡΡΡ ΠΏΠ°ΡΡΡΠ½ΡΡΠ² Ρ Ρ ΠΎΠ΄Π½ΠΈΠΌ ΡΠ· ΡΠ°ΠΊΡΠΎΡΡΠ², ΡΠΎ,ΠΏΠΎΡΡΠ΄ ΡΠ· ΡΠ°ΡΠΌΠ°ΡΠ΅Π²ΡΠΈΡΠ½ΠΎΡ ΠΎΠΏΡΠΊΠΎΡ, Π·Π±ΡΠ»ΡΡΡΡΡΡ ΠΏΡΠΈΡ
ΠΈΠ»ΡΠ½ΡΡΡΡ Π΄ΠΎ Π»ΡΠΊΡΠ²Π°Π½Π½Ρ
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