12 research outputs found

    Project of The Building Intelligent Lighting System of The Arctic Zone University in The Digital Economy

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    Today in Russia, the main trends in the development of the energy sector are digitalization, decarbonization, and energy saving. Lighting is one of the priority areas for energy saving and energy efficiency, so the development of an intelligent lighting system at a university facility has been identified as a pilot digitalization project under the university's Smart Campus program. The main idea of ​​the project for the introduction of a "smart" lighting system is to reduce energy consumption by replacing fluorescent lighting with LEDs and the introduction of intelligent lighting control. As part of the work performed, an audit of the existing lighting system was carried out, a lighting calculation was made, a new executive lighting plan for selected objects was developed, a model of an intelligent lighting system was presented, its components were determined, and equipment was calculated for the smart lighting project. The authors analyzed the regional opportunities for using renewable energy sources in the Arctic zone in order to use them for the implementation of the project of an intelligent lighting system. Wind energy has been identified as a priority source. An additional effect of the project implementation will be: obtaining the first results of energy saving; obtaining new scientific data on the use of wind energy in the Arkhangelsk region, developing the foundations of a single platform for collecting and processing university information data; subsequent implementation at other university facilities

    Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ лСчСния ΠΎΠΌΡ„Π°Π»ΠΎΡ†Π΅Π»Π΅ Π² сочСтании с Π΄ΠΎΠ±Π°Π²ΠΎΡ‡Π½ΠΎΠΉ Π΄ΠΎΠ»Π΅ΠΉ ΠΏΠ΅Ρ‡Π΅Π½ΠΈ ΠΈ пилоростСнозом

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    Purpose. Presentation of clinical cases of rare combination of omphalocele with pylorostenosis in the postoperative period and additional liver lobe. Materials and methods. In National Medical Research Center for Childrens Health of health surgical ward of newborns and infants for the 2019 us operated 2 children who performed surgery involving intra-operative decision making about further surgical tactics. Results. the results of surgical treatment of newborns with omphalocele combined with hypertrophic pylorostenosis and extra liver lobe are presented. Conclusions. In patients with malformations of the anterior abdominal wall in the postoperative period, when regurgitation syndrome appears, it is necessary to make a differential diagnosis between the functional and organic causes of obstruction. When confirming the organic nature of the obstruction, surgical intervention is indicated. It is necessary to be able to timely and objectively assess the risks and expediency of the approach when choosing surgical tactics in each individual case.ЦСль. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ΠΈΠ΅ клиничСских случаСв Ρ€Π΅Π΄ΠΊΠΎΠ³ΠΎ сочСтания ΠΎΠΌΡ„Π°Π»ΠΎΡ†Π΅Π»Π΅ с Π²Ρ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹ΠΌ гипСртрофичСским пилоростСнозом ΠΈ Π΄ΠΎΠ±Π°Π²ΠΎΡ‡Π½ΠΎΠΉ Π΄ΠΎΠ»Π΅ΠΉ ΠΏΠ΅Ρ‡Π΅Π½ΠΈ. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ хирургичСском ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠΈ Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… ΠΈ Π΄Π΅Ρ‚Π΅ΠΉ Π³Ρ€ΡƒΠ΄Π½ΠΎΠ³ΠΎ возраста ЀГАУ НМИЦ Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ Π΄Π΅Ρ‚Π΅ΠΉ ΠœΠΈΠ½Π·Π΄Ρ€Π°Π²Π° России Π² 2019 Π³. Π½Π°ΠΌΠΈ ΠΏΡ€ΠΎΠΎΠΏΠ΅Ρ€ΠΈΡ€ΠΎΠ²Π°Π½ΠΎ 2 Ρ€Π΅Π±Π΅Π½ΠΊΠ° с ΠΎΠΌΡ„Π°Π»ΠΎΡ†Π΅Π»Π΅. Π£ ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° ΠΈΠ½Ρ‚Ρ€Π°ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎ выявлСна добавочная доля ΠΏΠ΅Ρ‡Π΅Π½ΠΈ Π² Π³Ρ€Ρ‹ΠΆΠ΅Π²ΠΎΠΌ мСшкС, Ρƒ Π²Ρ‚ΠΎΡ€ΠΎΠ³ΠΎ Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΡΡ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π»Π°ΡΡŒ высокая ΠΊΠΈΡˆΠ΅Ρ‡Π½Π°Ρ Π½Π΅ΠΏΡ€ΠΎΡ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ, ΠΏΠΎΡ‚Ρ€Π΅Π±ΠΎΠ²Π°Π²ΡˆΠ°Ρ ΠΏΠΎΠ²Ρ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ хирургичСского лСчСния Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… с ΠΎΠΌΡ„Π°Π»ΠΎΡ†Π΅Π»Π΅, сочСтаСмого с Π²Ρ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹ΠΌ гипСртрофичСским пилоростСнозом ΠΈ Π΄ΠΎΠ±Π°Π²ΠΎΡ‡Π½ΠΎΠΉ Π΄ΠΎΠ»Π΅ΠΉ ΠΏΠ΅Ρ‡Π΅Π½ΠΈ. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΠΎΡ€ΠΎΠΊΠ°ΠΌΠΈ развития ΠΏΠ΅Ρ€Π΅Π΄Π½Π΅ΠΉ Π±Ρ€ΡŽΡˆΠ½ΠΎΠΉ стСнки Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΠΏΡ€ΠΈ появлСнии синдрома срыгиваний Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΡ‚ΡŒ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½Ρ‹ΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΠ· ΠΌΠ΅ΠΆΠ΄Ρƒ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ ΠΈ органичСскими ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π°ΠΌΠΈ обструкции. ΠŸΡ€ΠΈ ΠΏΠΎΠ΄Ρ‚Π²Π΅Ρ€ΠΆΠ΄Π΅Π½ΠΈΠΈ органичСского Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π° обструкции ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°. ΠŸΡ€ΠΈ нСстандартной ΠΈΠ½Ρ‚Ρ€Π°ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Π΅ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΡƒΠΌΠ΅Ρ‚ΡŒ своСврСмСнно ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎ ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ риски ΠΈ Ρ†Π΅Π»Π΅ΡΠΎΠΎΠ±Ρ€Π°Π·Π½ΠΎΡΡ‚ΡŒ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° ΠΏΡ€ΠΈ Π²Ρ‹Π±ΠΎΡ€Π΅ хирургичСской Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΌ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΡŒΠ½ΠΎΠΌ случаС

    Π˜ΠΌΠΌΡƒΠ½ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ аспСкты опрСдСлСния ΠΏΡ€Π°Π²ΠΈΠ»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ биологичСской Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ°. Π Π΅Π·ΠΎΠ»ΡŽΡ†ΠΈΡ совСта экспСртов (Π‘Π°Π½ΠΊΡ‚-ΠŸΠ΅Ρ‚Π΅Ρ€Π±ΡƒΡ€Π³, 22 мая 2021 Π³.)

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    On May 22, 2021, the Expert Board met in St. Petersburg to discuss their position on immunological aspects of determination of an adequate biological treatment sequence for inflammatory bowel diseases (IBD). The Expert Board aimed at discussion of current strategies, development of a consensus on determination of an adequate biological treatment sequence for IBD. The main topics of the agenda were the contribution of immune system to the pathophysiology of Crohn's disease, ulcerative colitis and their complications, efficacy of genetically engineered biological agents (GEBA) at various stages of IBD management. Participation of the leading Russian experts in IBD, as well as involvement of other specialties, made it possible to consider the topic by a multidisciplinary team, with an in-depth analysis of IBD pathophysiology, to better understand the course of the disease in some contradictory situation, for instance, when clinical remission is not associated with an endoscopically confirmed remission. One of the expected effects of this Expert Board meeting would be an improvement of GEBA administration in clinical practice, mostly due to the modification of clinical guidelines. This would ascertain and confirm the algorithms for GEBA administration for IBD, including the optimal treatment sequence depending on an agent’s mechanism of action and the patient profile. The clarification of the optimal GEBA sequence in the clinical guidelines could lead to more frequent GEBA administration in local medical clinics and institutions in the regions, where GEBA are used insufficiently due to little experience and absence of their precise positioning in the clinical guidelines.22 мая 2021 Π³. Π² Π‘Π°Π½ΠΊΡ‚-ΠŸΠ΅Ρ‚Π΅Ρ€Π±ΡƒΡ€Π³Π΅ состоялся совСт экспСртов Π½Π° Ρ‚Π΅ΠΌΡƒ Β«Π˜ΠΌΠΌΡƒΠ½ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ аспСкты опрСдСлСния ΠΏΡ€Π°Π²ΠΈΠ»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ биологичСской Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ°Β». Π¦eлью совСта экспСртов Π±Ρ‹Π»ΠΎ обсуТдСниС соврСмСнных ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ² ΠΊ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΡŽ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ назначСния биологичСской Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ° (Π’Π—Πš) ΠΈ Π²Ρ‹Ρ€Π°Π±ΠΎΡ‚ΠΊΠ° Π΅Π΄ΠΈΠ½ΠΎΠΉ Ρ‚ΠΎΡ‡ΠΊΠΈ зрСния ΠΏΠΎ этому вопросу. ΠžΡΠ½ΠΎΠ²Π½Ρ‹ΠΌΠΈ Ρ‚Π΅ΠΌΠ°ΠΌΠΈ дискуссии стали участиС ΠΈΠΌΠΌΡƒΠ½Π½ΠΎΠΉ систСмы Π² Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠšΡ€ΠΎΠ½Π° ΠΈ язвСнного ΠΊΠΎΠ»ΠΈΡ‚Π° ΠΈ ΠΈΡ… ослоТнСний, ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Π³Π΅Π½Π½ΠΎ-ΠΈΠ½ΠΆΠ΅Π½Π΅Ρ€Π½Ρ‹Ρ… биологичСских ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² (Π“Π˜Π‘ΠŸ) Π½Π° Ρ€Π°Π·Π½Ρ‹Ρ… этапах лСчСния Π’Π—Πš. УчастиС Π² засСдании Π²Π΅Π΄ΡƒΡ‰ΠΈΡ… экспСртов России ΠΏΠΎ вопросам лСчСния Π’Π—Πš, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΏΡ€ΠΈΠ²Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π±ΠΎΠ»Π΅Π΅ ΡƒΠ·ΠΊΠΈΡ… спСциалистов ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ Ρ€Π°ΡΡΠΌΠΎΡ‚Ρ€Π΅Ρ‚ΡŒ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡƒ с ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΉ ΠΌΡƒΠ»ΡŒΡ‚ΠΈΠ΄ΠΈΡΡ†ΠΈΠΏΠ»ΠΈΠ½Π°Ρ€Π½ΠΎΡΡ‚ΠΈ, Π³Π»ΡƒΠ±ΠΆΠ΅ Π²Π·Π³Π»ΡΠ½ΡƒΡ‚ΡŒ Π½Π° ΠΏΠ°Ρ‚ΠΎΠ³Π΅Π½Π΅Π· Π’Π—Πš, Π»ΡƒΡ‡ΡˆΠ΅ ΠΏΠΎΠ½ΡΡ‚ΡŒ процСссы тСчСния заболСвания Π² ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΡ€Π΅Ρ‡ΠΈΠ²Ρ‹Ρ… ситуациях, ΠΊΠΎΠ³Π΄Π° клиничСская рСмиссия Π½Π΅ сопровоТдаСтся рСмиссиСй эндоскопичСской. Одним ΠΈΠ· ΠΎΠΆΠΈΠ΄Π°Π΅ΠΌΡ‹Ρ… эффСктов Π΄Π°Π½Π½ΠΎΠ³ΠΎ засСдания совСта экспСртов Π΄ΠΎΠ»ΠΆΠ½ΠΎ ΡΡ‚Π°Ρ‚ΡŒ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΠ΅ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ назначСния Π“Π˜Π‘ΠŸ, Ρ‡Ρ‚ΠΎ достиТимо ΠΏΡ€Π΅ΠΆΠ΄Π΅ всСго Π·Π° счСт внСсСния ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² клиничСскиС Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΈ. Π­Ρ‚ΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ Π±Ρ‹ ΡƒΡ‚ΠΎΡ‡Π½ΠΈΡ‚ΡŒ ΠΈ Π·Π°ΠΊΡ€Π΅ΠΏΠΈΡ‚ΡŒ Π°Π»Π³ΠΎΡ€ΠΈΡ‚ΠΌΡ‹ назначСния Π“Π˜Π‘ΠŸ ΠΏΡ€ΠΈ Π’Π—Πš, Π² Ρ‚ΠΎΠΌ числС ΠΈ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΡƒΡŽ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π² зависимости ΠΎΡ‚ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠ° дСйствия ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° ΠΈ профиля ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°. БлСдствиСм закрСплСния ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Π“Π˜Π‘ΠŸ Π² клиничСских рСкомСндациях ΠΌΠΎΠΆΠ΅Ρ‚ Ρ‚Π°ΠΊΠΆΠ΅ ΡΡ‚Π°Ρ‚ΡŒ Ρ€Π°ΡΡˆΠΈΡ€Π΅Π½ΠΈΠ΅ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ примСнСния Π“Π˜Π‘ΠŸ Π½Π° ΡƒΡ€ΠΎΠ²Π½Π΅ Π»ΠΎΠΊΠ°Π»ΡŒΠ½Ρ‹Ρ… ΡƒΡ‡Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉ Π² ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚Π°Ρ…, Π² ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ…, ΠΏΠΎ ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π΅ ΠΌΠ°Π»ΠΎΠ³ΠΎ ΠΎΠΏΡ‹Ρ‚Π° назначСния Π“Π˜Π‘ΠŸ ΠΈ отсутствия ΠΈΡ… Ρ‡Π΅Ρ‚ΠΊΠΎΠ³ΠΎ позиционирования Π² клиничСских рСкомСндациях, Π½Π°Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ Π“Π˜Π‘ΠŸ находится Π½Π° нСдостаточном ΡƒΡ€ΠΎΠ²Π½Π΅
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