29 research outputs found

    The usage of a binder system for frozen berries in the manufacture of confectionery

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    The aim of the research was to create binding systems for confectionery using gelling agents. The possibility of using partially hydrolyzed liquid egg white (egg hydrolyzate) in the binding system of gelling agents (egg hydrolyzate - agar (EG-A), egg hydrolyzate - starch (EG-S)) was determined to obtain the required mechanical characteristics when creating coatings, ornaments or fillers in confectionery with whole berries or pieces of fruit. In this regard, a technology has been developed for the hydrolysis of liquid egg white in the presence of an acidic reagent. The best rheological characteristics of the gelling agent from egg white were obtained under the following hydrolysis conditions: egg white : 1% HCl ratio = 1:2, process temperature - 66Β°C, duration - 40 minutes, the pH of the egg hydrolyzate was 6.53, the amount of dry solids was 11.78%. The newly created systems with agar (E406, Germany), chemically modified food starch (E1442, Germany) and hydrolyzed egg white (egg hydrolyzate) allow to adjust the properties of the coating for quick-frozen berries used in semi-finished confectionaries or cakes. It is established that the coating for quick-frozen berries, which includes a system consisting of 1% E406 and 0.5% egg hydrolyzate, should be carried out in 2 stages. In the first stage, a 10-minute exposure of the coating, which has a tensile strength of 580 g cm-2 , allows to create a strong capsule around the berry, which prevents the processes of destruction from proceeding. The second stage is necessary to obtain a uniform surface coating of the semi-finished mix from the berries. In this case, the tensile strength of the coating should be 480 g cm-2 . The system created from the E1442 and egg hydrolyzate gelling agents was also used in 2 stages when making cakes, which were subsequently baked at 180 Β°C. The content of the binding system in the coating applied to the test substrate was 6.9–7.7%, the effective viscosity of the coating was 120–180 Pa s. The content of the binding system in the coating of the surface of the berries in the second stage was 5.2–6.3% with effective viscosity values of 50–90 Pa s. Semi-finished berry products and ready-made baked cakes, produced with developed binding systems, can be stored at -8 Β°C for 10 to 12 days. After refrigerated storage, the separated moisture was not observed in the test samples. The absence of the phenomenon of syneresis with the indicated proportions of the introduction of gelling agents in coating systems has been established

    ΠŸΠΎΡΠ»Π΅Π΄ΡΡ‚Π²ΠΈΡ ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ облучСния Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ: эндокринно-обмСнная патология Ρƒ ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ²

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    Epidemiological studies of late effects of preconceptional (prior to conception) radiation exposure are necessary in order to understand the risks of tumor and non-tumor pathology in next generations. Research of possible relation between parental preconceptional exposure and development of endocrine and metabolic disorders in the offspring is one of the topical issues of radiation hygiene. The objective of the study: comparative analysis of endocrine and metabolic pathology in children of the individuals exposed to long term preconceptional external gamma-radiation at the Mayak Production Association – at the first atomic industry facility on Russia. Materials and methods: A retrospective research was performed based on the Ozyorsk Children’s Health Registry. Ozyorsk – the city where Mayak Production Association is the enterprise forming the city. Analysis of endocrine and metabolic disorders was performed for 13880 children of 1949-1973 years of birth who were born and resided in Ozyorsk; parents of 9321 children of this number had accumulated doses of prolonged external gamma-radiation exposure at the production facility prior to conception. A comparative analysis of the structure and incidence of β€œEndocrine, nutritional and metabolic diseases” and nosological forms of this class of pathology was performed. Characteristic features of parental preconceptional exposure were analyzed in relation to thyroid pathology in children. Relative risk of endocrine and metabolic disorders among the children of exposed and unexposed parents was calculated for the whole disease class and for certain nosologies. Results: A significant predominance of thyroid diseases, particularly, iodine deficiencies, was detected at an earlier age among the offspring of Mayak Production Association workers compared to the control group; these cases were mostly related to low dose parental preconceptional exposure. Thyroid cancer was further detected in 0.16% (15/9321) of the studied cohort of the offspring of exposed parents with average manifestation age of 42.6. Relative risk of thyroid diseases was significantly higher among the exposed parents’ offspring compared to the controls: 2.0 among boys (95% confidence interval 1.38-2.9), 1.59 among girls (1.25-2.02) and in the group as a whole – 1.64 (1.34- 2.01). Relative risk of thyroid diseases related to iodine deficiency among the offspring of Mayak Production Association personnel was almost twice higher than the in the control group: 1.92 (1.3-2.84) among boys, 1.68 (1.29-2.2) among girls, 1.7 (1.36-2.12) in the whole group. Discussion and conclusion: A statistically significant overweight of non-tumor thyroid pathology in the offspring of Mayak Production Association personnel cannot be explained through external reasons taking into account similar climate and geographic conditions, possible technogenic exposure and the same unified medical survey of the followed children. We cannot exclude increased sensibility if thyroid tissue to iodine deficiency and its predisposition to hypertrophy and hyperplasia among the offspring of individuals exposed to long term occupational contact with ionizing radiation sources; that should be taken into account in the course of medical monitoring of these patients. Further research of transgenerational effects in the offspring of personnel of radiation hazardous production facilities are needed for complete understanding of the role of parental occupational exposure in health risks for further generations.ЭпидСмиологичСскиС исслСдования ΠΎΡ‚Π΄Π°Π»Π΅Π½Π½Ρ‹Ρ… эффСктов ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ (Π΄ΠΎ зачатия) Ρ€Π°Π΄ΠΈΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ воздСйствия Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΡ‹ для понимания рисков ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ ΠΈ Π½Π΅ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ Ρƒ ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΡ… ΠΏΠΎΠΊΠΎΠ»Π΅Π½ΠΈΠΉ. Π˜Π·ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΠΉ связи ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ облучСния Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ с Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ эндокринно-ΠΎΠ±ΠΌΠ΅Π½Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Ρƒ ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² являСтся ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹Ρ… аспСктов Ρ€Π°Π΄ΠΈΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Π³ΠΈΠ³ΠΈΠ΅Π½Ρ‹. ЦСль Ρ€Π°Π±ΠΎΡ‚Ρ‹: ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· эндокринно-ΠΎΠ±ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ срСди Π΄Π΅Ρ‚Π΅ΠΉ, Ρ‡ΡŒΠΈ Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»ΠΈ ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π»ΠΈΡΡŒ ΠΏΡ€ΠΎΠ»ΠΎΠ½Π³ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌΡƒ ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠΌΡƒ Π²Π½Π΅ΡˆΠ½Π΅ΠΌΡƒ Π³Π°ΠΌΠΌΠ°-ΠΎΠ±Π»ΡƒΡ‡Π΅Π½ΠΈΡŽ Π½Π° производствСнном объСдинСнии «Маяк» – ΠΏΠ΅Ρ€Π²ΠΎΠΌ Π² странС прСдприятии Π°Ρ‚ΠΎΠΌΠ½ΠΎΠΉ отрасли. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹: рСтроспСктивноС исслСдованиС Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ Π½Π° основС РСгистра Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ дСтского насСлСния Π³. ΠžΠ·Π΅Ρ€ΡΠΊΠ°, Π³Ρ€Π°Π΄ΠΎΠΎΠ±Ρ€Π°Π·ΡƒΡŽΡ‰ΠΈΠΌ прСдприятиСм ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ являСтся производствСнноС объСдинСниС «Маяк». Анализ эндокринно-ΠΎΠ±ΠΌΠ΅Π½Π½Ρ‹Ρ… расстройств ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ срСди 13 880 Π΄Π΅Ρ‚Π΅ΠΉ 1949–1973 Π³Π³.Ρ€., Ρ€ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ…ΡΡ ΠΈ ΠΏΡ€ΠΎΠΆΠΈΠ²Π°Π²ΡˆΠΈΡ… Π² Π³. ΠžΠ·Π΅Ρ€ΡΠΊ, ΠΈΠ· ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Ρƒ 9321 Ρ€Π΅Π±Π΅Π½ΠΊΠ° Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»ΠΈ Π΄ΠΎ зачатия ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π»ΠΈΡΡŒ ΠΏΡ€ΠΎΠ»ΠΎΠ½Π³ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌΡƒ Π²Π½Π΅ΡˆΠ½Π΅ΠΌΡƒ Π³Π°ΠΌΠΌΠ°-ΠΎΠ±Π»ΡƒΡ‡Π΅Π½ΠΈΡŽ Π½Π° производствС. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· структуры ΠΈ частоты класса Β«Π‘ΠΎΠ»Π΅Π·Π½ΠΈ эндокринной систСмы, расстройства питания ΠΈ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΎΠ±ΠΌΠ΅Π½Π° вСщСств» ΠΈ Π΅Π³ΠΎ нозологичСских Ρ„ΠΎΡ€ΠΌ. ΠŸΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ особСнности ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ облучСния Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ ΠΏΡ€ΠΈ дСтской Ρ‚ΠΈΡ€Π΅ΠΎΠΈΠ΄Π½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ. Рассчитан ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ риск эндокринно-ΠΎΠ±ΠΌΠ΅Π½Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ экспонированных ΠΈ нСэкспонированных Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ Π² Ρ†Π΅Π»ΠΎΠΌ ΠΏΠΎ классу ΠΈ ΠΏΠΎ нозологиям. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования: срСди ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² Ρ€Π°Π±ΠΎΡ‚Π½ΠΈΠΊΠΎΠ² производствСнного объСдинСния «Маяк» ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ ΠΈ, Π² частности, ΠΉΠΎΠ΄ΠΎΠ΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π½Ρ‹Ρ… состояний, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ€ΠΎΠ²Π°Π»ΠΈΡΡŒ Π² Π±ΠΎΠ»Π΅Π΅ Ρ€Π°Π½Π½Π΅ΠΌ возрастС, Ρ‡Π΅ΠΌ Π² ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»Π΅, ΠΈ Π² Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π΅ случаСв ΠΎΡ‚Π½ΠΎΡΠΈΠ»ΠΈΡΡŒ ΠΊ ΠΏΡ€Π΅ΠΊΠΎΠ½Ρ†Π΅ΠΏΡ‚ΠΈΠ²Π½ΠΎΠΌΡƒ ΠΎΠ±Π»ΡƒΡ‡Π΅Π½ΠΈΡŽ Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ Π² области ΠΌΠ°Π»Ρ‹Ρ… Π΄ΠΎΠ·. Π Π°ΠΊ Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ зарСгистрирован Π² ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΌ Ρƒ 0,16% (15/9321) исслСдуСмой ΠΊΠΎΠ³ΠΎΡ€Ρ‚Ρ‹ ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² ΠΎΠ±Π»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ со срСдним возрастом манифСстации 42,6 Π³ΠΎΠ΄Π°. ΠžΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ риск Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ Π±Ρ‹Π» Π·Π½Π°Ρ‡ΠΈΠΌΠΎ Π²Ρ‹ΡˆΠ΅ срСди ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² экспонированных Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»Π΅ΠΌ: срСди ΠΌΠ°Π»ΡŒΡ‡ΠΈΠΊΠΎΠ² – 2,0 (95% Π΄ΠΎΠ²Π΅Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΈΠ½Ρ‚Π΅Ρ€Π²Π°Π» 1,38–2,9), срСди Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ – 1,59 (1,25–2,02), Π² Ρ†Π΅Π»ΠΎΠΌ ΠΏΠΎ Π³Ρ€ΡƒΠΏΠΏΠ΅ – 1,64 (1,34–2,01). ΠžΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ риск Π±ΠΎΠ»Π΅Π·Π½Π΅ΠΉ Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹, связанных с ΠΉΠΎΠ΄Π½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒΡŽ, срСди ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² пСрсонала производствСнного объСдинСния «Маяк» ΠΏΠΎΡ‡Ρ‚ΠΈ Π²Π΄Π²ΠΎΠ΅ ΠΏΡ€Π΅Π²Ρ‹ΡˆΠ°Π» ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ Π² ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»Π΅: ОР 1,92 (Π”Π˜ 1,3–2,84) срСди ΠΌΠ°Π»ΡŒΡ‡ΠΈΠΊΠΎΠ², 1,68 (1,29–2,2) срСди Π΄Π΅Π²ΠΎΡ‡Π΅ΠΊ, 1,7 (1,36–2,12) Π² Ρ†Π΅Π»ΠΎΠΌ ΠΏΠΎ Π³Ρ€ΡƒΠΏΠΏΠ΅. ΠžΠ±ΡΡƒΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΈ Π·Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ Π½Π΅ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ Ρƒ ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² пСрсонала производствСнного объСдинСния «Маяк» нСльзя ΠΎΠ±ΡŠΡΡΠ½ΠΈΡ‚ΡŒ внСшними ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π°ΠΌΠΈ, учитывая ΠΎΠ΄ΠΈΠ½Π°ΠΊΠΎΠ²Ρ‹Π΅ ΠΊΠ»ΠΈΠΌΠ°Ρ‚ΠΎ-гСографичСскиС условия, Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΠ΅ Ρ‚Π΅Ρ…Π½ΠΎΠ³Π΅Π½Π½ΠΎΠ΅ Ρ€Π°Π΄ΠΈΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ΅ воздСйствиС ΠΈ Π΅Π΄ΠΈΠ½ΠΎΠ΅ мСдицинскоС обСспСчСниС Π½Π°Π±Π»ΡŽΠ΄Π°Π΅ΠΌΡ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Π°Ρ Π²ΠΎΡΠΏΡ€ΠΈΠΈΠΌΡ‡ΠΈΠ²ΠΎΡΡ‚ΡŒ Ρ‚ΠΈΡ€Π΅ΠΎΠΈΠ΄Π½ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ ΠΊ Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Ρƒ ΠΉΠΎΠ΄Π° ΠΈ Π΅Ρ‘ ΠΏΡ€Π΅Π΄Ρ€Π°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒ ΠΊ Π³ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΠΈ ΠΈ Π³ΠΈΠΏΠ΅Ρ€ΠΏΠ»Π°Π·ΠΈΠΈ срСди ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ², Ρ‡ΡŒΠΈ Ρ€ΠΎΠ΄ΠΈΡ‚Π΅Π»ΠΈ ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π»ΠΈΡΡŒ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌΡƒ ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΌΡƒ ΠΊΠΎΠ½Ρ‚Π°ΠΊΡ‚Ρƒ с источниками ΠΈΠΎΠ½ΠΈΠ·ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… ΠΈΠ·Π»ΡƒΡ‡Π΅Π½ΠΈΠΉ, Π½Π΅ ΠΈΡΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ΡΡ, Ρ‡Ρ‚ΠΎ Π²Π°ΠΆΠ½ΠΎ ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°Ρ‚ΡŒ ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ мСдицинского ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΠ½Π³Π° этих Π»ΠΈΡ†. Π”Π°Π»ΡŒΠ½Π΅ΠΉΡˆΠΈΠ΅ исслСдования трансгСнСрационных эффСктов Ρƒ ΠΏΠΎΡ‚ΠΎΠΌΠΊΠΎΠ² пСрсонала Ρ€Π°Π΄ΠΈΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎ-опасных производств Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΡ‹ для ΠΏΠΎΠ»Π½ΠΎΠ³ΠΎ понимания Ρ€ΠΎΠ»ΠΈ производствСнного облучСния Π² рискС для Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΡ… ΠΏΠΎΠΊΠΎΠ»Π΅Π½ΠΈΠΉ

    Π­Ρ„Ρ„Π΅ΠΊΡ‚Ρ‹ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² Ρ€Π°Π½Π½Π΅ΠΌ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ прямой рСваскуляризации ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°

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    Aim. To assess the effects of cognitive rehabilitation with dual-task training that involves a cognitive task combined with postural and walking control, as well as electroencephalogram indices in patients in the early postoperative period after direct myocardial revascularization.Methods. The study enrolled 48 patients scheduled for coronary artery bypass graft surgery. Subjects in this prospective, randomized study were randomized using envelopes to a postoperative cognitive training group (n = 23) and non-training group (n = 25). The cognitive training was carried out daily, starting 3-4 days after the procedure and until the discharge order. Dual tasks training (a cognitive task combined with postural and walking control) lasted 15-20 minutes. All patients were submitted to an extended neurophysiological assessment (psychometric tests and electroencephalogram study) and stabilography 3-5 days before and 8-11 days after coronary artery bypass grafting.Results. The patients who underwent cognitive training experienced postoperative cognitive dysfunction (POCD) in 39% cases in the early postoperative period after intervention, while the non-training group - in 64%. The relative risk of developing POCD in the non-training group was 2.77 (95% CI: 0.86-8.91, Z = 1.704, p = 0.08). The patients in cognitive training exhibited better cognitive state compared to the preoperative state (Z = 2.58; p = 0.01) in the absence of statistically significant differences in the non-training group. Moreover, type-1 theta power values increased in the non-training group in comparison to the preoperative values, while the cognitive training group did not have a statistically significant difference in theta power.Conclusion. Positive effects of dual task rehabilitation on the neurophysiological parameters of patients undergoing direct myocardial revascularization were demonstrated. Positive effects include lower frequency of POCD, improved cognitive state and less pronounced cortical dysfunction. The dual task training had proved a suitable training method for this category of patients. Additional studies are required to test the possibility of increasing the duration and intensity of dual task training for stronger recovery effect and improved cognitive and walking performance of patients in the postoperative period after direct myocardial revascularization.ЦСль. ΠžΡ†Π΅Π½ΠΈΡ‚ΡŒ влияниС ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ Π½Π° ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅, ΠΏΠΎΡΡ‚ΡƒΡ€Π°Π»ΡŒΠ½Ρ‹Π΅ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ ΠΈ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ элСктроэнцСфалограммы Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² Ρ€Π°Π½Π½Π΅ΠΌ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ прямой рСваскуляризации ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ проспСктивном Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ исслСдовании участвовали 48 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π½ΡƒΡ‚Ρ‹Ρ… ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠΌΡƒ ΡˆΡƒΠ½Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ. ΠŸΡƒΡ‚Π΅ΠΌ простой Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·Π°Ρ†ΠΈΠΈ (ΠΌΠ΅Ρ‚ΠΎΠ΄ ΠΊΠΎΠ½Π²Π΅Ρ€Ρ‚ΠΎΠ²) сформированы Π³Ρ€ΡƒΠΏΠΏΡ‹ послСопСрационного ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° (n = 23) ΠΈ сравнСния (n = 25). Основной Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹ΠΉ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π΅ΠΆΠ΅Π΄Π½Π΅Π²Π½ΠΎ, с 3-4-Π³ΠΎ дня послС ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ ΠΈ Π΄ΠΎ выписки ΠΈΠ· стационара Π² Π²ΠΈΠ΄Π΅ 15-20-ΠΌΠΈΠ½ΡƒΡ‚Π½Ρ‹Ρ… сСссий с Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠΉΠ½Ρ‹Ρ… Π·Π°Π΄Π°Π½ΠΈΠΉ (ΠΏΠΎΡΡ‚ΡƒΡ€Π°Π»ΡŒΠ½Ρ‹ΠΉ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³ ΠΈ когнитивная Π·Π°Π΄Π°Ρ‡Π°). ВсСм Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ ΠΎΡ†Π΅Π½Π΅Π½Ρ‹ нСйрофизиологичСский статус (психомСтричСскоС тСстированиС ΠΈ элСктроэнцСфалографичСскоС исслСдованиС) ΠΈ стабилография Π·Π° 3-5 Π΄Π½Π΅ΠΉ Π΄ΠΎ ΠΈ Π½Π° 8-11-Π΅ сут послС Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π’ Ρ€Π°Π½Π½Π΅ΠΌ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ кардиохирургичСских Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π² Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΡ… ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹ΠΉ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³, число случаСв послСопСрационной ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ дисфункции (ΠŸΠžΠšΠ”) составило 39%, Ρ‚ΠΎΠ³Π΄Π° ΠΊΠ°ΠΊ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ сравнСния - 64%. ΠžΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ риск развития ΠŸΠžΠšΠ” Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ Π±Π΅Π· ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° - 2,77 (95% Π΄ΠΎΠ²Π΅Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΈΠ½Ρ‚Π΅Ρ€Π²Π°Π» 0,86-8,91; Z = 1,704; p = 0,08). Π’ Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° наблюдалось ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅Β Β Β Β Β Β Β Β Β Β Β Β Β Β Β  ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ показатСля ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ статуса ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с ΠΏΡ€Π΅Π΄ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹ΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ (Z = 2,58; p = 0,01) ΠΏΡ€ΠΈ отсутствии статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ… Ρ€Π°Π·Π»ΠΈΡ‡ΠΈΠΉ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ сравнСния. Π’Π°ΠΊΠΆΠ΅ ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ΠΎ, Ρ‡Ρ‚ΠΎ ΠΌΠΎΡ‰Π½ΠΎΡΡ‚ΡŒ Π±ΠΈΠΎΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΠΎΠ² Ρ‚Π΅Ρ‚Π°-1-Ρ€ΠΈΡ‚ΠΌΠ° ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»Π°ΡΡŒ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π΄ΠΎΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹ΠΌΠΈ показатСлями Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏΡ‹ сравнСния, Ρ‚ΠΎΠ³Π΄Π° ΠΊΠ°ΠΊ Ρƒ участников, ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΡ… ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΡƒ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π°, Π½Π΅ выявлСно статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ³ΠΎ послСопСрационного увСличСния Ρ‚Π΅Ρ‚Π°-активности.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Показано ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ влияниС ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ Π½Π° нСйрофизиологичСскиС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠ΅Ρ€Π΅Π½Π΅ΡΡˆΠΈΡ… ΠΏΡ€ΡΠΌΡƒΡŽ Ρ€Π΅Π²Π°ΡΠΊΡƒΠ»ΡΡ€ΠΈΠ·Π°Ρ†ΠΈΡŽ ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°, Π² Π²ΠΈΠ΄Π΅ мСньшСй частоты ΠŸΠžΠšΠ”, ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ статуса ΠΈ ΠΌΠ΅Π½Π΅Π΅ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΠΉ ΠΊΠΎΡ€ΠΊΠΎΠ²ΠΎΠΉ дисфункции, Ρ‡Ρ‚ΠΎ позволяСт Π³ΠΎΠ²ΠΎΡ€ΠΈΡ‚ΡŒ ΠΎΠ± эффСктивности этого ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° для Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠΉ Π²Ρ‹Π±ΠΎΡ€ΠΊΠΈ. НСобходимо Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Ρ€Π°ΡΡΠΌΠΎΡ‚Ρ€Π΅Ρ‚ΡŒ вопросы ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ ΠΈ интСнсивности Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° с использованиСм Π΄Π²ΠΎΠΉΠ½Ρ‹Ρ… Π·Π°Π΄Π°Ρ‡ для ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡ Π²ΠΎΡΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ эффСкта Π½Π° ΠΈΠ½Ρ‚Π΅Π»Π»Π΅ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹Π΅ рСсурсы ΠΈ ΠΏΠΎΡΡ‚ΡƒΡ€Π°Π»ΡŒΠ½Ρ‹Π΅ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ прямой рСваскуляризации ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π°

    An integrated pan-European research infrastructure for validating smart grid systems

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    A driving force for the realization of a sustainable energy supply in Europe is the integration of distributed, renewable energy resources. Due to their dynamic and stochastic generation behaviour, utilities and network operators are confronted with a more complex operation of the underlying distribution grids. Additionally, due to the higher flexibility on the consumer side through partly controllable loads, ongoing changes of regulatory rules, technology developments, and the liberalization of energy markets, the system’s operation needs adaptation. Sophisticated design approaches together with proper operational concepts and intelligent automation provide the basis to turn the existing power system into an intelligent entity, a so-called smart grid. While reaping the benefits that come along with those intelligent behaviours, it is expected that the system-level testing will play a significantly larger role in the development of future solutions and technologies. Proper validation approaches, concepts, and corresponding tools are partly missing until now. This paper addresses these issues by discussing the progress in the integrated Pan-European research infrastructure project ERIGrid where proper validation methods and tools are currently being developed for validating smart grid systems and solutions.This work is supported by the European Community’s Horizon 2020 Program (H2020/2014-2020) under project β€œERIGrid” (Grant Agreement No. 654113). Further information is available at the corresponding website www.erigrid.eu

    Анализ распрСдСлСния плотности источников Ρ‚ΠΎΠΊΠ° (sLORETA) Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² послС ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ Π² Ρ€Π°Π½Π½Π΅ΠΌ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠ³ΠΎ ΡˆΡƒΠ½Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡ

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    Highlights. For the first time, the method of standardized low resolution electromagnetic tomography – sLORETA was used to assess the neurophysiological correlates of the success of cognitive rehabilitation using dual task to recover the brain functions affected by ischemia during cardiac surgery.The patients who were successfully rehabilitated have demonstrated lower postoperative values of resting state theta activity within the right hemisphere, indicating the transfer effect, which is an important component of successful cognitive rehabilitation.Aim. Visualization and monitoring of brain ischemia is important for the diagnosis of cerebrovascular diseases. The aim of the study was to evaluate the possibilities and applicability of the method of standardized low resolution electromagnetic brain tomography – sLORETA for analyzing brain electrical activity in patients undergoing cognitive rehabilitation using dual tasks to recover impaired brain functions during ischemia associated with cardiac surgery.Methods. The study included 16 male patients (45–75 years old) who were admitted for planned coronary artery bypass grafting (CABG) to the Clinic at the Research Institute for Complex Issues of Cardiovascular Diseases. Clinical and neurophysiological examinations were performed 2–3 days before CABG and 1 week after surgery. All patients underwent cognitive rehabilitation that started at postoperative day 3 or 4 and lasted until discharge, the outcome was assessed as well. Monopolar EEG (62 channels) was recorded at rest in a sitting position with eyes closed in a light- and noise-insulated room using a Neuvo SynAmps2 Amplifier. Data processing of EEG background activity for sLORETA analysis was performed using the EEGLAB in MATLAB software (The MathWorks, Natick, MA, USA). The sLORETA algorithms were used to calculate dynamic cross spectrum and current source density within the analyzed frequency range (4–6 Hz). Statistical analysis of current source density indicators was carried out by using the method of statistical non-parametric mapping in the sLORETA software package, and the difference between the current source density in the pre- and postoperative period (after cognitive rehabilitation) was calculated as well.Results. Cognitive rehabilitation was successful in 44% (7 patients) of cases. The differences have been revealed between the groups with successful and unsuccessful cognitive rehabilitation by using sLORETA. The group with unsuccessful cognitive rehabilitation demonstrated higher current source density estimates in theta rhythm compared with the successful rehabilitation group, it was most pronounced (t>- 8.42; p<0.004) in the right hemisphere – Brodmann area 22, temporal lobe and superior temporal gyrus.Conclusion. The sLORETA method demonstrated the positive effect of cognitive training on changes in the spatial patterns of brain activity in patients undergoing onpump CABG. The successful cognitive rehabilitation was associated with lower postoperative resting state theta activity within the right hemisphere, indicating the transfer effect, which is an important component of successful cognitive rehabilitation.ΠžΡΠ½ΠΎΠ²Π½Ρ‹Π΅ полоТСния. Π’ΠΏΠ΅Ρ€Π²Ρ‹Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ стандартизованной элСктромагнитной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π½ΠΈΠ·ΠΊΠΎΠ³ΠΎ Ρ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ (sLORETA, standardized low resolution brain electromagnetic tomography) ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ для ΠΎΡ†Π΅Π½ΠΊΠΈ нСйрофизиологичСских коррСлятов ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΡΡ‚ΠΈ курса ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с использованиСм Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ для восстановлСния Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ ΠΌΠΎΠ·Π³Π° ΠΏΡ€ΠΈ ишСмии, связанной с кардиохирургичСским Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠΌ.ΠŸΡ€ΠΈ ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ выявлСны Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΈΠ΅ послСопСрационныС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠΉ активности покоя Π² низкочастотном Ρ‚Π΅Ρ‚Π°-Π΄ΠΈΠ°ΠΏΠ°Π·ΠΎΠ½Π΅, Π»ΠΎΠΊΠ°Π»ΠΈΠ·ΠΎΠ²Π°Π½Π½Ρ‹Π΅ Π² структурах ΠΏΡ€Π°Π²ΠΎΠ³ΠΎ ΠΏΠΎΠ»ΡƒΡˆΠ°Ρ€ΠΈΡ, Ρ‡Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ ΠΎΡ‚Ρ€Π°ΠΆΠ°Ρ‚ΡŒ эффСкт трансфСра – Π²Π°ΠΆΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Π° ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ.ЦСль. Визуализация ΠΈ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΈΡ… ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ вСщСства Π²Π°ΠΆΠ½Ρ‹ для диагностики цСрСброваскулярных Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. ЦСлью Ρ€Π°Π±ΠΎΡ‚Ρ‹ явилась ΠΎΡ†Π΅Π½ΠΊΠ° возмоТностСй ΠΈ примСнимости ΠΌΠ΅Ρ‚ΠΎΠ΄Π° стандартизованной элСктромагнитной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π½ΠΈΠ·ΠΊΠΎΠ³ΠΎ Ρ€Π°Π·Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ (sLORETA) для Π°Π½Π°Π»ΠΈΠ·Π° элСктричСской активности Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΡ… курс ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ с использованиСм Π΄Π²ΠΎΠΉΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡ΠΈ для восстановлСния Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ ΠΌΠΎΠ·Π³Π° ΠΏΡ€ΠΈ ишСмии, связанной с кардиохирургичСским Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠΌ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ исслСдовании Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 16 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² муТского ΠΏΠΎΠ»Π° (45–75 Π»Π΅Ρ‚), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ поступили для ΠΏΠ»Π°Π½ΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠ³ΠΎ ΡˆΡƒΠ½Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡ (КШ) Π² НИИ ΠšΠŸΠ‘Π‘Π— (ΠšΠ΅ΠΌΠ΅Ρ€ΠΎΠ²ΠΎ, Россия). ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ ΠΈ нСйрофизиологичСскиС обслСдования ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Ρ‹ Π·Π° 2–3 дня Π΄ΠΎ ΠΈ Ρ‡Π΅Ρ€Π΅Π· нСдСлю послС Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°. ВсСм Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ начиная с 3–4 суток послСопСрационного ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° ΠΈ Π΄ΠΎ выписки ΠΈΠ· стационара Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ курс ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ ΠΈ ΠΎΡ†Π΅Π½Π΅Π½Π° Π΅Π³ΠΎ ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΡΡ‚ΡŒ. ΠœΠΎΠ½ΠΎΠΏΠΎΠ»ΡΡ€Π½ΡƒΡŽ элСктроэнцСфалограмму (Π­Π­Π“) Π² 62 стандартных отвСдСниях рСгистрировали с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ усилитСля Neuvo SynAmps2 Π² состоянии покоя Π² ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠΈ сидя с Π·Π°ΠΊΡ€Ρ‹Ρ‚Ρ‹ΠΌΠΈ Π³Π»Π°Π·Π°ΠΌΠΈ Π² условиях свСто- ΠΈ ΡˆΡƒΠΌΠΎΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ ΠΊΠΎΠΌΠ½Π°Ρ‚Ρ‹. ΠŸΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΊΠ° Π΄Π°Π½Π½Ρ‹Ρ… для количСствСнного Π°Π½Π°Π»ΠΈΠ·Π° Ρ„ΠΎΠ½ΠΎΠ²ΠΎΠΉ Π­Π­Π“-активности ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ sLORETA ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΠ½ΠΎΠ³ΠΎ обСспСчСния EEGLab ΠΈ MATLAB. Π‘ использованиСм Π°Π»Π³ΠΎΡ€ΠΈΡ‚ΠΌΠΎΠ² sLORETA рассчитаны динамичСский кросс-спСктр ΠΈ ΠΏΠ»ΠΎΡ‚Π½ΠΎΡΡ‚ΡŒ источников Ρ‚ΠΎΠΊΠ° Π² Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠΌ частотном Π΄ΠΈΠ°ΠΏΠ°Π·ΠΎΠ½Π΅ (4–6 Π“Ρ†). БтатистичСский Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ плотности источников Ρ‚ΠΎΠΊΠ° ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ Π² ΠΏΠ°ΠΊΠ΅Ρ‚Π΅ sLORETA с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° статистичСского нСпарамСтричСского картирования, рассчитан контраст плотности источников Ρ‚ΠΎΠΊΠ° Π² Π΄ΠΎ- ΠΈ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Для 44% (n = 7) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² курс ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ Π±Ρ‹Π» ΡƒΡΠΏΠ΅ΡˆΠ΅Π½.Β  ΠŸΡ€ΠΈ рассмотрСнии ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Π­Π­Π“-активности, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ sLORETA, ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½Ρ‹ различия ΠΌΠ΅ΠΆΠ΄Ρƒ Π³Ρ€ΡƒΠΏΠΏΠ°ΠΌΠΈ с ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ ΠΈ Π½Π΅ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠ΅ΠΉ. Высокая ΠΏΠ»ΠΎΡ‚Π½ΠΎΡΡ‚ΡŒ источников Ρ‚ΠΎΠΊΠ° Ρ‚Π΅Ρ‚Π°-1-Ρ€ΠΈΡ‚ΠΌΠ° Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ с Π½Π΅ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠ΅ΠΉ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π³Ρ€ΡƒΠΏΠΏΠΎΠΉ с ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ Π·Π°Π²Π΅Ρ€ΡˆΠ΅Π½Π½Ρ‹ΠΌ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³ΠΎΠΌ Π±Ρ‹Π»Π° Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π° (t>–8,42; p<0,004) Π² Ρ‚Π°ΠΊΠΈΡ… структурах ΠΏΡ€Π°Π²ΠΎΠ³ΠΎ ΠΏΠΎΠ»ΡƒΡˆΠ°Ρ€ΠΈΡ, ΠΊΠ°ΠΊ ΠΏΠΎΠ»Π΅ Π‘Ρ€ΠΎΠ΄ΠΌΠ°Π½Π° 22, Ρ‚Π΅ΠΌΠΏΠΎΡ€Π°Π»ΡŒΠ½Π°Ρ доля ΠΈ вСрхняя Ρ‚Π΅ΠΌΠΏΠΎΡ€Π°Π»ΡŒΠ½Π°Ρ ΠΈΠ·Π²ΠΈΠ»ΠΈΠ½Π°.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠœΠ΅Ρ‚ΠΎΠ΄ sLORETA ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ» ΠΏΡ€ΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ влияниС курса ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π΅Π½ΠΈΠ½Π³Π° Π½Π° измСнСния пространствСнных ΠΏΠ°Ρ‚Ρ‚Π΅Ρ€Π½ΠΎΠ² ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠΉ активности Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠ΅Ρ€Π΅Π½Π΅ΡΡˆΠΈΡ… КШ Π² условиях искусствСнного кровообращСния. ΠŸΡ€ΠΈ ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ выявлСны Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΈΠ΅ послСопСрационныС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ осцилляторной ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠΉ активности покоя Π² низкочастотном Ρ‚Π΅Ρ‚Π°-Π΄ΠΈΠ°ΠΏΠ°Π·ΠΎΠ½Π΅, Π»ΠΎΠΊΠ°Π»ΠΈΠ·ΠΎΠ²Π°Π½Π½Ρ‹Π΅ Π² ΠΏΡ€Π°Π²Ρ‹Ρ… Ρ‚Π΅ΠΌΠΏΠΎΡ€Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΎΡ‚Π΄Π΅Π»Π°Ρ… ΠΊΠΎΡ€Ρ‹. Π­Ρ‚ΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΌΠΎΠ³ΡƒΡ‚ ΠΎΡ‚Ρ€Π°ΠΆΠ°Ρ‚ΡŒ эффСкт трансфСра – Π²Π°ΠΆΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Π° ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ

    Factors associated with diversity, quantity and zoonotic potential of ectoparasites on urban mice and voles

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    Wild rodents are important hosts for tick larvae but co-infestations with other mites and insects are largely neglected. Small rodents were trapped at four study sites in Berlin, Germany, to quantify their ectoparasite diversity. Host-specific, spatial and temporal occurrence of ectoparasites was determined to assess their influence on direct and indirect zoonotic risk due to mice and voles in an urban agglomeration. Rodent-associated arthropods were diverse, including 63 species observed on six host species with an overall prevalence of 99%. The tick Ixodes ricinus was the most prevalent species, found on 56% of the rodents. The trapping location clearly affected the presence of different rodent species and, therefore, the occurrence of particular host-specific parasites. In Berlin, fewer temporary and periodic parasite species as well as non-parasitic species (fleas, chiggers and nidicolous Gamasina) were detected than reported from rural areas. In addition, abundance of parasites with low host-specificity (ticks, fleas and chiggers) apparently decreased with increasing landscape fragmentation associated with a gradient of urbanisation. In contrast, stationary ectoparasites, closely adapted to the rodent host, such as the fur mites Myobiidae and Listrophoridae, were most abundant at the two urban sites. A direct zoonotic risk of infection for people may only be posed by Nosopsyllus fasciatus fleas, which were prevalent even in the city centre. More importantly, peridomestic rodents clearly supported the life cycle of ticks in the city as hosts for their subadult stages. In addition to trapping location, season, host species, body condition and host sex, infestation with fleas, gamasid Laelapidae mites and prostigmatic Myobiidae mites were associated with significantly altered abundance of I. ricinus larvae on mice and voles. Whether this is caused by predation, grooming behaviour or interaction with the host immune system is unclear. The present study constitutes a basis to identify interactions and vector function of rodent-associated arthropods and their potential impact on zoonotic diseases

    Comparative life cycle assessment of mini combined heat and power plants

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    The article presents the results of an environmental study of the mini combined heat and power plants (mini-CHPs) life cycle with gas engines operating on natural gas and biogas, and with diesel engines. The calculation of material and energy flows, the environmental impact on the atmospheric air, water basin and soil has been carried out. The largest mass of harmful substances in wastewater has been observed with the account of the life cycle assessment (LCA) for the mini-CHPs in biogas, the smallest mass in diesel mini-CHPs. During the operation of biogas, gas piston and diesel PI, significant greenhouse gas emissions have taken place because of the fuel combustion. The article considers the issues of thermal pollution in the environment. It has been revealed that the life cycle of the bioenergy installations has a maximum impact on the environment, with the account of the fuel combustion in mini-CHPs with diesel engines. Biogas mini-CHPs have a greater advantage considering the processes of the operation and fuel combustion. The conducted research can help in choosing the type of the engine when designing a mini-CHP

    Environmental Component Economic Evaluation of the Renewable Energy Sources Life Cycle

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    Traditionally, renewable energy sources (RES) are considered the most environmentally friendly, but only the stage of their operation is evaluated. A method for the integrated assessment of the renewable energy environment sustainability has been proposed, taking into account their entire life cycle - from the extraction of natural resources for the production of a power plant to its utilization. An impact assessment of RES different types on the environment has been carried out in four areas: consumption of natural resources, pollution of water resources, pollution of the soil and pollution of the atmosphere. The comparison of the considered environmental components has been carried out on the basis of an environmental pollution economic assessment at the stages of the RES life cycle. Studies have shown that the life cycle of a solar power plant makes the greatest contribution to environmental pollution, but the mini-hydroelectric station - the smallest

    Methodology for assessing the grain mass thermal effusivity in a metal silo under the influence of active ventilation

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    The purpose of studying the thermal effusivity of the grain mass in a metal silo is to obtain a dynamic mathematical model of the processes of layered changes in the temperature of the grain mass under the influence of an external factor. Such an external factor is the supply of cooling air through the air distribution grid of the bottom of the silo with the active ventilation of grain in a metal silo. The created mathematical and parametric models allow simulating the moisture transfer process using active air ventilation systems inside metal silos during storage of wheat grain. There have been developed some ways to improve the conditions for ensuring the quality preservation of grain during its long-term storage in a metal silo. It is necessary to load such a silo with grain completely, preferably up to the top, leaving free supergrannial space as small as possible. Another solution is thermal insulation of the surfaces of the silo. The task of ensuring the safety of wheat food grain can be accomplished not only on the basis of existing regulatory rules, but also by taking into account the results of new research. The main method of storage in metal containers, according to the instructions and safety regulations is the storage of grain in a dry and purified state. It is known that not only humidity and purity, but also the temperature of the grain put into storage affect the storage period

    Sex characteristics of cognitive functions assessed by the MMSE and MoCA scores in patients with coronary artery disease

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    Aim. To study the sex characteristics of cognitive functions in a cohort of patients undergoing coronary artery bypass grafting (CABG) by comparing the results of Mini-mental state examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores.Material and methods. The prospective cohort study included 272 people, including 74 women aged 41 to 82 years, who were admitted to the Research Institute of Complex Issues of Cardiovascular Diseases for CABG surgery. All patients underwent clinical, laboratory, electrophysiological and ultrasound examinations. The Charlson comorbidity index (CCI) was calculated. Assessment of cognitive functions was carried out using the MMSE and MoCA scores. All types of statistical analysis were performed using the STATISTICA 10 program (StatSoft Inc., USA).Results. It was found that women scheduled for CABG have an older age and a higher CCI score compared to men (p=0,008). According to the MMSE, the likelihood of moderate and severe cognitive impairment in men compared with women was 1,36 times higher (odds ratio (OR), 1,35; 95% confidence interval (CI), 0,79-2,32, Z=1,11, p=0,27). The MoCA scores showed that half of the male (49%) and female (50%) participants had severe cognitive impairment. The likelihood of moderateand severe cognitive impairment in men compared with women was 1,33 times higher (OR, 1,33; 95% CI, 0,68-2,59, Z=0,841, p=0,40). According to subtests of the MoCA, men were better in naming (p=0,002), abstraction (p=0,005), and women outperformed men in verbal fluency (p=0,04). Regression analysis revealed that the most significant negative predictors for cognitive status as measured by the MMSE and MoCA scores for men and women were age and CCI.Conclusion. Women scheduled for CABG, having the worst clinical and demographic indicators, are comparable with men in cognitive status using the MMSE score. The MoCA score shows sex differences in naming, abstraction, and verbal fluency domains and revealed a higher percentage of severe cognitive disorders (up to 50%) compared to the MMSE score (7-9%). In male and female candidates for CABG, age and comorbidities are negatively associated with cognitive status
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