188 research outputs found
DEVELOPMENT OF MANAGEMENT OF REPRODUCTION OF FIXED ASSETS
The article is devoted to topical issues of development of management of reproduction of fixed assets. The authors emphasize an important role for the successful solution of important problems of development management of such forms of reproduction of fixed assets as the repair, reconstruction, modernization or upgrading in terms of implementation of innovation investment in the modern requirements of the domestic market economy
DEVELOPMENT OF MANAGEMENT OF REPRODUCTION OF FIXED ASSETS
The article is devoted to topical issues of development of management of reproduction of fixed assets. The authors emphasize an important role for the successful solution of important problems of development management of such forms of reproduction of fixed assets as the repair, reconstruction, modernization or upgrading in terms of implementation of innovation investment in the modern requirements of the domestic market economy
Actuality IT - consulting in conditions of the Russian economy
The purpose of it consulting is to provide recommendations on the strategic management of information systems, evaluation, design and development of it architecture, project management, automation of business processes of organizations, and many other issues related to using of computers and information technology. This paper describes typical tasks of consulting projects in the it sector, the structure of the Russian market of it services-consulting, action for development and regulation of the market of it-consulting in conditions of the Russian economyΠΠ°Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ ΠΠ’ - ΠΊΠΎΠ½ΡΠ°Π»ΡΠΈΠ½Π³Π° Π·Π°ΠΊΠ»ΡΡΠ°Π΅ΡΡΡ Π² ΠΏΡΠ΅Π΄ΠΎΡΡΠ°Π²Π»Π΅Π½ΠΈΠΈ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ ΠΏΠΎ Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ ΡΡΡΠ°ΡΠ΅Π³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΡΠΌΠΈ ΡΠΈΡΡΠ΅ΠΌΠ°ΠΌΠΈ, ΠΎΡΠ΅Π½ΠΊΠΈ, ΠΏΡΠΎΠ΅ΠΊΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΈ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠΈ ΠΠ’ - Π°ΡΡ
ΠΈΡΠ΅ΠΊΡΡΡΡ, ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΏΡΠΎΠ΅ΠΊΡΠ°ΠΌΠΈ Π°Π²ΡΠΎΠΌΠ°ΡΠΈΠ·Π°ΡΠΈΠΈ Π±ΠΈΠ·Π½Π΅Ρ-ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ² ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠΉ ΠΈ ΠΌΠ½ΠΎΠ³ΠΈΠΌ Π΄ΡΡΠ³ΠΈΠΌ Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ, ΡΠ²ΡΠ·Π°Π½Π½ΡΠΌ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π²ΡΡΠΈΡΠ»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ ΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. Π Π΄Π°Π½Π½ΠΎΠΉ ΡΠ°Π±ΠΎΡΠ΅ ΠΎΠΏΠΈΡΠ°Π½Ρ ΡΠΈΠΏΠΎΠ²ΡΠ΅ Π·Π°Π΄Π°ΡΠΈ ΠΊΠΎΠ½ΡΠ°Π»ΡΠΈΠ½Π³ΠΎΠ²ΡΡ
ΠΏΡΠΎΠ΅ΠΊΡΠΎΠ² Π² ΡΡΠ΅ΡΠ΅ ΠΠ’, ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π° ΡΡΡΡΠΊΡΡΡΠ° ΡΠΎΡΡΠΈΠΉΡΠΊΠΎΠ³ΠΎ ΡΡΠ½ΠΊΠ° ΡΡΠ»ΡΠ³ ΠΠ’ - ΠΊΠΎΠ½ΡΠ°Π»ΡΠΈΠ½Π³Π°, ΠΌΠ΅ΡΡ ΠΏΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΡΠ΅Π³ΡΠ»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΡΠ½ΠΊΠ° ΠΠ’ - ΠΊΠΎΠ½ΡΠ°Π»ΡΠΈΠ½Π³Π° Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠΎΡΡΠΈΠΉΡΠΊΠΎΠΉ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΠΊ
A Drosophila DEG/ENaC Subunit Functions Specifically In Gustatory Neurons Required For Male Courtship Behavior
Detection of specific female pheromones stimulates courtship behavior in Drosophila melanogaster males, but the chemosensory molecules, cells, and mechanisms involved remain poorly understood. Here we show that ppk25, a DEG/ENaC ion channel subunit required for normal male response to females, is expressed at highest levels in a single sexually dimorphic gustatory neuron of most taste hairs on legs and wings, but not in neurons that detect courtship-inhibiting pheromones or food. Synaptic inactivation of ppk25-expressing neurons, or knockdown of ppk25 expression in all gustatory neurons, significantly impairs male response to females, whereas gustatory expression of ppk25 rescues the courtship behavior of ppk25 mutant males. Remarkably, the only other detectable albeit significantly weaker expression of ppk25 occurs in olfactory neurons implicated in modulation of courtship behavior. However, expression of ppk25 in olfactory neurons is not required for male courtship under our experimental conditions. These data show that ppk25 functions specifically in peripheral taste neurons involved in activation of courtship behavior, an unexpected function for this type of channel. Furthermore, our work identifies a small subset of gustatory neurons with an essential role in activation of male courtship behavior, most likely in response to female pheromones
Depression, cognitive dysfunction and other factors associated with 5-year overall mortality in type 2 diabetes mellitus: a pilot prospective observational study
BACKGROUND: Psychological predictors of overall mortality in the Russian population of Type 2 diabetic patients and their impact compared to biological risk factors have not been studied.AIM. To identify clinical, laboratory and psychological factors independently associated with the 5-year overall mortality in Type 2 diabetic patients in the Moscow region.MATERIALS AND METHODS: This open label observational prospective study included 178 consecutive type 2 diabetic patients (women 145, men 33, age range 37 to 82 years, duration of diabetes 0,5 to 30 years). At baseline, in addition to the standard clinical, laboratory and instrumental work-up, all patients were assessed for depression, cognitive dysfunction and diabetes-related quality of life. No study-related intervention was performed; all patients were followed up and treated by their local physicians. After 5 years, we assessed the patientsβ vital status (alive or dead). Multiple logistic regression was used to identify baseline patientsβ characteristics, which were significantly and independently associated with 5-year overall mortality. Taking into account the exploratory type of multiple regression, the results were considered significant at Ξ±<0.1.RESULTS: At 5 years, 150 (84%) patients were alive and 15 (8,4%) were dead; no information could be obtained for the rest 13 (7,3%) patients. The analysis of 165 patients with the verified outcome, independent and significant associations with the death outcome were found for male gender (odds ratio [OR] 6,36 [95%CI 0,91β44.40]; p=0.06), age (OR 2.06 [1.30β3.27]; p<0.002), chronic heart failure (CHF) (OR 2.78 [1.25β6.2]; Ρ=0.012), Hamilton depression scale score (OR 1,18 [1.03β1.34]; Ρ=0.016), cognitive dysfunction score (Roschina scale) (OR 1.20 [1.05β1.35]; Ρ=0.006), and age β body mass index interaction (OR 0,98 [0,97β0,997]; Ρ = 0,013). The predicted probability of death within the next 5 years in men and women was 22,9% and 6,7%, respectively. The highest score of cognitive dysfunction was associated with a 25% predicted probability of death and the lowest, with a 2% probability of death; predicted probabilities of death for the highest and lowest depression scores were 26% and 2%, respectively. The 5-year predicted probability of death in the patients without CHF was 6,7%, with CHF I NYHA functional class, 9,8%, II functional class 13,6%, III functional class 18,2%, and IV functional class 23,5%. All other baseline clinical, laboratory, demographic, psychological and socioeconomic variables were not significantly associated with the 5-year survival rate. The model was not verified on an external cohort.CONCLUSION: Cognitive dysfunction and depression have a significant negative impact on the 5-year mortality rate at much higher degree, than glycemic control, any diabetes-related complications and cardiovascular disorders, excluding CHF. The results obtained highlight the importance of the diagnosis and treatment of depression and cognitive dysfunction inΒ type 2 diabetes mellitus
Analysis of Bj fibroblasts mitochondrial respiratory chain function under glucose starvation and exposure to different doses of rotenone: Implications for neurogenerative diseases
Certain neurodegenerative diseases, such as Parkinson and Alzheimer, are characterizing by an impairment in mitochondrial function and biogenesis, which may lead to pathological changes in the central nervous system. From this putative link stems a growing interest in changes to the mitochondrial electron transport chain and the ensuing energy dysfunction in neuronal cells and connective tissue cells under normal and pathological conditions. Fibroblasts involved in the formation of microenvironments of different types of specialized cells from the nervous system and their dysfunction may contribute to the pathogenesis of disease as well. In this regard, we have obtained stressful conditions of human dermal fibroblasts approximating of the pathological phenotype observed in Parkinson's disease. Was studied the expression and activity of the protein complexes of the mitochondria respiratory chain including translocase TOM20 under inhibition of NADH dehydrogenase and maintaining of oxidative stress
ΠΡΠ΅Π½ΠΊΠ° ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½
The purpose of this paper is to develop a comprehensive approach to evaluating digitalization of interaction of the state and citizens in the sphere of providing state services. The objectives of the study include the analysis of current Russian and foreign approaches to assessing the digitalization of interaction between the state and citizens; development and testing of a composite indicator methodology for conducting such an assessment in the provision of public services. Materials and methods. When preparing the paper, the authors studied Russian and foreign theoretical and practical approaches to evaluating digitalization of interaction between the state and citizens. The approbation of the digitalization index of interaction between the state and citizens proposed in the article was carried out on the basis of data from a selective federal statistical observation of the Federal State Statistics Service on the use of information technologies, information and communication networks by the population, as well as the data from the Ministry of Economic Development of the Russian Federation. To achieve the objective, theoretical methods (comparative analysis, synthesis, and generalization), modelling, and correlation analysis were used. Results. Based on the analysis of foreign and Russian approaches, their advantages and limitations, the article substantiates the methodology for calculating the digitalization index of interaction between the state and citizens, taking into account the immediate results (the availability of state and municipal services in the electronic form), intermediate results (the demand for the electronic form of service provision) and the final results of digital transformation in the provision of public services (satisfaction of citizens with the quality of services provided in the electronic form), as well as the risks of digital interaction (the level of digital trust of citizens in the interaction with the state). Approbation of the digitalization index of interaction between the state and citizens in the regional context was carried out. To assess the applicability of the proposed index, the correlation dependence of its values and the values of the index components on the level of education of the population, employment, income and urbanization, as well as differences in the availability of information and communication technologies infrastructure was investigated. At the same time, the level of digitalization correlation of interaction between the state and citizens with social factors is higher than with infrastructural ones. This means that to solve the problem of digital inequality in Russian regions, it is not enough to provide universal access to the Internet; factors of human capital development also play an important role in promoting digital channels of interaction. Conclusion. Assessing the digitalization of interaction between the state and citizens requires taking into account various indicators that reflect the immediate, intermediate and final results of such an interaction, as well as the risks associated with the transition to βdigitβ. In terms of the provision of public services for such an assessment, it is advisable to use the digitalization index of interaction between the state and citizens. Further promising areas of research in the field of assessing the digitalization of interaction between the state and citizens are related to the study of the influence of citizensβ trust in government bodies on the level of digitalization of interaction between the state and citizens, as well as taking into account the interaction of citizens and the state within the framework of other types of state functions (development and implementation of state policy, regulation, control and supervisory activities). The implementation of these directions will require the expansion of the currently available information base.Π¦Π΅Π»ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΠ²Π»ΡΠ΅ΡΡΡ Π²ΡΡΠ°Π±ΠΎΡΠΊΠ° ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Π° ΠΊ ΠΎΡΠ΅Π½ΠΊΠ΅ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ Π² ΡΡΠ΅ΡΠ΅ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΡΡΠ»ΡΠ³. Π Π·Π°Π΄Π°ΡΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π²Ρ
ΠΎΠ΄ΠΈΡ Π°Π½Π°Π»ΠΈΠ· Π΄Π΅ΠΉΡΡΠ²ΡΡΡΠΈΡ
ΡΠΎΡΡΠΈΠΉΡΠΊΠΈΡ
ΠΈ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΡΡ
ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΠΎΠ² ΠΊ ΠΎΡΠ΅Π½ΠΊΠ΅ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½; ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠ° ΠΈ Π°ΠΏΡΠΎΠ±Π°ΡΠΈΡ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π΄Π»Ρ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡ ΡΠ°ΠΊΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠΈ Π² ΡΡΠ΅ΡΠ΅ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΡΡΠ»ΡΠ³. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΈ ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ΅ ΡΡΠ°ΡΡΠΈ Π°Π²ΡΠΎΡΠ°ΠΌΠΈ ΠΈΠ·ΡΡΠ΅Π½Ρ ΡΠΎΡΡΠΈΠΉΡΠΊΠΈΠ΅ ΠΈ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΡΠ΅ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Ρ ΠΊ ΠΎΡΠ΅Π½ΠΊΠ΅ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½. ΠΠΏΡΠΎΠ±Π°ΡΠΈΡ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ Π² ΡΡΠ°ΡΡΠ΅ ΠΈΠ½Π΄Π΅ΠΊΡΠ° ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π° Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ Π΄Π°Π½Π½ΡΡ
Π²ΡΠ±ΠΎΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ΅Π΄Π΅ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ Π€Π΅Π΄Π΅ΡΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ»ΡΠΆΠ±Ρ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΡΡΠ°ΡΠΈΡΡΠΈΠΊΠΈ ΠΏΠΎ Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΠ΅ΠΌ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ ΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΠΎ-ΠΊΠΎΠΌΠΌΡΠ½ΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΡΠ΅ΡΠ΅ΠΉ, Π° ΡΠ°ΠΊΠΆΠ΅ Π΄Π°Π½Π½ΡΡ
ΠΠΈΠ½ΠΈΡΡΠ΅ΡΡΡΠ²Π° ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΡ Π ΠΎΡΡΠΈΠΉΡΠΊΠΎΠΉ Π€Π΅Π΄Π΅ΡΠ°ΡΠΈΠΈ. ΠΠ»Ρ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ ΡΠ΅Π»ΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½Ρ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ (ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°Π»ΠΈΠ·, ΡΠΈΠ½ΡΠ΅Π·, ΠΎΠ±ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅), ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΎΠ½Π½ΡΠΉ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΡ
ΠΎΠ΄Ρ ΠΈΠ· Π°Π½Π°Π»ΠΈΠ·Π° Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΡΡ
ΠΈ ΡΠΎΡΡΠΈΠΉΡΠΊΠΈΡ
ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΠΎΠ², ΠΈΡ
ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ² ΠΈ ΠΎΠ³ΡΠ°Π½ΠΈΡΠ΅Π½ΠΈΠΉ, Π² ΡΡΠ°ΡΡΠ΅ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½Π° ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ»ΠΎΠ³ΠΈΡ ΡΠ°ΡΡΠ΅ΡΠ° ΠΈΠ½Π΄Π΅ΠΊΡΠ° ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½, ΡΡΠΈΡΡΠ²Π°ΡΡΠ΅Π³ΠΎ Π½Π΅ΠΏΠΎΡΡΠ΅Π΄ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ (Π½Π°Π»ΠΈΡΠΈΠ΅ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΠΈ ΠΌΡΠ½ΠΈΡΠΈΠΏΠ°Π»ΡΠ½ΡΡ
ΡΡΠ»ΡΠ³ Π² ΡΠ»Π΅ΠΊΡΡΠΎΠ½Π½ΠΎΠΌ Π²ΠΈΠ΄Π΅), ΠΏΡΠΎΠΌΠ΅ΠΆΡΡΠΎΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ (Π²ΠΎΡΡΡΠ΅Π±ΠΎΠ²Π°Π½Π½ΠΎΡΡΡ ΡΠ»Π΅ΠΊΡΡΠΎΠ½Π½ΠΎΠΉ ΡΠΎΡΠΌΡ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΡΡΠ»ΡΠ³) ΠΈ ΠΊΠΎΠ½Π΅ΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΈΡΡΠΎΠ²ΠΎΠΉ ΡΡΠ°Π½ΡΡΠΎΡΠΌΠ°ΡΠΈΠΈ Π² ΡΡΠ΅ΡΠ΅ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΡΡΠ»ΡΠ³ (ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠ΅Π½Π½ΠΎΡΡΡ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎΠΌ ΠΎΠΊΠ°Π·ΡΠ²Π°Π΅ΠΌΡΡ
ΡΡΠ»ΡΠ³ Π² ΡΠ»Π΅ΠΊΡΡΠΎΠ½Π½ΠΎΠΌ Π²ΠΈΠ΄Π΅), Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠΈΡΠΊΠΈ ΡΠΈΡΡΠΎΠ²ΠΎΠ³ΠΎ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ (ΡΡΠΎΠ²Π΅Π½Ρ ΡΠΈΡΡΠΎΠ²ΠΎΠ³ΠΎ Π΄ΠΎΠ²Π΅ΡΠΈΡ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΠΏΡΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΠΈ Ρ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²ΠΎΠΌ). ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π° Π°ΠΏΡΠΎΠ±Π°ΡΠΈΡ ΠΈΠ½Π΄Π΅ΠΊΡΠ° ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ Π² ΡΠ΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΌ ΡΠ°Π·ΡΠ΅Π·Π΅. ΠΠ»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΠΏΡΠΈΠΌΠ΅Π½ΠΈΠΌΠΎΡΡΠΈ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ ΠΈΠ½Π΄Π΅ΠΊΡΠ° ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π° ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΎΠ½Π½Π°Ρ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΡ Π΅Π³ΠΎ Π·Π½Π°ΡΠ΅Π½ΠΈΠΉ ΠΈ Π·Π½Π°ΡΠ΅Π½ΠΈΠΉ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠΎΠ² ΠΈΠ½Π΄Π΅ΠΊΡΠ° ΠΎΡ ΡΡΠΎΠ²Π½Ρ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ, Π·Π°Π½ΡΡΠΎΡΡΠΈ, Π΄ΠΎΡ
ΠΎΠ΄ΠΎΠ² ΠΈ ΡΡΠ±Π°Π½ΠΈΠ·Π°ΡΠΈΠΈ, ΡΠ°ΠΊ ΠΈ ΡΠ°Π·Π»ΠΈΡΠΈΡΠΌΠΈ Π² Π΄ΠΎΡΡΡΠΏΠ½ΠΎΡΡΠΈ ΠΈΠ½ΡΡΠ°ΡΡΡΡΠΊΡΡΡΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΠΎ-ΠΊΠΎΠΌΠΌΡΠ½ΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. ΠΡΠΈ ΡΡΠΎΠΌ ΡΡΠΎΠ²Π΅Π½Ρ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΈ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ Ρ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΠΌΠΈ ΡΠ°ΠΊΡΠΎΡΠ°ΠΌΠΈ Π²ΡΡΠ΅, ΡΠ΅ΠΌ Ρ ΠΈΠ½ΡΡΠ°ΡΡΡΡΠΊΡΡΡΠ½ΡΠΌΠΈ. ΠΡΠΎ ΠΎΠ·Π½Π°ΡΠ°Π΅Ρ, ΡΡΠΎ Π΄Π»Ρ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΡΠΈΡΡΠΎΠ²ΠΎΠ³ΠΎ Π½Π΅ΡΠ°Π²Π΅Π½ΡΡΠ²Π° ΡΠΎΡΡΠΈΠΉΡΠΊΠΈΡ
ΡΠ΅Π³ΠΈΠΎΠ½ΠΎΠ² Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΡΡ ΡΠ½ΠΈΠ²Π΅ΡΡΠ°Π»ΡΠ½ΡΠΉ Π΄ΠΎΡΡΡΠΏ ΠΊ ΡΠ΅ΡΠΈ ΠΠ½ΡΠ΅ΡΠ½Π΅Ρ; Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ Π² ΠΏΡΠΎΠ΄Π²ΠΈΠΆΠ΅Π½ΠΈΠΈ ΡΠΈΡΡΠΎΠ²ΡΡ
ΠΊΠ°Π½Π°Π»ΠΎΠ² Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ ΠΈΠ³ΡΠ°ΡΡ ΠΈ ΡΠ°ΠΊΡΠΎΡΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠ΅Π»ΠΎΠ²Π΅ΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΊΠ°ΠΏΠΈΡΠ°Π»Π°. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΡΠ΅Π½ΠΊΠ° ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΡΡΠ΅Π±ΡΠ΅Ρ ΡΡΠ΅ΡΠ° ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ, ΠΎΡΡΠ°ΠΆΠ°ΡΡΠΈΡ
Π½Π΅ΠΏΠΎΡΡΠ΅Π΄ΡΡΠ²Π΅Π½Π½ΡΠ΅, ΠΏΡΠΎΠΌΠ΅ΠΆΡΡΠΎΡΠ½ΡΠ΅ ΠΈ ΠΊΠΎΠ½Π΅ΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠ°ΠΊΠΎΠ³ΠΎ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠΈΡΠΊΠΈ, ΡΠ²ΡΠ·Π°Π½Π½ΡΠ΅ Ρ ΠΏΠ΅ΡΠ΅Ρ
ΠΎΠ΄ΠΎΠΌ ΠΊ Β«ΡΠΈΡΡΠ΅Β». Π ΡΠ°ΡΡΠΈ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΡΡΠ»ΡΠ³ Π΄Π»Ρ ΡΠ°ΠΊΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡ ΠΈΠ½Π΄Π΅ΠΊΡ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½. ΠΠ°Π»ΡΠ½Π΅ΠΉΡΠΈΠ΅ ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠ΅ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ Π² ΡΡΠ΅ΡΠ΅ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΡΠ²ΡΠ·Π°Π½Ρ Ρ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ΠΌ Π²Π»ΠΈΡΠ½ΠΈΡ Π΄ΠΎΠ²Π΅ΡΠΈΡ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΠΊ ΠΎΡΠ³Π°Π½Π°ΠΌ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ Π½Π° ΡΡΠΎΠ²Π΅Π½Ρ ΡΠΈΡΡΠΎΠ²ΠΈΠ·Π°ΡΠΈΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° ΠΈ Π³ΡΠ°ΠΆΠ΄Π°Π½, Π° ΡΠ°ΠΊΠΆΠ΅ Ρ ΡΡΠ΅ΡΠΎΠΌ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΡΠ°ΠΆΠ΄Π°Π½ ΠΈ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π° Π² ΡΠ°ΠΌΠΊΠ°Ρ
ΠΈΠ½ΡΡ
Π²ΠΈΠ΄ΠΎΠ² Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ (Π²ΡΡΠ°Π±ΠΎΡΠΊΠΈ ΠΈ ΡΠ΅Π°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π³ΠΎΡΡΠ΄Π°ΡΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΠΏΠΎΠ»ΠΈΡΠΈΠΊΠΈ, ΡΠ΅Π³ΡΠ»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ, ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎ-Π½Π°Π΄Π·ΠΎΡΠ½ΠΎΠΉ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ). Π Π΅Π°Π»ΠΈΠ·Π°ΡΠΈΡ ΡΡΠΈΡ
Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠΉ ΠΏΠΎΡΡΠ΅Π±ΡΠ΅Ρ ΡΠ°ΡΡΠΈΡΠ΅Π½ΠΈΡ ΠΈΠΌΠ΅ΡΡΠ΅ΠΉΡΡ Π² Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ Π±Π°Π·Ρ
IMMUNE PREDICTORS OF FIBROGENESIS AND THEIR APPLICATION FOR NON-INVASIVE DIAGNOSTICS OF LIVER FIBROSIS IN PATIENTS WITH CHRONIC VIRAL HEPATITIS
The study was devoted to development of non-invasive methods for diagnosis of liver fibrosis in patients with chronic viral hepatitis (CVH). The stepwise logistic multivariate regression analysis of biochemical (PTI, glucose, albumin, AST, LDH) and immunological parameters (the functional activity of neutrophils and monocytes, the relative content of CD8+ T- and CD19+B-cells) was used for the establishment of diagnostic model. Based on the multiple regression analysis we derived a 2 novel Integral Indexes of Liver Fibrosis (IILF-biochem and IILF-immun, respectively). It is shown that IILF-biochem allows, without resorting to liver biopsy to predict the appropriate stage of fibrosis in CHV patients with diagnostic accuracy of 86β87 %, and in combination with IILF β at 97.7 %
Efficacy of metformin for treatment and prevention of antipsychotic-induced overweight and obesity in women: an open-label, randomized, prospective placebo-controlled study
Background: The prevalence of obesity and metabolic abnormalities is increased patients with mental disorders receiving psychopharmacotherapy, which significantly impairs their treatment adherence.Aims: To evaluate the efficacy and safety of metformin in prevention and treatment obesity and overweight in patients with mental disorders receiving antipsychotics.Materials and methods: This was an open-label, prospective, randomized, placebo-controlled study of female patients with mental disorders (age, 18 to 50). The patients were randomized into two groups in a 2:1 ratio: the treatment group received metformin and the control group received placebo. Metformin was administered at a starting dose of 500 mg daily, with subsequent up-titration every 2 weeks when necessary, up to 2000 mg daily. The treatment duration was 6 months.Results: Baseline BMI in the treatment group (N=62) was 27,3 [24,0; 30,4] kg/m2; it decreased to 26,0 [22,5; 30,5] kg/m2, p < 0.0001, WilΡoxon test) after 6 months of treatment. The patients receiving metformin decreased their body weight by 3 [-6; 0] kg, orΒ -4,0 [-8; 0] %. In the placebo group (N=30), the baseline BMI was 27,5 [24,0; 32,0] kg/m2 and increased to 28,2 [25,8; 34,0] kg/m2 at 6 month (p=0.001, WilΡoxon test), or 3 [1; 6] kg. After 6 months of treatment, the difference in BMI between the metformin and placebo groups was significant (26,0 ΠΈ 28,2 kg/m2, respectively, Ρ=0,027, Mann-Withney test). Six (6) of 62 patients treated with metformin had side effects and were switched to an equivalent dose of prolonged release metformin, with reduction of side effects in 5 of them.Conclusions: The use of metformin in patients with mental disorders receiving antipsychotics allows for reduction or stabilization of body weight in 80% of cases, with β₯5% decrease of body weight in 44% of patients. It is recommended to start metformin at a dose of 500 mg daily with subsequent up-titration of up to 2000 mg if necessary
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