188 research outputs found

    DEVELOPMENT OF MANAGEMENT OF REPRODUCTION OF FIXED ASSETS

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    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

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    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

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    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 economyНазначСниС ИВ - консалтинга Π·Π°ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ΡΡ Π² прСдоставлСнии Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΉ ΠΏΠΎ вопросам стратСгичСского управлСния ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½Ρ‹ΠΌΠΈ систСмами, ΠΎΡ†Π΅Π½ΠΊΠΈ, проСктирования ΠΈ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ ИВ - Π°Ρ€Ρ…ΠΈΡ‚Π΅ΠΊΡ‚ΡƒΡ€Ρ‹, управлСния ΠΏΡ€ΠΎΠ΅ΠΊΡ‚Π°ΠΌΠΈ Π°Π²Ρ‚ΠΎΠΌΠ°Ρ‚ΠΈΠ·Π°Ρ†ΠΈΠΈ бизнСс-процСссов ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΉ ΠΈ ΠΌΠ½ΠΎΠ³ΠΈΠΌ Π΄Ρ€ΡƒΠ³ΠΈΠΌ вопросам, связанным с использованиСм Π²Ρ‹Ρ‡ΠΈΡΠ»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Ρ‚Π΅Ρ…Π½ΠΈΠΊΠΈ ΠΈ ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. Π’ Π΄Π°Π½Π½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Π΅ описаны Ρ‚ΠΈΠΏΠΎΠ²Ρ‹Π΅ Π·Π°Π΄Π°Ρ‡ΠΈ консалтинговых ΠΏΡ€ΠΎΠ΅ΠΊΡ‚ΠΎΠ² Π² сфСрС ИВ, ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π° структура российского Ρ€Ρ‹Π½ΠΊΠ° услуг ИВ - консалтинга, ΠΌΠ΅Ρ€Ρ‹ ΠΏΠΎ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΡŽ ΠΈ Ρ€Π΅Π³ΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡŽ Ρ€Ρ‹Π½ΠΊΠ° ИВ - консалтинга Π² условиях российской экономик

    A Drosophila DEG/ENaC Subunit Functions Specifically In Gustatory Neurons Required For Male Courtship Behavior

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    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

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    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 patients’ vital status (alive or dead). Multiple logistic regression was used to identify baseline patients’ 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 0,91–44.40]; p=0.06), age (OR 2.06 [1.30–3.27]; p<0.002), chronic heart failure (CHF) (OR 2.78 [1.25–6.2]; Ρ€=0.012), Hamilton depression scale score (OR 1,18 [1.03–1.34]; Ρ€=0.016), cognitive dysfunction score (Roschina scale) (OR 1.20 [1.05–1.35]; Ρ€=0.006), and age β€” body mass index interaction (OR 0,98 [0,97–0,997]; 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

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    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

    ΠžΡ†Π΅Π½ΠΊΠ° Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½

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    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 β€œdigit”. 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 citizens’ 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.ЦСлью исслСдования являСтся Π²Ρ‹Ρ€Π°Π±ΠΎΡ‚ΠΊΠ° комплСксного ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° ΠΊ ΠΎΡ†Π΅Π½ΠΊΠ΅ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ Π² сфСрС оказания государствСнных услуг. Π’ Π·Π°Π΄Π°Ρ‡ΠΈ исслСдования Π²Ρ…ΠΎΠ΄ΠΈΡ‚ Π°Π½Π°Π»ΠΈΠ· Π΄Π΅ΠΉΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΡ… российских ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Ρ… ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ² ΠΊ ΠΎΡ†Π΅Π½ΠΊΠ΅ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½; Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠ° ΠΈ апробация ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ»ΠΎΠ³ΠΈΠΈ комплСксного показатСля для провСдСния Ρ‚Π°ΠΊΠΎΠΉ ΠΎΡ†Π΅Π½ΠΊΠΈ Π² сфСрС оказания государствСнных услуг. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΈ ΠΏΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΊΠ΅ ΡΡ‚Π°Ρ‚ΡŒΠΈ Π°Π²Ρ‚ΠΎΡ€Π°ΠΌΠΈ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹ российскиС ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Π΅ тСорСтичСскиС ΠΈ практичСскиС ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Ρ‹ ΠΊ ΠΎΡ†Π΅Π½ΠΊΠ΅ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½. Апробация ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ индСкса Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° Π½Π° основС Π΄Π°Π½Π½Ρ‹Ρ… Π²Ρ‹Π±ΠΎΡ€ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ„Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ статистичСского наблюдСния Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠΉ слуТбы государствСнной статистики ΠΏΠΎ вопросам использования насСлСниСм ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ ΠΈ ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎ-ΠΊΠΎΠΌΠΌΡƒΠ½ΠΈΠΊΠ°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… сСтСй, Π° Ρ‚Π°ΠΊΠΆΠ΅ Π΄Π°Π½Π½Ρ‹Ρ… ΠœΠΈΠ½ΠΈΡΡ‚Π΅Ρ€ΡΡ‚Π²Π° экономичСского развития Российской Π€Π΅Π΄Π΅Ρ€Π°Ρ†ΠΈΠΈ. Для достиТСния Ρ†Π΅Π»ΠΈ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½Ρ‹ тСорСтичСскиС ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ (ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ·, синтСз, ΠΎΠ±ΠΎΠ±Ρ‰Π΅Π½ΠΈΠ΅), ΠΌΠΎΠ΄Π΅Π»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈ коррСляционный Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π˜ΡΡ…ΠΎΠ΄Ρ ΠΈΠ· Π°Π½Π°Π»ΠΈΠ·Π° Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Ρ… ΠΈ российских ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ², ΠΈΡ… прСимущСств ΠΈ ΠΎΠ³Ρ€Π°Π½ΠΈΡ‡Π΅Π½ΠΈΠΉ, Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ обоснована мСтодология расчСта индСкса Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½, ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°ΡŽΡ‰Π΅Π³ΠΎ нСпосрСдствСнныС Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ (Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ государствСнных ΠΈ ΠΌΡƒΠ½ΠΈΡ†ΠΈΠΏΠ°Π»ΡŒΠ½Ρ‹Ρ… услуг Π² элСктронном Π²ΠΈΠ΄Π΅), ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ (Π²ΠΎΡΡ‚Ρ€Π΅Π±ΠΎΠ²Π°Π½Π½ΠΎΡΡ‚ΡŒ элСктронной Ρ„ΠΎΡ€ΠΌΡ‹ оказания услуг) ΠΈ ΠΊΠΎΠ½Π΅Ρ‡Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠΉ трансформации Π² сфСрС оказания государствСнных услуг (ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€Π΅Π½Π½ΠΎΡΡ‚ΡŒ Π³Ρ€Π°ΠΆΠ΄Π°Π½ качСством ΠΎΠΊΠ°Π·Ρ‹Π²Π°Π΅ΠΌΡ‹Ρ… услуг Π² элСктронном Π²ΠΈΠ΄Π΅), Π° Ρ‚Π°ΠΊΠΆΠ΅ риски Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠ³ΠΎ взаимодСйствия (ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠ³ΠΎ довСрия Π³Ρ€Π°ΠΆΠ΄Π°Π½ ΠΏΡ€ΠΈ взаимодСйствии с государством). ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° апробация индСкса Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ Π² Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΌ Ρ€Π°Π·Ρ€Π΅Π·Π΅. Для ΠΎΡ†Π΅Π½ΠΊΠΈ примСнимости ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ индСкса исслСдована коррСляционная Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒ Π΅Π³ΠΎ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ ΠΈ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠ² индСкса ΠΎΡ‚ уровня образования насСлСния, занятости, Π΄ΠΎΡ…ΠΎΠ΄ΠΎΠ² ΠΈ ΡƒΡ€Π±Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΈ, Ρ‚Π°ΠΊ ΠΈ различиями Π² доступности инфраструктуры ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎ-ΠΊΠΎΠΌΠΌΡƒΠ½ΠΈΠΊΠ°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. ΠŸΡ€ΠΈ этом ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ коррСляции Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ с ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ Π²Ρ‹ΡˆΠ΅, Ρ‡Π΅ΠΌ с инфраструктурными. Π­Ρ‚ΠΎ ΠΎΠ·Π½Π°Ρ‡Π°Π΅Ρ‚, Ρ‡Ρ‚ΠΎ для Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠ³ΠΎ нСравСнства российских Ρ€Π΅Π³ΠΈΠΎΠ½ΠΎΠ² нСдостаточно ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡ΠΈΡ‚ΡŒ ΡƒΠ½ΠΈΠ²Π΅Ρ€ΡΠ°Π»ΡŒΠ½Ρ‹ΠΉ доступ ΠΊ сСти Π˜Π½Ρ‚Π΅Ρ€Π½Π΅Ρ‚; Π²Π°ΠΆΠ½ΡƒΡŽ Ρ€ΠΎΠ»ΡŒ Π² ΠΏΡ€ΠΎΠ΄Π²ΠΈΠΆΠ΅Π½ΠΈΠΈ Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… ΠΊΠ°Π½Π°Π»ΠΎΠ² взаимодСйствия ΠΈΠ³Ρ€Π°ΡŽΡ‚ ΠΈ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ развития чСловСчСского ΠΊΠ°ΠΏΠΈΡ‚Π°Π»Π°. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠžΡ†Π΅Π½ΠΊΠ° Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ ΡƒΡ‡Π΅Ρ‚Π° Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ, ΠΎΡ‚Ρ€Π°ΠΆΠ°ΡŽΡ‰ΠΈΡ… нСпосрСдствСнныС, ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½Ρ‹Π΅ ΠΈ ΠΊΠΎΠ½Π΅Ρ‡Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Ρ‚Π°ΠΊΠΎΠ³ΠΎ взаимодСйствия, Π° Ρ‚Π°ΠΊΠΆΠ΅ риски, связанныС с ΠΏΠ΅Ρ€Π΅Ρ…ΠΎΠ΄ΠΎΠΌ ΠΊ Β«Ρ†ΠΈΡ„Ρ€Π΅Β». Π’ части оказания государствСнных услуг для Ρ‚Π°ΠΊΠΎΠΉ ΠΎΡ†Π΅Π½ΠΊΠΈ цСлСсообразно ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒ индСкс Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½. Π”Π°Π»ΡŒΠ½Π΅ΠΉΡˆΠΈΠ΅ пСрспСктивныС направлСния исслСдований Π² сфСрС ΠΎΡ†Π΅Π½ΠΊΠΈ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½ связаны с ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ΠΌ влияния довСрия Π³Ρ€Π°ΠΆΠ΄Π°Π½ ΠΊ ΠΎΡ€Π³Π°Π½Π°ΠΌ государствСнного управлСния Π½Π° ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΈΠ·Π°Ρ†ΠΈΠΈ взаимодСйствия государства ΠΈ Π³Ρ€Π°ΠΆΠ΄Π°Π½, Π° Ρ‚Π°ΠΊΠΆΠ΅ с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ взаимодСйствия Π³Ρ€Π°ΠΆΠ΄Π°Π½ ΠΈ государства Π² Ρ€Π°ΠΌΠΊΠ°Ρ… ΠΈΠ½Ρ‹Ρ… Π²ΠΈΠ΄ΠΎΠ² государствСнных Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ (Π²Ρ‹Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ ΠΈ Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ государствСнной ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠΈ, рСгулирования, ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎ-Π½Π°Π΄Π·ΠΎΡ€Π½ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ). РСализация этих Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠΉ ΠΏΠΎΡ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ Ρ€Π°ΡΡˆΠΈΡ€Π΅Π½ΠΈΡ ΠΈΠΌΠ΅ΡŽΡ‰Π΅ΠΉΡΡ Π² настоящСС врСмя ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Π±Π°Π·Ρ‹

    IMMUNE PREDICTORS OF FIBROGENESIS AND THEIR APPLICATION FOR NON-INVASIVE DIAGNOSTICS OF LIVER FIBROSIS IN PATIENTS WITH CHRONIC VIRAL HEPATITIS

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    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 86β€”87 %, 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

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    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, Wilсoxon 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, Wilсoxon 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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