35 research outputs found
Phraseological units containing numbers in the general system of pu classifications
The article presents semantic and structural types of phraseological units containing numbers in the Russian and English languages. The classifications of phraseological units of this type according to their origin and functioning are also considered.Π ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΡΡ ΡΠ΅ΠΌΠ°Π½ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΡΡΡΡΠΊΡΡΡΠ½ΡΠ΅ ΡΠΈΠΏΡ ΡΡΠ°Π·Π΅ΠΎΠ»ΠΎΠ³ΠΈΠ·ΠΌΠΎΠ² Ρ ΡΠΈΡΠ»ΠΎΠ²ΡΠΌ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΠΎΠΌ Π² ΡΡΡΡΠΊΠΎΠΌ ΠΈ Π°Π½Π³Π»ΠΈΠΉΡΠΊΠΎΠΌ ΡΠ·ΡΠΊΠ°Ρ
, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΊΠ»Π°ΡΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ Π΄Π°Π½Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ ΡΡΠ°Π·Π΅ΠΎΠ»ΠΎΠ³ΠΈΠ·ΠΌΠΎΠ² Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΠΈΡ
ΠΏΡΠΎΠΈΡΡ
ΠΎΠΆΠ΄Π΅Π½ΠΈΡ ΠΈ ΡΡΠ½ΠΊΡΠΈΠΎΠ½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π² ΡΠ·ΡΠΊΠ΅
Criminal-legal assessment of euthanasia
Still in Russia and abroad, questions about implementation of the right to life and right to death are controversial, and as a consequence, the threat of killing the person by the use of euthanasia does not cease to be relevant.
Russian criminal law provides criminal responsibility for the murder, which is a variety of ways, however, standards meeting the requirements of the safe existence of terminally ill people, including those not able to be fully aware of the incurability of the disease, is not provided. The legislator attempted criminal prohibitions of the use of euthanasia, however, in the current criminal law of the Russian Federation the data of rules. In this connection, many questions of law enforcement practice in the sphere of criminal-law protection of the safety of life and human health remain uncertain. The given circumstances testify to the fact that the study of issues of qualification of crimes against life and health becomes more fundamental.
The article analyzes the problematic issues of demarcation of euthanasia from murder and suicide, and the author's article, providing for the criminal-legal prohibition of the use of euthanasia that will contribute to the improvement of law enforcement practice
The Role of Evaluative Tools in the Creation of the Memorial Media Portrait of Jacques Chirac (1932β2019)
The article is devoted to the study of evaluative tools used in modern French media in order to form the media image of a representative of the political elite. The techniques used in the creation of a memorial media portrait of Jacques Chirac (1932β2019), President of France from 1995 to 2007 are considered. The research material was the most prestigious French print media of various political orientations, published in late September β early October 2019 in connection with the death of the ex-President of the French Republic. The relevance of the research topic is dictated by the close attention of modern linguistics to axiological phenomena, differently presented in different types of discursive practices. The novelty of the study is due to the appeal to the analysis of the complex of evaluation tools used in the French print media when characterizing the former leader of the state during the nationβs farewell period. The estimated potential of the title of the article and its influence on the formation of the estimated vector of the entire text of the publication are shown. A systematic analysis of the assessment expression means, reflected in the memorial media portrait of the politician, is given. The factors that influenced the peculiarities of their use in this type of media portrait are revealed
Recovery of motor function of the hand of stroke patients using the "Hand tutor"
Devices with biologically feedback (biofeedback) are widely used in the rehabilitation of patients after stroke. The patient after a stroke in the carotid arteries loses two-handed operation, which is associated with the manipulation of objects and the many social and professional functions. An important factor in rehabilitation is to restore the function of the brush, as the most important organ of social and professional activities of the person. The use of biofeedback devices to restore function of the hand is the most expedient and efficient manner. A pilot study showed a positive trend on the basic scales of neurological deficit and scale spasticity on restoration of function of the hand in patients after carotid strokes. The maximum effect was achieved in the group of patients receiving comprehensive rehabilitation program (gymnastics, psammotherapy, therapeutic massage) with using the apparatus of bare 'Hand Tutor*. Further study is required of the effectiveness of this method with selection methods and duration of therapy.ΠΠΏΠΏΠ°ΡΠ°ΡΡ Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ ΠΎΠ±ΡΠ°ΡΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΡΡ (ΠΠΠ‘) ΡΠΈΡΠΎΠΊΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡΡΡΡ Π² ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΈΠ½ΡΡΠ»ΡΡΠΎΠ². ΠΠ°ΡΠΈΠ΅Π½Ρ ΠΏΠΎΡΠ»Π΅ ΠΈΠ½ΡΡΠ»ΡΡΠ° Π² ΠΊΠ°ΡΠΎΡΠΈΠ΄Π½ΠΎΠΌ Π±Π°ΡΡΠ΅ΠΉΠ½Π΅ ΡΠ΅ΡΡΠ΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π΄Π²ΡΡΡΡΠ½ΠΎΠΉ ΡΠ°Π±ΠΎΡΡ, ΠΊΠΎΡΠΎΡΠ°Ρ ΡΠ²ΡΠ·Π°Π½Π° Ρ ΠΌΠ°Π½ΠΈΠΏΡΠ»ΡΡΠΈΠ΅ΠΉ ΠΏΡΠ΅Π΄ΠΌΠ΅ΡΠ°ΠΌΠΈ ΠΈ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²ΠΎΠΌ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΡ
ΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ. ΠΠ°ΠΆΠ½ΡΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ Π² ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ, ΠΊΠ°ΠΊ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²Π°ΠΆΠ½ΠΎΠ³ΠΎ ΠΎΡΠ³Π°Π½Π° ΡΠΎΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΉ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°. ΠΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ Π°ΠΏΠΏΠ°ΡΠ°ΡΠΎΠ² ΠΠΠ‘ Ρ ΡΠ΅Π»ΡΡ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎ ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ΅ ΠΏΠΈΠ»ΠΎΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΎ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΡΡ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΡ ΠΏΠΎ ΠΎΡΠ½ΠΎΠ²Π½ΡΠΌ ΡΠΊΠ°Π»Π°ΠΌ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° - ΠΠ°ΡΡΠ΅Π»Π°, Π ΠΈΠ²Π΅ΡΠΌΠΈΠ΄ ΠΈ ΡΠΊΠ°Π»Π΅ ΡΠΏΠ°ΡΡΠΈΡΠ½ΠΎΡΡΠΈΠΡΡΠΎΡΡΠ° ΠΏΠΎ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΊΠ°ΡΠΎΡΠΈΠ΄Π½ΡΡ
ΠΈΠ½ΡΡΠ»ΡΡΠΎΠ². ΠΠ°ΠΈΠ±ΠΎΠ»ΡΡΠΈΠΉ ΡΡΡΠ΅ΠΊΡ Π΄ΠΎΡΡΠΈΠ³Π½ΡΡ Π² Π³ΡΡΠΏΠΏΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΡ
ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΡΡ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΡ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ (Π»Π΅ΡΠ΅Π±Π½Π°Ρ Π³ΠΈΠΌΠ½Π°ΡΡΠΈΠΊΠ°, ΠΏΡΠ°ΠΌΠΌΠΎΡΠ΅ΡΠ°ΠΏΠΈΡ, Π»Π΅ΡΠ΅Π±Π½ΡΠΉ ΠΌΠ°ΡΡΠ°ΠΆ) Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° ΠΠΠ‘ Β«HandTutorΒ». Π’ΡΠ΅Π±ΡΠ΅ΡΡΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅Π΅ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° Ρ ΠΏΠΎΠ΄Π±ΠΎΡΠΎΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ ΠΈ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ
Assessing the effectiveness of current methods of hand function recovery in patients who underwent ischemic stroke
In order to assess the post-ischemic-stroke effectiveness of hand function recovery in the rehabilitation center environment, 91 patients were involved in examination. The patients were uniformly distributed into three groups. Groups differed by the applied methods: 1) conventional hand exercises; 2) biofeedback-driven βHandTutorTM" recovery methods; 3) biofeedback- driven βHandTutorTM" recovery methods paired with transcranial magnetic stimulation, TMS. The levels of hand function improvement were assessed using: the function scale, the life activities scale, and βHandTutorTM" tests. The derived data indicate statistically reliable hand function improvement in the patients of all three groups after the 12-day treatment course. However, the degree of improvement in both second and third groups is more significant. Thus, we see the evidential improvement in the effectiveness of post-ischemic-stroke hand function recovery when applying the current rehabilitation methods including βHandTutorTMβ and TMS.Π‘ ΡΠ΅Π»ΡΡ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΡΠ΅Π½ΡΡΠ° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° (ΠΠ) Π±ΡΠ»ΠΈ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Ρ 91 ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ, ΡΠ°Π²Π½ΠΎΠΌΠ΅ΡΠ½ΠΎ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»ΡΠ½Π½ΡΡ
ΠΏΠΎ ΡΡΡΠΌ Π³ΡΡΠΏΠΏΠ°ΠΌ, ΠΎΡΠ»ΠΈΡΠ°ΡΡΠΈΠΌΡΡ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΠΌΡΠΌΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ°ΠΌΠΈ. Π ΠΏΠ΅ΡΠ²ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»Π°ΡΡ ΡΡΠ°Π΄ΠΈΡΠΈΠΎΠ½Π½Π°Ρ Π»Π΅ΡΠ΅Π±Π½Π°Ρ Π³ΠΈΠΌΠ½Π°ΡΡΠΈΠΊΠ° Π΄Π»Ρ ΠΊΠΈΡΡΠΈ, Π²ΠΎ Π²ΡΠΎΡΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ Π·Π°Π½ΡΡΠΈΡ Π½Π° Π°ΠΏΠΏΠ°ΡΠ°ΡΠ΅ Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΎΠ±ΡΠ°ΡΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΡΡ Β«HandTutorTMΒ», Π² ΡΡΠ΅ΡΡΠ΅ΠΉ Π³ΡΡΠΏΠΏΠ΅ Π·Π°Π½ΡΡΠΈΡ Π½Π° Π°ΠΏΠΏΠ°ΡΠ°ΡΠ΅ Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΎΠ±ΡΠ°ΡΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΡΡ Β«HandTutorTMΒ» Π±ΡΠ»ΠΈ ΠΏΠΎΠ΄ΠΊΡΠ΅ΠΏΠ»Π΅Π½Ρ Π»Π΅ΡΠ΅Π±Π½ΡΠΌΠΈ ΠΏΡΠΎΡΠ΅Π΄ΡΡΠ°ΠΌΠΈ ΡΡΠ°Π½ΡΠΊΡΠ°Π½ΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΌΠ°Π³Π½ΠΈΡΠ½ΠΎΠΉ ΡΡΠΈΠΌΡΠ»ΡΡΠΈΠΈ (Π’ΠΠ‘). ΠΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ ΠΈΠ·ΠΌΠ΅ΡΡΠ»ΠΈΡΡ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΡΠΊΠ°Π» ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΈ ΠΆΠΈΠ·Π½Π΅Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ ΠΈ ΡΠ΅ΡΡΠΎΠ² Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° Β«HandTutorTMΒ». ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΡΡ ΠΎ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠΌ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠΈ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π·Π° 12 Π΄Π½Π΅ΠΉ Π»Π΅ΡΠ΅Π½ΠΈΡ Π²ΠΎ Π²ΡΠ΅Ρ
ΡΡΠ΅Ρ
Π³ΡΡΠΏΠΏΠ°Ρ
. ΠΡΠΈ ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Π±ΡΠ»ΠΎ Π²ΡΡΠ²Π»Π΅Π½ΠΎ Π±ΠΎΠ»Π΅Π΅ Π·Π½Π°ΡΠΈΠΌΠΎΠ΅ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Π²ΠΎ Π²ΡΠΎΡΠΎΠΉ ΠΈ ΡΡΠ΅ΡΡΠ΅ΠΉ Π³ΡΡΠΏΠΏΠ°Ρ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΎΠ±ΡΠ°ΡΠ½ΠΎΠΉ ΡΠ²ΡΠ·ΡΡ Β«HandTutorTMΒ» ΠΈ Π’ΠΠ‘ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΏΠΎΠ²ΡΡΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ ΠΏΠΎ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΊΠΈΡΡΠΈ ΠΏΠΎΡΠ»Π΅ ΠΠ
The role of the sinuvertebral nerve damage at the cervical level in the development of chronic pain after a whipsplash injury and its osteopathic correction
The purpose of the study is to research the anatomical features of the sinuvertebral nerve and the possibility of clinical using of the obtained data in the practice of an osteopath and a neurologist.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΈΠ·ΡΡΠΈΡΡ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΡΠΈΠ½ΡΠ²Π΅ΡΡΠ΅Π±ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π½Π΅ΡΠ²Π° ΠΈ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΡΡ
Π΄Π°Π½Π½ΡΡ
Π² ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π²ΡΠ°ΡΠ° ΠΎΡΡΠ΅ΠΎΠΏΠ°ΡΠ° ΠΈ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³Π°
Clinicopathological features of nonspecific invasive breast cancer according to its molecular subtypes
The aim of the present study was to investigate the clinical and morphological features of nonspecific invasive breast cancer according to its molecular subtypes. Materials and Methods: 163 women with nonspecific invasive breast cancer (T1β4N0β3M0) were included in the present study. Luminal A type of breast cancer was detected in 101 women, luminal B type β in 23 women, overexpression of HER2/neu was identified in 14 women and triple-negative cancer β in 25 women. Results: The study revealed that various molecular subtypes of breast cancer differ in the morphological structure, the expression characteristics of the primary tumor and the rate of lymphogenous and hematogenous metastasis. Lymphogenous metastases were more frequently (in 71%) detected in HER2/neu overexpressing breast cancer than in luminal A (41%), luminal B (39%) and triple-negative tumors (40%). Hematogenous metastasis did not depend on the morphological structure of carcinoma infiltrative component, the state of tumor stroma as well as the proliferative activity in all the investigated groups. Conclusion: The revealed clinicopathological characteristics of different molecular subtypes of invasive breast cancer allow to predict the possible outcome of the disease and select personalized treatment strategy for patients more reasonably
Features receptor status of tumor in synchronous and metachronous bilateral breast cancer
The work examines the characteristics of the receptor status of the tumor with synchronous and metachronous bilateral breast cancer. Studied surgical material from 44 patients with bilateral malignant tumors of this localization: 22 patients were recorded synchronous and 22 patients metachronous breast tumors. The predominant histological type was invasive carcinoma nonspecific type. We conducted immunohistochemical examination of the tumor tissue showed that in synchronous bilateral breast cancer is dominated by positive receptor status with the simultaneous combination of the expression of receptors for estrogen and progesterone, and the most common is the luminal A molecular genetic type of neoplasm. Metachronous tumors significantly more likely to have a negative receptor status with the lack of expression of receptors for estrogen and progesterone, and dominant among them is three times the negative molecular genetic type of tumor.Π Π°Π±ΠΎΡΠ° ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π° ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΡΡΡΠ° ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ ΠΏΡΠΈ ΡΠΈΠ½Ρ
ΡΠΎΠ½Π½ΠΎΠΌ ΠΈ ΠΌΠ΅ΡΠ°Ρ
ΡΠΎΠ½Π½ΠΎΠΌ Π±ΠΈΠ»Π°ΡΠ΅ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠ°ΠΊΠ΅ ΠΌΠΎΠ»ΠΎΡΠ½ΡΡ
ΠΆΠ΅Π»Π΅Π·. ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π»ΡΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΎΡ 44 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Ρ Π΄Π²ΡΡ
ΡΡΠΎΡΠΎΠ½Π½ΠΈΠΌΠΈ Π·Π»ΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠΌΠΈ Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡΠΌΠΈ Π΄Π°Π½Π½ΠΎΠΉ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ: Ρ 22 Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈΡΡ ΡΠΈΠ½Ρ
ΡΠΎΠ½Π½ΡΠ΅ ΠΈ Ρ 22 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ ΠΌΠ΅ΡΠ°Ρ
ΡΠΎΠ½Π½ΡΠ΅ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ ΠΌΠΎΠ»ΠΎΡΠ½ΡΡ
ΠΆΠ΅Π»Π΅Π·. ΠΡΠ΅ΠΎΠ±Π»Π°Π΄Π°ΡΡΠΈΠΌ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΈΠΏΠΎΠΌ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ Π±ΡΠ»Π° ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Π°Ρ ΠΊΠ°ΡΡΠΈΠ½ΠΎΠΌΠ° Π½Π΅ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΈΠΏΠ°. ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ΅ Π½Π°ΠΌΠΈ ΠΈΠΌΠΌΡΠ½ΠΎΠ³ΠΈΡΡΠΎΡ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΊΠ°Π½ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΎ, ΡΡΠΎ ΠΏΡΠΈ ΡΠΈΠ½Ρ
ΡΠΎΠ½Π½ΠΎΠΌ Π±ΠΈΠ»Π°ΡΠ΅ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠ°ΠΊΠ΅ ΠΌΠΎΠ»ΠΎΡΠ½ΡΡ
ΠΆΠ΅Π»Π΅Π· ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π΅Ρ ΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΡΠΉ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠ½ΡΠΉ ΡΡΠ°ΡΡΡ Ρ ΠΎΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠΌ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠ΅ΠΌ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠ² ΠΊ ΡΡΡΡΠΎΠ³Π΅Π½Π°ΠΌ ΠΈ ΠΏΡΠΎΠ³Π΅ΡΡΠ΅ΡΠΎΠ½Ρ, Π° Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ Π»ΡΠΌΠΈΠ½Π°Π»ΡΠ½ΡΠΉ Π ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎΒΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΈΠΏ Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ. ΠΠ΅ΡΠ°Ρ
ΡΠΎΠ½Π½ΡΠ΅ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎ ΡΠ°ΡΠ΅ ΠΈΠΌΠ΅ΡΡ Π½Π΅Π³Π°ΡΠΈΠ²Π½ΡΠΉ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠ½ΡΠΉ ΡΡΠ°ΡΡΡ Ρ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ΠΌ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠΈ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠ² ΠΊ ΡΡΡΡΠΎΠ³Π΅Π½Π°ΠΌ ΠΈ ΠΏΡΠΎΠ³Π΅ΡΡΠ΅ΡΠΎΠ½Ρ, Π° Π΄ΠΎΠΌΠΈΠ½ΠΈΡΡΡΡΠΈΠΌ ΡΡΠ΅Π΄ΠΈ Π½ΠΈΡ
ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΡΠΈΠΆΠ΄Ρ Π½Π΅Π³Π°ΡΠΈΠ²Π½ΡΠΉ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎ-Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΈΠΏ ΠΎΠΏΡΡ
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