50 research outputs found
Development of scientific understanding of the essence of the fiscal control in Russia over the past 100 years
The relevance of the studied problem is determined by the fact that the modern understanding of the essence of the fiscal control is based on the research of specific essential characteristics. As a rule, they are not of system nature and are not connected with studies of other characteristics. The aim of this article is a synthesis of the main theoretical achievements in the study of the fiscal control in the Russian Federation and other countries, and identifying of the most important characteristics, which allow to reveal its internal content. The leading approach to the research of this issue is the system approach that provides a means of analyzing the essence of the fiscal control as a multifaceted phenomenon of the economic life of economic entities and the state. The main results of the research consist in the substantiation of the three major theoretical outputs concerning: a) the nature of the fiscal control as an economic phenomenon; b) the main essential characteristics of the fiscal control; c) interested user in information of the fiscal control as the foundation of its organization and implementation.. The materials of this article can be used for further research of the theory and methodology of carrying out the fiscal control, as well as its organization on the macro and micro levels. Β© 2016 Valieva et al
Typology of strategies of personality meaning-making during professional education
The importance of the studied issue is conditioned by the fact that high dynamic of processes in the labour market requires constant work of an individual on self-determination and search for significance of his/her professional activity. The purpose of research is theoretical development and empirical verification of the types of strategies of meaning-making based on perceptions of future in terms of professional self-determination of the personality at the stage of vocational training. Basic research methods: modelling, psychosemantic approach, allowing to perform research process with the possibility of more in-depth analysis of the results. Research results: the model of the semantical future in the consciousness of the personality, which includes affective, cognitive, activity and intentional components is developed and empirically verified; the types of strategies of meaning-making based on perceptions of future in terms of professional selfdetermination of the personality at the stage of vocational training is identified, the typology includes the following 3 types of the meaning-making strategies: strategy of integration of the meaning of education and profession in the model of own future, strategy of disintegration and strategy of uncertainty and delay of the semantical choice. Significance of results: analysis of the semantical grounds for future professional activity will help optimize the training of a competent, competitive and adaptive specialist ready to continuous self-development, and to intensify the process of professional self-determination and building life and professional prospects of the personality at the stage of vocational training, as exactly at this stage the professional competence and identity is built up. Β© 2016 Shchipanova et al
Globalization and regionalization: Institution aspect
The urgency of the analyzed problem is due to the fact that regionalization and globalization have a dual nature and depend on the institutional system, which, in turn, affects the establishment of new rules in the economic space in which interact businesses. The purpose of the article is to justify the fact that the institutional aspect of globalization and regionalization is, above all, in the establishment of new rules and norms of the economy that affect all businesses, and one of the key roles is performed by innovation and investment institutions. The main methods in the study of this problem is the dialectical method, which allows identifying trends in the development institutions at the regional level. Results: the article proves that the development of modern market institutions is associated with the stimulation of innovation activity in the regions and the creation of innovation systems in them, the effectiveness of which depends on the degree of interconnectedness and interdependence of the national innovation system, which corresponds to the globalization processes. The data of the article may be useful in determining institutions of the Samara region that promote economic development and competitiveness of the region, as well as practical development of managerial decisions related to improving the efficiency of the use of economic and administrative resources. Β© 2016 Matveev et al
Impact of Echinococcosis on Quality of Sheep Meat in the South Eastern Kazakhstan
A survey of 2,123 slaughtered adult sheep in markets of the south-east Kazakhstan established that the average contamination of animals by Echinococcus granulosus is 9.1% with primary localization of cysts in livers and lungs. The histologic structure of the muscle tissue of infected sheep displayed destructive changes with a prevalence of granular dystrophy. The amount of protein, fat, calcium and energetical value of such meat considerably decreased. Besides in the muscle tissue of the animals infected with echinococcosis there was a substantial increase of humidity and amount of ash as well as qualitative and quantitative changes of the amino acids profile. Along with damage to the synthesis of proteins and sharp insufficiency of vitamins A, E, B1, and B2 there was a shift in a lipidic exchange that was expressed as a noticeable reduction in the level of monounsaturated and polyunsaturated fatty acids. The data support the conclusion that the meat from the sheep infected with echinococcosis is of inferior quality and quantity compared to that of healthy animals
ΠΡΠ΅Π½ΠΊΠ° Π²Π»ΠΈΡΠ½ΠΈΡ ΠΌΠ°ΡΠ΅ΡΠΈΠ½ΡΠΊΠΎΠ³ΠΎ Π³Π΅Π½ΠΎΡΠΈΠΏΠ° Π½Π° ΡΠ΅Π°Π»ΠΈΠ·Π°ΡΠΈΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»Π° Π³ΠΎΠ»ΡΡΠΈΠ½ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΡΠΊΠΎΡΠ° Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ ΠΠΎΠ²ΠΎΡΠΈΠ±ΠΈΡΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ
An analysis of the productive qualities of mothers cows and their offspring, obtained from different fathers, showed that the contribution of parents to the formation of milk productivity is unequal. Intensive selection of bulls-producers leads to fixation of homozygotes at the loci associated with traits of milk production, which increases their influence on offspring. The strength of the influence of the fatherβs factor on milk yield, milk protein and live weight of daughters was 6, respectively; 14 and 16%. The productivity level of mothers did not significantly affect the productivity of their daughters. High-yielding offspring can be obtained from low-yielding cows. Daughters surpassed their mothers in milk yield, but inferior in fat milk. The proportion of deviation from the theoretically expected productivity of daughters (milk yield per 305 days), which is caused by the influence of the maternal genotype, in the groups of Auckland No. 426436885, Showman No. 831842 and Euclid No. 831491, respectively, was 15.8; 27.5 and 30.4%. The correlation coefficient between the milk yield of mothers and daughters was + 0.25 (p <0.05), and body weight correlated at the level of +0.3 (p <0.01). In the groups of daughters, butterfat is associated with milk yield (r = - 0.5) and milk protein (from +0.34 to +0.67). For mothers, the relationship between these indicators was lower. It is possible that half-siblings have stronger genetic links between traits than unrelated mothers. Genetic diversity in milk yield (h2 = 0.6) and live weight (h2 = 0.5) was established. Repeatability coefficients for fat and milk protein were at the level of 0.35. The productive potential of the breed depends on the combinational compatibility of the parents, their contribution to the formation of complex quantitative characteristics of productivity.ΠΠ½Π°Π»ΠΈΠ· ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΡΡ
ΠΊΠ°ΡΠ΅ΡΡΠ² ΠΊΠΎΡΠΎΠ²-ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ ΠΈ ΠΈΡ
ΠΏΠΎΡΠΎΠΌΠΊΠΎΠ², ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΡΡ
ΠΎΡ ΡΠ°Π·Π½ΡΡ
ΠΎΡΡΠΎΠ², ΠΏΠΎΠΊΠ°Π·Π°Π», ΡΡΠΎ Π²ΠΊΠ»Π°Π΄ ΡΠΎΠ΄ΠΈΡΠ΅Π»Π΅ΠΉ Π² ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠΎΠ»ΠΎΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π½Π΅ΡΠ°Π²Π½ΠΎΡΠ΅Π½Π΅Π½. ΠΠ½ΡΠ΅Π½ΡΠΈΠ²Π½ΡΠΉ ΠΎΡΠ±ΠΎΡ ΠΏΠ»Π΅ΠΌΠ΅Π½Π½ΡΡ
Π±ΡΠΊΠΎΠ² Π²Π΅Π΄ΡΡ ΠΊ ΡΠΈΠΊΡΠ°ΡΠΈΠΈ Π³ΠΎΠΌΠΎΠ·ΠΈΠ³ΠΎΡ ΠΏΠΎ Π»ΠΎΠΊΡΡΠ°ΠΌ, Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠ°ΠΌΠΈ ΠΌΠΎΠ»ΠΎΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ, ΡΡΠΎ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°Π΅Ρ ΠΈΡ
Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π½Π° ΠΏΠΎΡΠΎΠΌΠΊΠΎΠ². Π‘ΠΈΠ»Π° Π²Π»ΠΈΡΠ½ΠΈΡ ΡΠ°ΠΊΡΠΎΡΠ° ΠΎΡΡΠ° Π½Π° ΡΠ΄ΠΎΠΉ, Π±Π΅Π»ΠΊΠΎΠ²ΠΎΠΌΠΎΠ»ΠΎΡΠ½ΠΎΡΡΡ ΠΈ ΠΆΠΈΠ²ΡΡ ΠΌΠ°ΡΡΡ Π΄ΠΎΡΠ΅ΡΠ΅ΠΉ ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ 6; 14 ΠΈ 16%. Π£ΡΠΎΠ²Π΅Π½Ρ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ Π½Π΅ ΠΎΠΊΠ°Π·Π°Π» ΡΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ Π²Π»ΠΈΡΠ½ΠΈΡ Π½Π° ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π΄ΠΎΡΠ΅ΡΠ΅ΠΉ. ΠΡ Π½ΠΈΠ·ΠΊΠΎΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΡΡ
ΠΊΠΎΡΠΎΠ² ΠΌΠΎΠΆΠ½ΠΎ ΠΏΠΎΠ»ΡΡΠ°ΡΡ Π²ΡΡΠΎΠΊΠΎΡΠ΄ΠΎΠΉΠ½ΠΎΠ΅ ΠΏΠΎΡΠΎΠΌΡΡΠ²ΠΎ. ΠΠΎΡΠ΅ΡΠΈ ΠΏΠΎ ΡΠ΄ΠΎΡ ΠΏΡΠ΅Π²ΠΎΡΡ
ΠΎΠ΄ΠΈΠ»ΠΈ ΡΠ²ΠΎΠΈΡ
ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ, Π½ΠΎ ΡΡΡΡΠΏΠ°Π»ΠΈ ΠΏΠΎ ΠΆΠΈΡΠ½ΠΎΠΌΠΎΠ»ΠΎΡΠ½ΠΎΡΡΠΈ. ΠΠΎΠ»Ρ ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΡ ΠΎΡ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈ ΠΎΠΆΠΈΠ΄Π°Π΅ΠΌΠΎΠΉ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π΄ΠΎΡΠ΅ΡΠ΅ΠΉ (ΡΠ΄ΠΎΠΉ Π·Π° 305 Π΄Π½Π΅ΠΉ), ΠΊΠΎΡΠΎΡΠ°Ρ Π²ΡΠ·Π²Π°Π½Π° Π²Π»ΠΈΡΠ½ΠΈΠ΅ΠΌ ΠΌΠ°ΡΠ΅ΡΠΈΠ½ΡΠΊΠΎΠ³ΠΎ Π³Π΅Π½ΠΎΡΠΈΠΏΠ°, Π² Π³ΡΡΠΏΠΏΠ°Ρ
ΠΠΊΠ»Π΅Π½Π΄Π°-Π β 426436885, Π¨ΠΎΡΠΌΠ΅Π½Π° β 831842 ΠΈ ΠΠ²ΠΊΠ»ΠΈΠ΄Π° β 831491 ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ 15,8; 27,5 ΠΈ 30,4%. ΠΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΈ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠ΄ΠΎΠ΅ΠΌ ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ ΠΈ Π΄ΠΎΡΠ΅ΡΠ΅ΠΉ ΡΠΎΡΡΠ°Π²ΠΈΠ» + 0,25 (Ρ<0,05), Π° ΠΆΠΈΠ²Π°Ρ ΠΌΠ°ΡΡΠ° ΠΊΠΎΡΡΠ΅Π»ΠΈΡΠΎΠ²Π°Π»Π° Π½Π° ΡΡΠΎΠ²Π½Π΅ +0,3 (Ρ<0,01). Π Π³ΡΡΠΏΠΏΠ°Ρ
Π΄ΠΎΡΠ΅ΡΠ΅ΠΉ ΠΆΠΈΡΠ½ΠΎΠΌΠΎΠ»ΠΎΡΠ½ΠΎΡΡΡ ΡΠ²ΡΠ·Π°Π½Π° Ρ ΡΠ΄ΠΎΠ΅ΠΌ (r= β 0,5) ΠΈ Π±Π΅Π»ΠΊΠΎΠ²ΠΎΠΌΠΎΠ»ΠΎΡΠ½ΠΎΡΡΡΡ (ΠΎΡ +0,34 Π΄ΠΎ +0,67). Π£ ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ ΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ ΡΡΠΈΠΌΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ Π±ΡΠ»Π° Π½ΠΈΠΆΠ΅. ΠΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ, Ρ ΠΏΠΎΠ»ΡΡΠΈΠ±ΡΠΎΠ² ΡΠΈΠ»ΡΠ½Π΅Π΅ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΡΠ΅ΠΏΠ»Π΅Π½ΠΈΠ΅ ΠΌΠ΅ΠΆΠ΄Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠ°ΠΌΠΈ, ΡΠ΅ΠΌ Ρ Π½Π΅ΡΠΎΠ΄ΡΡΠ²Π΅Π½Π½ΡΡ
ΠΌΠ°ΡΠ΅ΡΠ΅ΠΉ. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·ΠΈΠ΅ ΠΏΠΎ ΡΠ΄ΠΎΡ (hβ2=0,6) ΠΈ ΠΆΠΈΠ²ΠΎΠΉ ΠΌΠ°ΡΡΠ΅ (hβ2=0,5). ΠΠΎΡΡΡΠΈΡΠΈΠ΅Π½ΡΡ ΠΏΠΎΠ²ΡΠΎΡΡΠ΅ΠΌΠΎΡΡΠΈ ΠΏΠΎ ΠΆΠΈΡΠ½ΠΎ- ΠΈ Π±Π΅Π»ΠΊΠΎΠ²ΠΎΠΌΠΎΠ»ΠΎΡΠ½ΠΎΡΡΠΈ Π±ΡΠ»ΠΈ Π½Π° ΡΡΠΎΠ²Π½Π΅ 0,35. ΠΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΡΠΉ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π» ΠΏΠΎΡΠΎΠ΄Ρ Π·Π°Π²ΠΈΡΠΈΡ ΠΎΡ ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠΎΡΠ΅ΡΠ°Π΅ΠΌΠΎΡΡΠΈ ΡΠΎΠ΄ΠΈΡΠ΅Π»Π΅ΠΉ, ΠΈΡ
Π²ΠΊΠ»Π°Π΄Π° Π² ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ»ΠΎΠΆΠ½ΡΡ
ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ
2-AZINYL QUINAZOLINES: SYNTHESIS AND PHOTOPHYSICAL PROPERTIES
This work was supported by the Russian Scientific Foundation (project 22-23-00006)
Synthesis of New Phosphorylated 1,2,4-Triazole-3-thiones. N,S-Functionalization Methods
Β© 2018, Pleiades Publishing, Ltd. New phosphorylated 1,2,4-triazole-3-thiones have been synthesized, and the possibility of their N,Sfunctionalization has been demonstrated. The direction of alkylation of 1,2,4-triazole-3-thiones with ethyl acrylate has been shown to depend on the substituent on the N4 atom
Damage to the musculoskeletal system during eradication therapy of Helicobacter pylori with levofloxacin
ΠΠΏΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠΎΡΠΈΠ»ΠΈΠ·ΡΠΌΠ°Π±Π° Ρ Π±ΠΎΠ»ΡΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΈΠ°ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΡΠΌ Π²Π°ΡΠΈΠ°Π½ΡΠΎΠΌ ΡΠ²Π΅Π½ΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ΄ΠΈΠΎΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°ΡΡΡΠΈΡΠ° Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΠ΅ΠΉΠ½ΠΎΠ³ΠΎ ΠΎΡΠ΄Π΅Π»Π° ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠ°
The article describes a case of polyarticular juvenile idiopathic arthritis lesions of the cervical spine. This clinical example demonstratesΒ the high efficiency of tocilizumab in a patient with polyarticular juvenile idiopathic arthritis with lesions of the cervical spine. After theΒ first injection of tocilizumab a decrease in the following was observed: pain in the cervical spine and affected joints, severity of functionalΒ disorders in the temporomandibular joint and the interphalangeal joints, cervical spine; a 30% improvement in the JADAS, ACRpedi30 wasΒ achieved. By the 8th week of therapy the proliferative changes in the joints of the hands and arthralgia decreased, as well as the durationΒ of morning stiffness. After 3 months there was a decrease in the activity of Jia (DAS28), and the erythrocyte sedimentation rate and serumΒ concentrations of C-reactive protein. Adverse effects during therapy with tocilizumab were not observed. The disease activity decreased,Β (assessed using the visual analog scale (VAS)), as well as the functional impairment (assessed using the Children Health AssessmentΒ Questionnaire (CHAQ)). The emotional status and quality of life of the child and her family improved significantly.Π ΡΡΠ°ΡΡΠ΅ ΠΎΠΏΠΈΡΠ°Π½ ΡΠ»ΡΡΠ°ΠΉ ΠΏΠΎΠ»ΠΈΠ°ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΠΎΠ³ΠΎ Π²Π°ΡΠΈΠ°Π½ΡΠ° ΡΠ²Π΅Π½ΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ΄ΠΈΠΎΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°ΡΡΡΠΈΡΠ° Ρ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΡΡΠ°Π²ΠΎΠ² ΡΠ΅ΠΈΒ ΠΈ Π²ΠΈΡΠΎΡΠ½ΠΎ-Π½ΠΈΠΆΠ½Π΅ΡΠ΅Π»ΡΡΡΠ½ΡΡ
ΡΡΡΡΠ°Π²ΠΎΠ², ΡΠ΅ΡΡΠ°ΠΊΡΠ΅ΡΠ½ΠΎΠ³ΠΎ ΠΊ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΊΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈΠΌΠΌΡΠ½ΠΎΠ΄Π΅ΠΏΡΠ΅ΡΡΠ°Π½ΡΠΎΠΌ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Π½ΡΠΉΒ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΏΡΠΈΠΌΠ΅Ρ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΡΠ΅Ρ Π²ΡΡΠΎΠΊΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠΈΠ»ΠΈΠ·ΡΠΌΠ°Π±Π° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ Ρ ΠΏΠΎΠ»ΠΈΠ°ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΡΠΌ ΡΠ²Π΅Π½ΠΈΠ»ΡΠ½ΡΠΌ ΠΈΠ΄ΠΈΠΎΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ Π°ΡΡΡΠΈΡΠΎΠΌ, ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π°ΡΡΠΈΠΌΡΡ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠΊΠ΅Π»Π΅ΡΠ°. Π£ΠΆΠ΅ ΠΏΠΎΡΠ»Π΅ ΠΏΠ΅ΡΠ²ΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΡΠΎΡΠΈΠ»ΠΈΠ·ΡΠΌΠ°Π±Π° ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ Π±ΠΎΠ»ΠΈ Π² ΡΠ΅ΠΉΠ½ΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠ° ΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½Π½ΡΡ
ΡΡΡΡΠ°Π²Π°Ρ
, ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈΒ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π² Π²ΠΈΡΠΎΡΠ½ΠΎ-Π½ΠΈΠΆΠ½Π΅ΡΠ΅Π»ΡΡΡΠ½ΡΡ
ΠΈ ΠΌΠ΅ΠΆΡΠ°Π»Π°Π½Π³ΠΎΠ²ΡΡ
ΡΡΡΡΠ°Π²Π°Ρ
, ΡΠ΅ΠΉΠ½ΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΠΈΠΊΠ°;Β Π΄ΠΎΡΡΠΈΠ³Π½ΡΡΠΎ 30% ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎ ΠΈΠ½Π΄Π΅ΠΊΡΠ°ΠΌ JADAS, ΠΠΌΠ΅ΡΠΈΠΊΠ°Π½ΡΠΊΠΎΠΉ ΠΊΠΎΠ»Π»Π΅Π³ΠΈΠΈ ΡΠ΅Π²ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΎΠ² (ACRpedi30). Π 8-ΠΉ Π½Π΅Π΄ ΡΠ΅ΡΠ°ΠΏΠΈΠΈΒ Ρ Π΄Π΅Π²ΠΎΡΠΊΠΈ ΡΠΌΠ΅Π½ΡΡΠΈΠ»ΠΈΡΡ ΠΏΡΠΎΠ»ΠΈΡΠ΅ΡΠ°ΡΠΈΠ²Π½ΡΠ΅ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ Π² ΡΡΡΡΠ°Π²Π°Ρ
ΠΊΠΈΡΡΠ΅ΠΉ, Π°ΡΡΡΠ°Π»Π³ΠΈΠΈ, ΡΠΎΠΊΡΠ°ΡΠΈΠ»Π°ΡΡ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΡΡΡΠ΅Π½Π½Π΅ΠΉΒ ΡΠΊΠΎΠ²Π°Π½Π½ΠΎΡΡΠΈ. Π§Π΅ΡΠ΅Π· 3 ΠΌΠ΅Ρ ΠΎΡΠΌΠ΅ΡΠ°Π»ΠΎΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠ²Π΅Π½ΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ΄ΠΈΠΎΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°ΡΡΡΠΈΡΠ° ΠΏΠΎ ΠΈΠ½Π΄Π΅ΠΊΡΡ DAS28,Β Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠΊΠΎΡΠΎΡΡΠΈ ΠΎΡΠ΅Π΄Π°Π½ΠΈΡ ΡΡΠΈΡΡΠΎΡΠΈΡΠΎΠ² ΠΈ cΡΠ²ΠΎΡΠΎΡΠΎΡΠ½ΠΎΠΉ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ Π‘-ΡΠ΅Π°ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π±Π΅Π»ΠΊΠ°. ΠΠ΅ΠΆΠ΅Π»Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΡΠ²Π»Π΅Π½ΠΈΠΉ Π½Π° ΡΠΎΠ½Π΅ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΡΠΎΡΠΈΠ»ΠΈΠ·ΡΠΌΠ°Π±ΠΎΠΌ Π½Π΅ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ. Π‘Π½ΠΈΠ·ΠΈΠ»Π°ΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π±ΠΎΠ»Π΅Π·Π½ΠΈ (ΠΏΠΎ Π²ΠΈΠ·ΡΠ°Π»ΡΠ½ΠΎ-Π°Π½Π°Π»ΠΎΠ³ΠΎΠ²ΠΎΠΉ ΡΠΊΠ°Π»Π΅),Β ΡΠΌΠ΅Π½ΡΡΠΈΠ»Π°ΡΡ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½Π°Ρ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΡ (ΠΏΠΎ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΡ Children Health Assessment Questionnaire). ΠΠ½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΒ ΡΠ»ΡΡΡΠΈΠ»ΠΎΡΡ ΡΠΌΠΎΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ ΡΠ΅Π±Π΅Π½ΠΊΠ° ΠΈ Π΅Π³ΠΎ ΡΠ΅ΠΌΡΠΈ