710 research outputs found
The embedded carbon footprint of urban households in China and its evolution
This paper explores the embedded carbon footprint (ECF) that is associated with various activities of urban households in China. An input-output model for carbon emissions is constructed. Based on urban household data for the period of 2003-2009, we calculate individual ECF and analyze its structural evolution. The results of this analysis show that the total ECF emission intensity increases when an individualβs consumption is higher than 10000 yuan (which is the turning point). This implies that emission intensity increases with a luxury lifestyle whereas it is lower for lower-income households. As income continues to increase, China will continue to remain on a high carbon track. We hence suggest that, with increasing urban wealth there is a need for better policies, management and behavioural change in order to reduce the carbon emissions of households. This study provides some policy suggestions about establishing a carbon quota system to guide individual consumption
Data-driven model for the assessment of mycobacterium tuberculosis transmission in evolving demographic structures
In the case of tuberculosis (TB), the capabilities of epidemic models to produce quantitatively robust forecasts are limited by multiple hindrances. Among these, understanding the complex relationship between disease epidemiology and populationsβ age structure has been highlighted as one of the most relevant. TB dynamics depends on age in multiple ways, some of which are traditionally simplified in the literature. That is the case of the heterogeneities in contact intensity among different age strata that are common to all airborne diseases, but still typically neglected in the TB case. Furthermore, while demographic structures of many countries are rapidly aging, demographic dynamics are pervasively ignored when modeling TB spreading. In this work, we present a TB transmission model that incorporates country-specific demographic prospects and empirical contact data around a data-driven description of TB dynamics. Using our model, we find that the inclusion of demographic dynamics is followed by an increase in the burden levels predicted for the next decades in the areas of the world that are most hit by the disease today. Similarly, we show that considering realistic patterns of contacts among individuals in different age strata reshapes the transmission patterns reproduced by the models, a result with potential implications for the design of age-focused epidemiological interventions
Human responses to environmental change on the southern coastal plain of the Caspian Sea during the Mesolithic and Neolithic periods
This paper presents results of a multidisciplinary research initiative examining human responses to environmental change at the intersection of the southern coastal plain of the Caspian Sea and the foothills of the Alborz Mountains during the terminal Pleistocene and early Holocene. Our palaeo-environmental analysis of two sedimentary cores obtained from a lagoon in close proximity to four caves, occupied by human groups during the transition from hunting and gathering to food-producing ways of life in this region, confirms Charles McBurney's 1968 hypothesis that when Caspian Sea levels were high, Mesolithic hunters were reliant on seal and deer, but as water levels receded and a wide coastal plain emerged, hunters consumed a different range of herbivorous mammalian species. Palynological evidence obtained from these two cores also demonstrates that the cool and dry climatic conditions often associated with the Younger Dryas stadial do not appear to have been extreme in this region. Thus, increasingly sedentary hunting and gathering groups could have drawn on plant and animal resources from multiple ecological niches without suffering significant resource stress or reduced population levels that may have been encountered in neighbouring regions. Our analyses of botanical, faunal and archaeological remains from a recently-discovered open-air Mesolithic and aceramic Neolithic site also shows an early process of Neolithization in the southern Caspian basin, which was a very gradual, low-cost adaptation to new ways of life, with neither the abandonment of hunting and gathering, nor a climatic trigger event for the emergence of a low-level, food-producing society.This paper presents results of a multidisciplinary research initiative examining human responses to environmental change at the intersection of the southern coastal plain of the Caspian Sea and the foothills of the Alborz Mountains during the terminal Pleistocene and early Holocene. Our palaeo-environmental analysis of two sedimentary cores obtained from a lagoon in close proximity to four caves, occupied by human groups during the transition from hunting and gathering to food-producing ways of life in this region, confirms Charles McBurney's 1968 hypothesis that when Caspian Sea levels were high, Mesolithic hunters were reliant on seal and deer, but as water levels receded and a wide coastal plain emerged, hunters consumed a different range of herbivorous mammalian species. Palynological evidence obtained from these two cores also demonstrates that the cool and dry climatic conditions often associated with the Younger Dryas stadial do not appear to have been extreme in this region. Thus, increasingly sedentary hunting and gathering groups could have drawn on plant and animal resources from multiple ecological niches without suffering significant resource stress or reduced population levels that may have been encountered in neighbouring regions. Our analyses of botanical, faunal and archaeological remains from a recently-discovered open-air Mesolithic and aceramic Neolithic site also shows an early process of Neolithization in the southern Caspian basin, which was a very gradual, low-cost adaptation to new ways of life, with neither the abandonment of hunting and gathering, nor a climatic trigger event for the emergence of a low-level, food-producing society.status: publishe
Histone deacetylase inhibition alters histone methylation associated with heat shock protein 70 promoter modifications in astrocytes and neurons
The mood-stabilizing and anticonvulsant drug valproic acid (VPA) inhibits histone deacetylases (HDACs). The aim of the present study was to determine the effect of HDAC inhibition on overall and target gene promoter-associated histone methylation in rat cortical neurons and astrocytes. We found that VPA and other HDAC inhibitors, including sodium butyrate (SB), trichostatin A (TSA), and the Class I HDAC inhibitors MS-275 and apicidin all increased levels of histone 3 lysine 4 dimethylation and trimethylation (H3K4Me2 and H3K4Me3); these processes are linked to transcriptional activation in rat cortical neurons and astrocytes. VPA, SB, TSA, MS-275, and apicidin also upregulated levels of the neuroprotective heat shock protein 70 (HSP70) in rat astrocytes. Moreover, Class I HDAC inhibition by VPA and MS-275 increased H3K4Me2 levels at the HSP70 promoter in astrocytes and neurons. We also found that VPA treatment facilitated the recruitment of acetyltransferase p300 to the HSP70 promoter and that p300 interacted with the transcription factor NF-Y in astrocytes. Taken together, the results suggest that Class I HDAC inhibition is key to upregulating overall and gene-specific H3K4 methylation in primary neuronal and astrocyte cultures. In addition, VPA-induced activation of the HSP70 promoter in astrocytes appears to involve an increase in H3K4Me2 levels and recruitment of p300. This article is part of a Special Issue entitled 'Trends in neuropharmacology: in memory of Erminio Costa'
Barred Galaxies in the Coma Cluster
We use ACS data from the HST Treasury survey of the Coma cluster (z~0.02) to
study the properties of barred galaxies in the Coma core, the densest
environment in the nearby Universe. This study provides a complementary data
point for studies of barred galaxies as a function of redshift and environment.
From ~470 cluster members brighter than M_I = -11 mag, we select a sample of
46 disk galaxies (S0--Im) based on visual classification. The sample is
dominated by S0s for which we find an optical bar fraction of 47+/-11% through
ellipse fitting and visual inspection. Among the bars in the core of the Coma
cluster, we do not find any very large (a_bar > 2 kpc) bars. Comparison to
other studies reveals that while the optical bar fraction for S0s shows only a
modest variation across low-to-intermediate density environments (field to
intermediate-density clusters), it can be higher by up to a factor of ~2 in the
very high-density environment of the rich Coma cluster core.Comment: Proceedings of the Bash symposium, to appear in the Astronomical
Society of the Pacific Conference Series, eds. L. Stanford, L. Hao, Y. Mao,
J. Gree
Predictive factors for the development of post-operative fibrinous exudation
ΠΡΡΠΊΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ½Π° ΠΏΡΠΎΡΠ΅Π΄ΡΡΠ° Π² ΠΎΡΡΠ°Π»ΠΌΠΎΠ»ΠΎΠ³ΠΈΡΡΠ° Π΅ ΠΏΡΠ΅Π΄ΠΌΠ΅Ρ Π½Π° Π΄Π΅Π±Π°Ρ, ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΡΠ²ΠΎΠΈΡΠ΅ ΠΏΡΠΈΠ»ΠΎΠΆΠ΅Π½ΠΈΡ, Π΅ΡΠΈΠΊΠ°ΡΠ½ΠΎΡΡ, ΡΠΈΡΠΊΠΎΠ²ΠΈ ΡΠ°ΠΊΡΠΎΡΠΈ, ΠΏΡΠΎΡΠΈΠ²ΠΈΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΈ Π΄Ρ. ΠΠ°Π»ΠΈΡΠ΅ Π΅ ΠΎΠ±Π°ΡΠ΅ Π½Π΅Π΄ΠΈΡΠΊΡΡΠΈΡΡΠ΅ΠΌ ΠΈ Π½Π΅ΠΏΡΠ΅Ρ
ΠΎΠ΄Π΅Π½ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΡ Π·Π° ΡΠΎΠ²Π°, ΡΠ΅ ΠΏΠΎΡΡΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΡΠΎ Π²ΡΠ·ΠΏΠ°Π»Π΅Π½ΠΈΠ΅ ΡΠ»Π΅Π΄ Π²ΡΡΠΊΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ½Π° ΠΈΠ½ΡΠ΅ΡΠ²Π΅Π½ΡΠΈΡ ΡΡΡΠ±Π²Π° Π΄Π° Π±ΡΠ΄Π΅ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ1. Π§Π΅ΡΡΠΎΡΠ°ΡΠ° Π½Π° Π²ΡΠ·ΠΏΠ°Π»ΠΈΡΠ΅Π»Π½Π°ΡΠ° ΡΠ΅Π°ΠΊΡΠΈΡ Π² ΠΏΡΠ΅Π΄Π½Π°ΡΠ° ΠΊΠ°ΠΌΠ΅ΡΠ° ΡΠ»Π΅Π΄ ΠΊΠ°ΡΠ°ΡΠ°ΠΊΡΠ½Π° Ρ
ΠΈΡΡΡΠ³ΠΈΡ ΠΌΠΎΠΆΠ΅ Π΄Π° Π΄ΠΎΡΡΠΈΠ³Π½Π΅ Π΄ΠΎ 30%, Π²Π°ΡΠΈΡΠ°ΠΉΠΊΠΈ ΠΏΠΎ ΡΠ΅ΠΆΠ΅ΡΡ2. ΠΡΠ΅Π΄Π½ΠΎΠΊΠ°ΠΌΠ΅ΡΠ½Π°ΡΠ° Π²ΡΠ·ΠΏΠ°Π»ΠΈΡΠ΅Π»Π½Π° ΡΠ΅Π°ΠΊΡΠΈΡ Π΅ ΡΠΈΠ³Π½ΠΈΡΠΈΠΊΠ°Π½ΡΠ° ΠΏΠΎΡΠ°Π΄ΠΈ ΡΠ°ΠΊΡΠ°, ΡΠ΅ ΠΌΠΎΠΆΠ΅ Π΄Π° Π΄ΠΎΠ²Π΅Π΄Π΅ Π΄ΠΎ ΠΏΠΎΠ²ΠΈΡΠ°Π²Π°Π½Π΅ Π½Π° Π²ΡΡΡΠ΅ΠΎΡΠ½ΠΎΡΠΎ Π½Π°Π»ΡΠ³Π°Π½Π΅ (ΠΠΠ), ΠΊΠΎΡΠ½Π΅Π°Π»Π΅Π½ Π΅Π΄Π΅ΠΌ, Π΅Π½Π΄ΠΎΡΠ΅Π»Π½Π° ΡΠ²ΡΠ΅Π΄Π°, ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π° Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ ΠΈ ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π° Π² ΠΏΡΠ΅Π΄Π½Π°ΡΠ° ΠΎΡΠ½Π° ΠΊΠ°ΠΌΠ΅ΡΠ°, Π·Π°Π΄Π½ΠΈ ΡΠΈΠ½Π΅Ρ
ΠΈΠΈ, ΠΊΠΈΡΡΠΎΠΈΠ΄Π΅Π½ ΠΌΠ°ΠΊΡΠ»Π΅ΠΈ ΠΎΡΠΎΠΊ, Ρ
ΡΠΎΠ½ΠΈΡΠ΅Π½ ΠΏΡΠ΅Π΄Π΅Π½ ΡΠ²Π΅ΠΈΡ ΠΈ Π΄Ρ. ΠΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅ ΠΈ Π°Π½Π°Π»ΠΈΠ· Π½Π° ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ ΡΠ°ΠΊΡΠΎΡΠΈ, ΠΊΠΎΠΈΡΠΎ ΠΎΠΊΠ°Π·Π²Π°Ρ Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π²ΡΡΡ
Ρ ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π°ΡΠ° ΠΏΡΠ΅Π΄Π½ΠΎΠΊΠ°ΠΌΠ΅ΡΠ½Π° Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ, Π±ΠΈΡ
Π° ΠΏΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ Π½ΠΎΠ²ΠΈ Π²ΡΠΏΡΠΎΡΠΈ Π·Π° Π΄ΠΈΡΠΊΡΡΠΈΡ, ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΠΏΡΠ΅Π΄- , ΠΈΠ½ΡΡΠ°- ΠΈ ΠΏΠΎΡΡΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈΡ ΡΠ΅ΡΠ°ΠΏΠ΅Π²ΡΠΈΡΠ΅Π½ Π°Π»Π³ΠΎΡΠΈΡΡΠΌ.Π¦Π΅Π»ΠΠ° ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°ΠΌΠ΅ ΠΈ Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠ°ΠΌΠ΅ ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ ΡΠ°ΠΊΡΠΎΡΠΈ, ΠΊΠΎΠΈΡΠΎ Π±ΠΈΡ
Π° ΠΌΠΎΠ³Π»ΠΈ Π΄Π° Π±ΡΠ΄Π°Ρ Π² ΠΊΠΎΡΠ΅Π»Π°ΡΠΈΠΎΠ½Π½ΠΈ Π²Π·Π°ΠΈΠΌΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ Ρ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ΡΠΎ Π½Π° ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π° ΡΠ΅Π°ΠΊΡΠΈΡ Π² ΠΏΡΠ΅Π΄Π½Π°ΡΠ° ΠΎΡΠ½Π° ΠΊΠ°ΠΌΠ΅ΡΠ° ΡΠ»Π΅Π΄ ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½Π° Ρ
ΠΈΡΡΡΠ³ΠΈΡ. ΠΠ° ΠΏΡΠ΅Π΄ΡΡΠ°Π²ΠΈΠΌ, ΡΡΡΠΎ ΡΠ°ΠΊΠ°, Π½Π°ΡΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅Π½ ΠΎΠΏΠΈΡ Π² ΡΠ΅ΡΠ°ΠΏΠΈΡΡΠ° Π½Π° ΠΎΡΡΡΠΎ Π½Π°ΡΡΡΠΏΠΈΠ»Π°ΡΠ° ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π° Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΠΈΠ·Π°ΠΉΠ½ΡΡ Π½Π° Π½Π°ΡΡΠΎΡΡΠ΅ΡΠΎ ΠΊΠ»ΠΈΠ½ΠΈΡΠ½ΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ Π΅ ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π΅Π½ ΠΈ ΠΎΠ±ΡΠ΅ΡΠ²Π°ΡΠΈΠΎΠ½Π΅Π½, Ρ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π½Π° ΠΏΡΠΎΡΠ»Π΅Π΄ΡΠ²Π°Π½Π΅ 04.01 - 15.12.2017r. ΠΡΠΈΡΠ΅ΡΠΈΠΈΡΠ΅ Π·Π° Π²ΠΊΠ»ΡΡΠ²Π°Π½Π΅ Π² ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅ΡΠΎ ΡΠ° ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΠΎ ΠΏΡΠΎΡΠ΅ΠΊΠ»Π° ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Π½Π° Π»Π΅ΡΠ°, Π±Π΅Π· ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΈ ΠΊΠΎΠΌΠΏΠ»ΠΈΠΊΠ°ΡΠΈΠΈ ΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ Π½Π° ΠΠΠ Π² ΠΊΠ°ΠΏΡΡΠ»Π½ΠΈΡ ΡΠ°ΠΊ.ΠΠ·ΠΊΠ»ΡΡΠ²Π°ΡΠΈΡΠ΅ ΠΊΡΠΈΡΠ΅ΡΠΈΠΈ, ΠΊΠΎΠΈΡΠΎ ΡΠ΅ Π²Π·Π΅Ρ
Π° ΠΏΡΠ΅Π΄Π²ΠΈΠ΄, Ρ ΡΠ΅Π» ΠΎΠ±ΠΎΡΠΎΠ±ΡΠ²Π°Π½Π΅ Π½Π° ΡΠΈΡΠΊΠΎΠ²ΠΈΡΠ΅ ΡΠ°ΠΊΡΠΎΡΠΈ ΡΠ°ΠΌΠΎ Π·Π° ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡΡΠ° ΠΊΠ°ΡΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅Π½ ΠΌΠ΅ΡΠΎΠ΄, ΡΠ° ΠΈΠ·Π²ΡΡΡΠ²Π°Π½Π΅ Π½Π° Π΅Π΄Π½ΠΎΠ΅ΡΠ°ΠΏΠ½Π°, ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠ°Π½Π° Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ½Π° ΠΏΡΠΎΡΠ΅Π΄ΡΡΠ° (ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Ρ ΡΡΠ°Π±Π΅ΠΊΡΠ»Π΅ΠΊΡΠΎΠΌΠΈΡ, ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Ρ ΠΏΠ°ΡΡ ΠΏΠ»Π°Π½Π° Π²ΠΈΡΡΠ΅ΠΊΡΠΎΠΌΠΈΡ).ΠΠ·Π²ΡΡΡΠ΅Π½ΠΈΡΡ ΠΏΡΠ΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π΅Π½ Π½Π°Π±ΠΎΡ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½ΠΈΡ Π²ΠΊΠ»ΡΡΠ²Π° ΠΎΠ±ΡΡΠΎΠΉΠ½ΠΎ ΠΎΡΡΠ°Π»ΠΌΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅, ΠΈΠ½Π΄ΠΈΡΠ΅ΠΊΡΠ½Π° ΠΎΡΡΠ°Π»ΠΌΠΎΡΠΊΠΎΠΏΠΈΡ, Goldmann ΡΠΎΠ½ΠΎΠΌΠ΅ΡΡΠΈΡ, ΠΊΠ΅ΡΠ°ΡΠΎΠΌΠ΅ΡΡΠΈΡ ΠΈ Π±ΠΈΠΎΠΌΠ΅ΡΡΠΈΡΠ½Π°, ΡΠ»ΡΡΠ°Π·Π²ΡΠΊΠΎΠ²Π° Π Π΅Ρ
ΠΎΠ³ΡΠ°ΡΠΈΡ.ΠΠ° Π²ΡΠΈΡΠΊΠΈ 191 ΡΡΠ°ΡΡΠ½ΠΈΡΠΈ Π² ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅ΡΠΎ, ΠΎΡ ΠΊΠΎΠΈΡΠΎ 67 ΠΌΡΠΆΠ΅ (35,1 %) ΠΈ 124 ΠΆΠ΅Π½ΠΈ (64,9%), Π½Π° ΡΡΠ΅Π΄Π½Π° Π²ΡΠ·ΡΠ°ΡΡ ~ 68Π³., Π² ΠΏΠ»Π°Π½ΠΎΠ² ΠΏΠΎΡΡΠ΄ΡΠΊ, Π΅ ΠΈΠ·Π²ΡΡΡΠ΅Π½Π° ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Π½Π° Π»Π΅ΡΠ° Ρ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ Π½Π° Π²ΡΡΡΠ΅ΠΎΡΠ½Π° ΠΈΠ·ΠΊΡΡΡΠ²Π΅Π½Π° Π»Π΅ΡΠ° (ΠΠΠ). ΠΡΠΈΡΠΊΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΡΠ° ΠΈΠ·Π²ΡΡΡΠ΅Π½ΠΈ Π² 3ΡΠΎ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠ΅ Π½Π° ΠΠ»ΠΈΠ½ΠΈΠΊΠ°ΡΠ° ΠΏΠΎ ΠΎΡΠ½ΠΈ Π±ΠΎΠ»Π΅ΡΡΠΈ, Π£ΠΠΠΠ "ΠΠ»Π΅ΠΊΡΠ°Π½Π΄ΡΠΎΠ²ΡΠΊΠ°", ΠΎΡ Π΅Π΄ΠΈΠ½ Ρ
ΠΈΡΡΡΠ³, ΠΏΠΎ Π΅Π΄Π½Π° ΠΈ ΡΡΡΠ°, ΡΡΠ²ΡΡΠ΄Π΅Π½Π° Π² ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ°ΡΠ°, ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ°.Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈΠΠ° Π²ΡΠΈΡΠΊΠΈ 191 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° (191 ΠΎΡΠΈ) Π΅ ΠΈΠ·Π²ΡΡΡΠ΅Π½Π° ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Π½Π° Π»Π΅ΡΠ° Ρ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ Π½Π° ΠΠΠ, ΠΏΠΎ ΡΡΠ²ΡΡΠ΄Π΅Π½Π° Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠ΅ΡΠΎ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ°, Π±Π΅Π· ΠΊΠΎΠΌΠΏΠ»ΠΈΠΊΠ°ΡΠΈΠΈ. 78 (40,8%) ΠΎΡ ΡΡΠ°ΡΡΠ½ΠΈΡΠΈΡΠ΅ ΡΠ° Ρ Ρ
ΠΈΠ΄ΡΠΎΡΠΎΠ±Π΅Π½, Π°ΠΊΡΠΈΠ»Π΅Π½, Π°ΡΡΠ΅ΡΠΈΡΠ΅Π½ ΠΈΠΌΠΏΠ»Π°Π½Ρ, Π΄ΠΎΠΊΠ°ΡΠΎ ΠΎΡΡΠ°Π½Π°Π»Π°ΡΠ° Π³ΡΡΠΏΠ° ΠΎΡ 113 Π΄ΡΡΠΈ (59,2%) ΡΠ° Ρ Ρ
ΠΈΠ΄ΡΠΎΡΠΈΠ»Π΅Π½, Π°ΠΊΡΠΈΠ»Π΅Π½, Π°ΡΡΠ΅ΡΠΈΡΠ΅Π½ Π²Π°ΡΠΈΠ°Π½Ρ Π½Π° ΠΠΠ. ΠΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Ρ ΠΊΠΎΠ½Π²Π΅Π½ΡΠΈΠΎΠ½Π°Π»Π½Π° ΠΌΠΎΠ½ΠΎΡΠΎΠΊΠ°Π»Π½Π° ( Ρ
ΠΈΠ΄ΡΠΎΡΠΈΠ»Π½Π° ΠΈ Ρ
ΠΈΠ΄ΡΠΎΡΠΎΠ±Π½Π°) ΠΠΠ ΡΠ° 162 (84,8%), a ΠΏΡΠΈ 29 (15,2%) Π΅ ΠΈΠΌΠΏΠ»Π°Π½ΡΠΈΡΠ°Π½Π° Ρ
ΠΈΠ΄ΡΠΎΡΠΈΠ»Π½Π° ΠΠΠ Ρ ΡΠ°Π·ΡΠΈΡΠ΅Π½Π° Π΄ΡΠ»Π±ΠΎΡΠΈΠ½Π° Π½Π° ΡΠΎΠΊΡΡΠ° (EDOF). Π€ΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π° Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ Π² ΠΏΡΠ΅Π΄Π½Π°ΡΠ° ΠΎΡΠ½Π° ΠΊΠ°ΠΌΠ΅ΡΠ° (ΠΠ), ΠΏΡΠ΅Π· ΡΠ°Π½Π½ΠΈΡ ΠΏΠΎΡΡΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π΅Π½ ΠΏΠ΅ΡΠΈΠΎΠ΄, Π΅ ΡΡΡΠ°Π½ΠΎΠ²Π΅Π½Π° ΠΏΡΠΈ ΠΏΠ΅Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° (2,4%) ΠΎΡ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π°ΡΠ° ΠΊΠΎΡ
ΠΎΡΡΠ°. Π‘Π»Π΅Π΄ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π° Π»ΠΎΠΊΠ°Π»Π½Π° ΡΠ΅ΡΠ°ΠΏΠΈΡ Ρ ΠΏΡΠΎΡΠΈΠ²ΠΎΠ²ΡΠ·ΠΏΠ°Π»ΠΈΡΠ΅Π»Π½ΠΈ ΡΡΠ΅Π΄ΡΡΠ²Π° (ΠΊΠΎΡΡΠΈΠΊΠΎΡΡΠ΅ΡΠΎΠΈΠ΄ΠΈ) ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π°ΡΠ° ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π° ΠΏΡΠΈ Π²ΡΠ΅ΠΊΠΈ ΠΎΡ ΠΏΠ΅ΡΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΡΠ΅ ΡΠ΅Π·ΠΎΡΠ±ΠΈΡΠ° Π½Π°ΠΏΡΠ»Π½ΠΎ. ΠΡΡΠ΅ΡΠ΅Π½ΠΎ Π±Π΅, ΡΠ΅ Π½Π°Π»ΠΈΡΠΈΠ΅ΡΠΎ Π½Π° Π·Π°Ρ
Π°ΡΠ΅Π½ Π΄ΠΈΠ°Π±Π΅Ρ (80% ΠΎΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Ρ Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ), ΠΊΠ°ΡΠΎ ΠΏΡΠΈΠ΄ΡΡΠΆΠ°Π²Π°ΡΠΎ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½Π΅, ΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ° Π½Π° ΠΌΠΎΠ½ΠΎΡΠΎΠΊΠ°Π»Π½Π° Ρ
ΠΈΠ΄ΡΠΎΡΠΈΠ»Π½Π° ΠΠΠ (1 ΠΠ% ΠΎΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ Ρ Π΅ΠΊΡΡΠ΄Π°ΡΠΈΡ) ΡΠ° ΡΠ°ΠΊΡΠΎΡΠΈΡΠ΅ Ρ Π½Π°ΠΉ-Π²ΠΈΡΠΎΠΊΠ° ΠΏΡΠ΅Π΄ΠΈΠΊΡΠΈΠ²Π½Π° ΡΡΠΎΠΉΠ½ΠΎΡΡ Π·Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π½Π° ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½Π° ΡΠΈΠ±ΡΠΈΠ½ΠΎΠ²Π° ΡΠ΅Π°ΠΊΡΠΈΡ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅Π‘ΡΠ°ΡΡΠ΅ΡΠΊΠ°ΡΠ° ΠΊΠ°ΡΠ°ΡΠ°ΠΊΡΠ° Π΅ ΡΡΠ΅Π΄ ΠΎΡΠ½ΠΎΠ²Π½ΠΈΡΠ΅ Π²ΡΠ·ΡΠ°ΡΡΠΎΠ²ΠΎ-ΡΠ²ΡΡΠ·Π°Π½ΠΈ ΠΎΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ. ΠΠ΅ΠΉΠ½Π°ΡΠ° ΡΠ΅ΡΡΠΎΡΠ° Π½Π°ΡΠ°ΡΡΠ²Π° Ρ Π½Π°ΠΏΡΠ΅Π΄Π²Π°Π½Π΅ Π½Π° Π²ΡΠ·ΡΠ°ΡΡΡΠ° 3. Π Π½Π°ΡΠΈΠΎΠ½Π°Π»Π΅Π½ ΠΈ ΡΠ²Π΅ΡΠΎΠ²Π΅Π½ ΠΌΠ°ΡΠ°Π± ΡΠ°ΠΊΠΎΠ΅ΠΌΡΠ»ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡΡΠ° Π΅ Π½Π°ΠΉ-ΡΠ΅ΡΡΠΎ ΠΈΠ·Π²ΡΡΡΠ²Π°Π½Π°ΡΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ½Π° ΠΈΠ½ΡΠ΅ΡΠ²Π΅Π½ΡΠΈΡ Π² ΠΎΡΡΠ°Π»ΠΌΠΎΠ»ΠΎΠ³ΠΈΡΡΠ° 4. Π Π°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·ΠΈΠ΅ΡΠΎ Π½Π° Π²ΠΈΠ΄ΠΎΠ²Π΅ΡΠ΅ Π²ΡΡΡΠ΅ΠΎΡΠ½ΠΈ ΠΈΠ·ΠΊΡΡΡΠ²Π΅Π½ΠΈ Π»Π΅ΡΠΈ Π² Π΄Π½Π΅ΡΠ½ΠΎ Π²ΡΠ΅ΠΌΠ΅ Π΅ ΠΎΠ³ΡΠΎΠΌΠ½ΠΎ, ΠΎΠΏΠΈΡΠ²Π°ΠΉΠΊΠΈ ΡΠ΅ Π΄Π° Π·Π°Π΄ΠΎΠ²ΠΎΠ»ΠΈ ΠΏΠΎΡΡΠΎΡΠ½Π½ΠΎ ΠΏΠΎΠ²ΠΈΡΠ°Π²Π°ΡΠΈΡΠ΅ ΡΠ΅ ΠΈΠ·ΠΈΡΠΊΠ²Π°Π½ΠΈΡ ΠΈ ΡΡΠ°Π½Π΄Π°ΡΡΠΈ Π² ΠΎΡΡΠ°Π»ΠΌΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΡΠ°. ΠΠΎΠΊΠ°ΡΠ²Π°ΡΠ°ΡΠ° ΡΠ΅ ΡΠ΅ΡΡΠΎΡΠ°ΡΠ° Π½Π° Π·Π°Ρ
Π°ΡΠ½ΠΈΡ Π΄ΠΈΠ°Π±Π΅Ρ ΠΏΠΎΡΡΠ°Π²Ρ Π½ΠΎΠ²ΠΈ ΠΈ Π²Π°ΠΆΠ½ΠΈ Π²ΡΠΏΡΠΎΡΠΈ ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΠΊΠΎΠΉ ΡΠΈΠΏ ΠΠΠ ΡΠ° Π½Π°ΠΉ-ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ΡΡΠΈ ΠΈ ΠΏΡΠ΅ΠΏΠΎΡΡΡΠΈΡΠ΅Π»Π½ΠΈ ΠΏΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ ΡΡΡ ΡΠΈΡΡΠ΅ΠΌΠ½ΠΈ ΠΏΡΠΈΠ΄ΡΡΠΆΠ°Π²Π°ΡΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ.IntroductionEach surgical procedure in ophthalmology is a subject of debate about its applications, efficiency, risk factors, contraindications, etc. There is, however, an indiscriminate and persistent consensus that post-operative inflammation after each surgical intervention should be minimal. The incidence of inflammation in the anterior chamber after cataract surgery may reach 30%, varying in severity. The anterior chamber inflammatory response is significant due to the fact that it can lead to elevated intraocular pressure (IOP), corneal edema, endothelial damage, fibrinous exudation and membrane in the anterior chamber, posterior synechiae, cystoid macular edema, chronic anterior uveitis and others. Investigation and analysis of various factors influencing fibrinous pre-chamber exudation would pose new questions for discussion about the pre-, intra- and postoperative therapeutic algorithm.AimTo investigate and analyze various factors that might be in correlation relationship with the development of fibrinous reaction in the anterior chamber after phacoemulsification surgery. Let`s also present our clinical experience in the treatment of acute fibrinous exudation.Material and methodsThe design of the present clinical study is retrospective and observational, with tracked period 04.01- 15.12.2017. Criteria for inclusion in the study were standard phacoemulsification of the lens without intraoperative complications and implantation of IOL into the capsuler bag. The exclusion criteria taken into account for the purpose of differentiating the risk factors only for the phacoemulsification as a surgical method are executing the one-step combined surgical procedure (phacoemulsification with trabeculectomy, phacoemulsification with pars plan vitrectomy). The preoperative set of studies performed includes a thorough ophthalmologic exam, indirect ophthalmoscopy, Goldmann tonometry, keratometry and biometric ultrasonic A echography. To all 191 participants in the study, of which 67 men (35.1%) and 124 women (64.9%), with average age Γ΄β¬βΒ§ 68 years, by planned order was assigned a phacoemulsification of the lens with implanted intraocular artificial lens (IOL). All operations were performed in the 3rd ward of the Ophthalmology Clinic, University Hospital `Aleksandrovska`, by one surgeon, according to the same methodology approved in the clinic.ResultsTo all 191 patients (191 eyes) was accomplished phacoemulsification of the lens and implanted an IOL, according to a methodology approved in the ward without any complications. 78 (40.8%) of the participants had a hydrophobic, acrylic, aspheric implant, while the other group of 113 (59.2%) participants had a hydrophilic, acrylic, aspheric IOL. The patients with conventional monofocal (hydrophilic and hydrophobic) IOL were 162 (84.8%) and 29 (15.2%) were with implanted hydrophilic IOL with extended depth of focus. Fibrinous exudation in the anterior chamber during the early postoperative period was found in five patients (2.4%) of the studied cohort. After local therapy with anti-inflammatory drugs (corticosteroids), the fibrinous membrane in each of the five patients is completely absorbed. It was reported that the presence of diabetes mellitus (80% of the patients with exudation) as an accompanying disease and the implantation of monofocal hydrophilic IOL (for 100% of patients with exudation) were the factors with the highest predictive value for developing a pathological fibrinous reaction.ConclusionSenile cataract is among the main age-related eye diseases. Its frequency increases as the age advances. In the national and world scale, phacoemulsification is the most commonly performed surgical intervention in ophthalmology. The variety of intraocular artificial lenses nowadays is enormous, aiming to satisfy the ever-increasing demands and standards in ocular surgery. The rising incidence of diabetes mellitus poses new and important questions about which type of IOL are the most appropriate and recommended in patients with systemic accompanying diseases
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