18 research outputs found
ΠΠΊΠ°Π·Π°Π½ΠΈΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Ρ Π°ΠΊΠ½Π΅. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΊΡΠΏΠ΅ΡΡΠΈΠ·Ρ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ
Goal. To obtain information on typical errors in medical aid rendered to acne patients in dermatovenerology dispensaries in St. Petersburg in order to develop measures to improve the quality of medical aid rendered to this group of patients. Materials and methods. The authors conducted a special expert examination of 55 patients with acne who received treatment at St. Petersburg dermatovenerology dispensaries in 2013. The quality of medical aid was assessed using the Automated Expert Examination Technique (hereinafter referred to as AEET). Major results. The percentage of cases when medical aid of due quality was rendered to acne patients was 49%. Treatment and diagnostics errors prevailed in the structure of errors in medical aid. Errors in treatment were mainly a wrong combination of drugs, simultaneous administration of external and systemic antibacterial drugs, delayed comedolytic therapy and pathogenically infeasible therapy. Errors in diagnostics included absence of indications of the form and/or severity of acne. The most important error in the collection of information was absence of gynecology examinations for women to determine whether peroral contraceptives were necessary including in case of the administration of isotretinoin. Conclusion. The similarity of errors in medical aid rendered for acne as well as high percentage of errors relating to medical aid rendered to patients demand the development of consistent measures to improve the quality of medical aid rendered to such patients and repeated expert examination using preliminary (prompt) control of the quality of medical aid.Π¦Π΅Π»Ρ. ΠΠΎΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΠΎ ΡΠΈΠΏΠΈΡΠ½ΡΡ
ΠΎΡΠΈΠ±ΠΊΠ°Ρ
ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Ρ Π°ΠΊΠ½Π΅ Π² ΠΊΠΎΠΆΠ½ΠΎ-Π²Π΅Π½Π΅ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π΄ΠΈΡΠΏΠ°Π½ΡΠ΅ΡΠ°Ρ
(ΠΠΠ) Π‘Π°Π½ΠΊΡ-ΠΠ΅ΡΠ΅ΡΠ±ΡΡΠ³Π° Π΄Π»Ρ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠΈ ΠΌΠ΅Ρ, Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½Π½ΡΡ
Π½Π° ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ (ΠΠΠ) Π΄Π°Π½Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½Π° ΡΠ΅ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΊΡΠΏΠ΅ΡΡΠΈΠ·Π° ΠΠΠ 55 Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠΉ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π°ΠΊΠ½Π΅, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠ»ΡΡΠ°Π»ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π² ΠΠΠ Π‘Π°Π½ΠΊΡ-ΠΠ΅ΡΠ΅ΡΠ±ΡΡΠ³Π° Π² 2013 Π³. ΠΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΠΠΠ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡ Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΠ²ΡΠΎΠΌΠ°ΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠΊΡΠΏΠ΅ΡΡΠΈΠ·Ρ ΠΠΠ. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠΎΠ»Ρ ΡΠ»ΡΡΠ°Π΅Π² ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ Π½Π°Π΄Π»Π΅ΠΆΠ°ΡΠ΅Π³ΠΎ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Ρ Π°ΠΊΠ½Π΅ ΡΠΎΡΡΠ°Π²Π»ΡΠ»Π° 49%. Π ΡΡΡΡΠΊΡΡΡΠ΅ ΠΎΡΠΈΠ±ΠΎΠΊ ΠΎΠΊΠ°Π·Π°Π½ΠΈΡ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π»ΠΈ ΠΎΡΠΈΠ±ΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π°. ΠΡΠΈΠ±ΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ Π±ΡΠ»ΠΈ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Π½Π΅Π²Π΅ΡΠ½ΡΠΌ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠ΅ΠΌ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ ΠΎΠ΄Π½ΠΎΠΌΠΎΠΌΠ΅Π½ΡΠ½ΡΠΌ Π½Π°Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ΠΌ Π°Π½ΡΠΈΠ±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΡ
ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ² Π΄Π»Ρ Π½Π°ΡΡΠΆΠ½ΠΎΠ³ΠΎ ΠΈ ΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠ³ΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ, ΠΏΠΎΠ·Π΄Π½ΠΈΠΌ Π½Π°Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠΎΠΌΠ΅Π΄ΠΎΠ»ΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈ Π½Π΅ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ. ΠΡΠΈΠ±ΠΊΠ°ΠΌΠΈ ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° ΡΡΠΈΡΠ°Π»ΠΈ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ ΡΠΊΠ°Π·Π°Π½ΠΈΠΉ Π½Π° ΡΠΎΡΠΌΡ ΠΈ/ΠΈΠ»ΠΈ ΡΡΠ΅ΠΏΠ΅Π½Ρ ΡΡΠΆΠ΅ΡΡΠΈ Π°ΠΊΠ½Π΅, Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π²Π°ΠΆΠ½ΡΠΌΠΈ ΠΎΡΠΈΠ±ΠΊΠ°ΠΌΠΈ ΡΠ±ΠΎΡΠ° ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ - ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΆΠ΅Π½ΡΠΈΠ½ Ρ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³Π° Π΄Π»Ρ ΡΠ΅ΡΠ΅Π½ΠΈΡ Π²ΠΎΠΏΡΠΎΡΠ° ΠΎ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΠΎΡΠ°Π»ΡΠ½ΡΡ
ΠΊΠΎΠ½ΡΡΠ°ΡΠ΅ΠΏΡΠΈΠ²ΠΎΠ², Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΠΈ ΠΏΡΠΈ Π½Π°Π·Π½Π°ΡΠ΅Π½ΠΈΠΈ ΠΈΠ·ΠΎΡΡΠ΅ΡΠΈΠ½ΠΎΠΈΠ½Π°. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π‘Ρ
ΠΎΠ΄ΡΡΠ²ΠΎ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠ° ΠΎΡΠΈΠ±ΠΎΠΊ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΡΠΈ Π°ΠΊΠ½Π΅, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΈΡ
Π²ΡΡΠΎΠΊΠΈΠΉ ΡΠ΄Π΅Π»ΡΠ½ΡΠΉ Π²Π΅Ρ ΠΏΡΠΈ ΠΎΠΊΠ°Π·Π°Π½ΠΈΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ ΡΡΠ΅Π±ΡΡΡ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠΈ ΡΠΈΡΡΠ΅ΠΌΠ½ΡΡ
ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΠΉ ΠΏΠΎ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΠΠΠ ΡΡΠΈΠΌ Π±ΠΎΠ»ΡΠ½ΡΠΌ ΠΈ ΠΏΠΎΠ²ΡΠΎΡΠ½ΠΎΠΉ ΡΠΊΡΠΏΠ΅ΡΡΠΈΠ·Ρ Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΈΠ½Π΄ΠΈΠΊΠ°ΡΠΎΡΠΎΠ² ΠΏΡΠΎΠΌΠ΅ΠΆΡΡΠΎΡΠ½ΠΎΠ³ΠΎ (ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ) ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ ΠΠΠ
Relativistic electron heating in focused multimode laser fields with stochastic phase perturbations
Ribosomal RNA of metchnikovellids in gregarine transcriptomes and rDNA of microsporidia <i>Sensu Lato</i> in Metagenomes
Numerous nucleotide sequences of microsporidia sensu lato, mainly belonging to the βCryptomycotaβ (Rozellida, Rozellomycota, Rozellosporidia, treated here as synonyms), are found in metagenomes, transcriptomes, and amplicon libraries used for metabarcoding. In this study, we describe rDNA sequences of hyperparasitic metchnikovellid microsporidia found in the transcriptomes of unicellular protists belonging to Apicomplexa (Alveolata). The transcriptome of the eugregarine Polyrhabdina sp. (GenBank SRX6640468) contains the cDNA of Metchnikovella incurvata, the transcriptome of the archigregarine Selenidium pygospionis (GenBank SRX6640459) contains the cDNA of Metchnikovella dogieli, and in the transcriptome of the blastogregarine Siedleckia cf. nematoides (GenBank SRX6640464) we find cDNAs originating from a yet undescribed species representing a novel metchnikovellid family. We have modeled the secondary structure of the βITS2β region of identified and unidentified metchnikovellids taking into account the covariant nucleotide substitutions. Based on the predicted secondary structure of rRNA, mapping of reads from cDNA libraries, and the absence of the endoribonuclease Las1 (PF04031), we conclude that there is no ITS2 processing in metchnikovellids, and the mature β5.8Sβ- and β28Sβ-like (LSU) rRNA are covalently fused, similarly to the LSU rRNA in the other microsporidia sensu stricto. We discuss several previously proposed (Chytridiopsis typographi, BAQA065) and new candidates for the sister group of microsporidia sensu stricto, and compare the reduced rRNA genes of microsporidia and the lengthened rRNA genes with group I introns of parasitic and lichen fungi in the context of neutral and adaptive evolutionary processes
H-LIKE AND He-LIKE SPECTRUM IN LOW AND HIGH DENSITY PLASMAS
Les raies satellites des raies de rΓ©sonances du Phosphore Γ un et deux Γ©lectrons ont Γ©tΓ© observΓ©es dans le dispositif DELPHIN (plasma créé par laser) au Lebedev Institute de Moscou. L'analyse de certains domaines du spectre est effectuΓ©e en construisant un spectre thΓ©orique qui est ajustΓ© au spectre observΓ©. DiffΓ©rents modΓ¨les du plasma (Γ©quilibre thermodynamique local ou Γ©quilibre collisionnel radiatif) doivent Γͺtre considΓ©rΓ©s pour obtenir un bon ajustement.Satellite lines of the Phosphorus H-like and He-like resonance lines have been observed in the DELPHIN plasma laser device at the Lebedev Institute in Moscow. Analysis of some wavelength ranges is carried out by adjusting a theoretical spectrum to the observed one. Different plasma conditions (collisional radiative equilibrium or local thermodynamical equilibrium) are assumed to obtain a good fit of various parts of the observed spectrum. A fitting of the whole spectrum may be used to obtain a density diagnostic
THEORETICAL AND EXPERIMENTAL INVESTIGATION OF THE SATELLITE STRUCTURE OF 1s2 1So - 1s3p 1P1 LINE IN He-LIKE IONS
Les raies satellites de la deuxième raie de résonance des ions héliumoïdes 1s2-1s3p du P, K, Fe, Cu sont étudiées. La résolution du spectre du phosphore est supérieure à celles des spectres du K, Fe et Cu obtenus par une technique expérimentale différente. Les paramètres atomiques nécessaires à l'analyse des spectres précédents, obtenus par deux méthodes théoriques différentes, sont comparés.Satellite lines of the He-like second resonance lines (i.e. 1s2-1s3p) of P, K, Fe, Cu are studied. The spectral resolution of P is better than those of K, Fe, Cu, obtained by a different experimental set-up. The atomic parameters, required for the spectral analysis and obtained by two different theoretical methods, are compared