6 research outputs found
Nutrition Management in Neurogenic Dysphagia
Neurogenic dysphagia is an increasingly common problem. This chapter describes current approaches to enteral nutrition in patients with neurogenic dysphagia. We have shown the possibilities and our experience of using diet with a measured degree of density, specialized thickeners for drinks and food, ready-made enteral mixtures. We also identified patients who need a nasogastric tube or gastrostomy
Π ΠΠΠΠΠ’ΠΠ Π’ΠΠΠ ΠΠ Π£ΠΠ ΠΠΠΠΠΠΠ― ΠΠΠΠΠΠΠ¦ΠΠ―ΠΠ ΠΠ ΠΠ‘ΠΠΠΠ ΠΠΠ©ΠΠ‘ΠΠ‘Π’ΠΠΠΠ«Π₯ ΠΠΠΠΠΠΠΠΠ ΠΠΠ‘Π’ΠΠ
The problem of a comprehension of the innovation management theory and an ability of its development on basis of system theory is set up. The authors consider features of management of socio-economic systems as open, self-organising systems with active components and give a classification of the systemsβ regularities illustrating these features. The need to take into account the regularities of emergent, hierarchical order, equifinality, Ashbyβs law of requisite variety, historicity and self-organization is shown.ΠΠΎΡΡΠ°Π²Π»Π΅Π½Π° Π·Π°Π΄Π°ΡΠ° ΠΎΡΠΌΡΡΠ»Π΅Π½ΠΈΡ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ ΡΠ΅ΠΎΡΠΈΠΈ ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΈΠ½Π½ΠΎΠ²Π°ΡΠΈΡΠΌΠΈ ΠΈ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠ΅ΠΉ Π΅Π΅ ΡΠ°Π·Π²ΠΈΡΠΈΡ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ ΡΠ΅ΠΎΡΠΈΠΈ ΡΠΈΡΡΠ΅ΠΌ. Π Π°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΡΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΠΎ-ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠΈΡΡΠ΅ΠΌΠ°ΠΌΠΈ ΠΊΠ°ΠΊ ΠΎΡΠΊΡΡΡΡΠΌΠΈ, ΡΠ°ΠΌΠΎΠΎΡΠ³Π°Π½ΠΈΠ·ΡΡΡΠΈΠΌΠΈΡΡ ΡΠΈΡΡΠ΅ΠΌΠ°ΠΌΠΈ Ρ Π°ΠΊΡΠΈΠ²Π½ΡΠΌΠΈ ΡΠ»Π΅ΠΌΠ΅Π½ΡΠ°ΠΌΠΈ ΠΈ ΠΏΡΠΈΠ²Π΅Π΄Π΅Π½Π° ΠΊΠ»Π°ΡΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ Π·Π°ΠΊΠΎΠ½ΠΎΠΌΠ΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΡΠΈΡΡΠ΅ΠΌ, ΠΎΠ±ΡΡΡΠ½ΡΡΡΠΈΡ
ΡΡΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ. ΠΠΎΠΊΠ°Π·Π°Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΡΡΠ΅ΡΠ° ΠΏΡΠΈ Π²ΡΠ±ΠΎΡΠ΅ ΠΈΠ½Π½ΠΎΠ²Π°ΡΠΈΠΉ Π·Π°ΠΊΠΎΠ½ΠΎΠΌΠ΅ΡΠ½ΠΎΡΡΠ΅ΠΉ ΡΠΌΠΌΠ΅ΡΠ΄ΠΆΠ΅Π½ΡΠ½ΠΎΡΡΠΈ, ΠΈΠ΅ΡΠ°ΡΡ
ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΏΠΎΡΡΠ΄ΠΎΡΠ΅Π½Π½ΠΎΡΡΠΈ, ΡΠΊΠ²ΠΈΡΠΈΠ½Π°Π»ΡΠ½ΠΎΡΡΠΈ, Π·Π°ΠΊΠΎΠ½Π° Β«Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·ΠΈΡΒ» Π£.Π . ΠΡΠ±ΠΈ, ΠΈΡΡΠΎΡΠΈΡΠ½ΠΎΡΡΠΈ ΠΈ ΡΠ°ΠΌΠΎΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠΈ
Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity.
Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant
Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity
Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant
DEVELOPMENT OF INNOVATION MANAGEMENT THEORY BASED ON SYSTEM-WIDE REGULARITIES
The problem of a comprehension of the innovation management theory and an ability of its development on basis of system theory is set up. The authors consider features of management of socio-economic systems as open, self-organising systems with active components and give a classification of the systemsβ regularities illustrating these features. The need to take into account the regularities of emergent, hierarchical order, equifinality, Ashbyβs law of requisite variety, historicity and self-organization is shown
Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity
Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant