183 research outputs found

    Interaction effects in assembly of magnetic nanoparticles

    Full text link
    A specific absorption rate of a dilute assembly of various random clusters of iron oxide nanoparticles in alternating magnetic field has been calculated using Landau- Lifshitz stochastic equation. This approach simultaneously takes into account both the presence of thermal fluctuations of the nanoparticle magnetic moments, and magneto-dipole interaction between the nanoparticles of the clusters. It is shown that for usual 3D clusters the intensity of magneto- dipole interaction is determined mainly by the cluster packing density eta = Np*V/Vcl, where Np is the average number of the particles in the cluster, V is the nanoparticle volume, and Vcl is the cluster volume. The area of the low frequency hysteresis loop and the assembly specific absorption rate have been found to be considerably reduced when the packing density of the clusters increases in the range of 0.005 < eta < 0.4. The dependence of the specific absorption rate on the mean nanoparticle diameter is retained with increase of eta, but becomes less pronounced. For fractal clusters of nanoparticles, which arise in biological media, in addition to considerable reduction of the absorption rate, the absorption maximum is shifted to smaller particle diameters. It is found also that the specific absorption rate of fractal clusters increases appreciably with increase of the thickness of nonmagnetic shells at the nanoparticle surfaces.Comment: The paper is accepted for Nanoscale Res. Let

    Networking in the food sector of regional economy

    Get PDF
    Purpose: The article aims to study the features and the directions of development of network interaction of subjects of the food sector in different regions of the economy. Design/Methodology/Approach: The use of different methodological approaches allowed us to formulate a holistic management concept for the development of a network of competences in the food sector of the regional economy. Findings: The study identified the subjects of such interaction, as well as features that allow them to unite into groups that form networks of competencies. Considering the food sector of the region's economy as a socio-economic system, noted its extreme structural complexity, which necessitates the development of special approaches to its management, or rather the need for structural management is presented. The format of such interaction is a network of competencies, representing a spatially localized socio-economic structure formed on the initiative of active subjects of the regional economy. Practical Implications: The results obtained can be used as a basis for designing a network form of development of the food sector of the region's economy, taking into account the nature of placement and interaction of participants, as well as allowing for effective use of their resource capabilities, experience and knowledge. Originality/Value: In order to overcome the problems associated with the formation of network identity, network management competence is proposed to use a structured approach allowing them to make targeted decisions based on objective conditions and institutional nature.peer-reviewe

    Innovational methods of development of intellectual labor for economy’s security

    Get PDF
    The notion β€œdevelopment of intellectual labor for the purpose of economy’s security” is viewed as development of society’s intellectual potential that includes the protected socio-economic information, developed by a person or a group of persons. The social factors that reduce economic security and their consequences in economy are given, namely: negative dynamics of implementing new progressive technologies into production, insufficient coordination of work in the sphere of innovational development, etc. The forms of intellectual development of human resources (intellectual development of personality, control over intellectual information) are offered, which bring the country’s economy to competitiveness and security. The traditional and innovational methods of intellectual labor development are studied (studying in universities and colleges, increase of personnel’s qualification in view of academic degrees (Ph.D., doctor of economics), as well as receipt of economic information through Internet resources, scientific publication, statistical information, etc.), as well as the methods of development of IT services and methods of prevention of intellectual diversions and violation of information confidentiality. It is offered to implement the program of equal initial possibilities for intellectual development of human resources in view of access to higher education, creative activities, as well as legal protection for everyone, etc. Analysis of implementation of innovational methods of intellectual labor development supposes planning activities in view of development of intellectual labor for the purpose of the region’s economy’s security.peer-reviewe

    Predictors of Long-Term Outcomes after Surgical Myocardial Revascularization

    Get PDF
    High mortality from cardiovascular diseases (CVD) requires improved approaches to the treatment of this socially significant pathology. Wide implementation of surgical myocardial revascularization makes it possible to improve significantly both life quality and expectancy in patients with coronary heart disease. The aim of this work was to analyze the literature on the impact of preoperative, operative and postoperative factors on the long-term prognosis after coronary artery bypass grafting (CABG). The review refers to both recent and earlier informative works. The target groups for this article are therapists, cardiologists, rehabilitologists, who work with patients in the short and long term after CABG. Data of Russian and foreign literature show that the long-term prognosis after CABG is largely determined by preoperative factors, in particular – age, set of cardiovascular risk factors (RF) and comorbidity, specifically – severity of coronary and systemic atherosclerosis, incident cardiovascular complications, structural and functional state of the heart. In the aggregate these factors reflect the cumulative effect and further potential of actual cardiovascular RFs, affect longterm risk of adverse events, and determine the therapeutic targets of secondary prevention. Priority of arterial conduits and completeness of revascularization are the main operative factors that determine the course of the long-term period after CABG. Among the postoperative factors, the efficiency of secondary CVD prevention is of paramount importance, in particular – achievement of target RF levels, compensation of cardiac and extracardiac pathology, adherence to the long-term medical therapy, known to improve outcomes based on specific comorbidity. Efficiency of secondary CVD prevention largely depends on patient's health attitudes, the key influence on which beyond attending physician can be provided by participation in rehabilitation programs, teaching patients the meaning and essentials of lifestyle modification and cardiovascular RFs’ control

    Analysis of factors associated with arterial stiffness in the general working-age population

    Get PDF
    Aim. To examine associations of cardio-ankle vascular index (CAVI) with classical, behavioral and social risk factors (RFs) of cardiovascular disease (CVD) in adult population.Material and methods. The study included 1365 people (women, 59%) from a representative sample aged 25-64 years (ESSE-RF), who underwent standard cardiology screening and volume sphygmography (VaSera-1500). All respondents signed an informed consent to participate in the study. The analysis included blocks of classical, social and behavioral risk factors for CVD. A linear model was used to identify associations. An error rate of &lt;5% was considered significant.Results. Age, sex, systolic blood pressure (SBP), triglycerides were associated with higher CAVI values, and body mass index (BMI) was associated with lower values, respectively. After 45 years, a direct association with heart rate (HR) became increasingly important, while after 50 years β€” with diabetes and the intake of beta-blockers, while the association between diabetes and CAVI was observed only among individuals not taking angiotensin-converting enzyme (ACE) inhibitors. A direct association was found with high-sensitivity C-reactive protein (hsCRP) in men, and an inverse association with diuretics in women, respectively. A sedentary work in combination with a history of bronchitis or with positive family history for CVD showed a direct relationship, while a sufficient physical activity (PA) showed an inverse relationship with the studied indicator, but only among people with belowaverage income.Conclusion. According to the data obtained, in addition to age and sex, the following risk factors made a significant contribution to CAVI parameters in the examined population: BMI, SBP, triglycerides, diabetes, HR, intake of betablockers, diuretics, ACE inhibitors; hsCRP, PA. The unfavorable role of betablockers, high HR, diabetes, sedentary work, chronic lung pathology, hereditary burden, as well as the protective role of ACE inhibitors, diuretics and intense PA in relation to arterial stiffness in the working-age population has been shown. Additional studies are needed to determine the nature of a number of associations. The results obtained may contribute to the study of CAVI role in risk stratification and further development of methodological approaches to CVD prevention

    Π”Π΅Ρ‚Π΅Ρ€ΠΌΠΈΠ½Π°Π½Ρ‚Ρ‹ контроля Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅Ρ€Ρ‚ΠΎΠ½ΠΈΠΈ Π² Π³ΠΈΠΏΠ΅Ρ€Ρ‚Π΅Π½Π·ΠΈΠ²Π½ΠΎΠΉ популяции, ΠΏΠΎΠ»ΡƒΡ‡Π°ΡŽΡ‰Π΅ΠΉ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ

    Get PDF
    Highlights. The leading factor of ineffective arterial hypertension (AH) control in the population taking medications was the number of metabolic risk factors (RF). In addition, in men, the odds of reaching the blood pressure targets were lower if there was a history of kidney disease and bronchitis, and higher, if statins and hypotensive drugs were taken together, respectively. In women, heart rate equal or higher than 75 beats/min and total carotid atherosclerotic plaque thickness were associated with lower and a visit to a physician in the past year - with higher odds of effective hypertension control, respectively.Aim. Analysis of factors associated with reaching blood pressure targets in hypertensive population taking medications.Methods. We examined men and women of 25-64 y.o., randomly drawn from general population, having hypertension and receiving medications. All participants underwent standardized cardiac screening, including a survey on a number of socio-demographic, psychosocial, behavioral variables, traditional and metabolic cardiovascular risk factors, life quality. We measured anthropometric and blood pressure variables, "intima-media" thickness, presence and total thickness of carotid atherosclerotic plaques. Analysis included data from 480 respondents. Parametric and nonparametric statistics were used. To analyze relationships, multivariable logistic regression was used. An error probability &lt;5% was considered statistically significant.Results. After adjustment for age, wealth level, cardio-vascular deseases and the number of antihypertensive drugs, the following factors increased the chances of effective treatment for hypertension in men - statins, positive answer to the question β€œDo you feel pain or discomfort?” on the EQ5D scale. Lower odds for detecting target blood pressure levels were associated to the count of metabolic syndrome components according to IDF criteria except arterial hypertension (0-4), kidney disease, previous bronchitis, age. A direct association with the effectiveness of treatment for hypertension in women was shown by a visit to the doctor during the past year, and the opposite - the number of metabolic syndrome components, heart rate β‰₯75 per minute and the total thickness of carotid atherosclerotic plaques, respectively.Conclusion. Lack of hypertension control was associated to metabolic risk factors count, age, kidney disease, heart rate β‰₯75 per minute, previous bronchitis, lack of visit to a doctor over the past year, as well as total thickness of carotid atherosclerotic plaques. The situation can be improved by deliberately losing weight, taking statins by all people at very high and high risk, and seeing a doctor regularly. It is necessary to further study the factors that hinder achievement of blood pressure targets, as well as methods aimed at the prevention and effective correction of metabolic disorders.ΠžΡΠ½ΠΎΠ²Π½Ρ‹Π΅ полоТСния. Π’Π΅Π΄ΡƒΡ‰ΠΈΠΌ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠΌ нСэффСктивного контроля Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅Ρ€Ρ‚ΠΎΠ½ΠΈΠΈ (АГ) Π² ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½ΠΎ лСчащСйся популяции Π±Ρ‹Π»ΠΎ количСство мСтаболичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска (Π€Π ). ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΡˆΠ°Π½ΡΡ‹ достиТСния Ρ†Π΅Π»Π΅Π²ΠΎΠ³ΠΎ уровня Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ давлСния Π±Ρ‹Π»ΠΈ Π½ΠΈΠΆΠ΅ ΠΏΡ€ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΏΠΎΡ‡Π΅ΠΊ ΠΈ Π±Ρ€ΠΎΠ½Ρ…ΠΈΡ‚Π°, ΠΈ Π²Ρ‹ΡˆΠ΅ - ΠΏΡ€ΠΈ совмСстном ΠΏΡ€ΠΈΠ΅ΠΌΠ΅ статинов ΠΈ Π³ΠΈΠΏΠΎΡ‚Π΅Π½Π·ΠΈΠ²Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², соотвСтствСнно. Π£ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ частота сСрдСчных сокращСний &gt;75 ΡƒΠ΄/ΠΌΠΈΠ½ ΠΈ суммарная Ρ‚ΠΎΠ»Ρ‰ΠΈΠ½Π° ΠΊΠ°Ρ€ΠΎΡ‚ΠΈΠ΄Π½Ρ‹Ρ… атСросклСротичСских бляшСк Π°ΡΡΠΎΡ†ΠΈΠΈΡ€ΠΎΠ²Π°Π»ΠΈΡΡŒ с Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΈΠΌΠΈ, Π° Π²ΠΈΠ·ΠΈΡ‚ ΠΊ Π²Ρ€Π°Ρ‡Ρƒ Π·Π° ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΠΉ Π³ΠΎΠ΄ - с Π±ΠΎΠ»Π΅Π΅ высокими шансами эффСктивного контроля заболСвания.ЦСль. Анализ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², ассоциированных с Π²Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒΡŽ эффСктивного ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½ΠΎΠ³ΠΎ контроля Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅Ρ€Ρ‚ΠΎΠ½ΠΈΠΈ (АГ) Π² Π³ΠΈΠΏΠ΅Ρ€Ρ‚Π΅Π½Π·ΠΈΠ²Π½ΠΎΠΉ популяции.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠžΠ±ΡŠΠ΅ΠΊΡ‚ исслСдования - ΠΌΡƒΠΆΡ‡ΠΈΠ½Ρ‹ ΠΈ ΠΆΠ΅Π½Ρ‰ΠΈΠ½Ρ‹ Ρ€Π΅ΠΏΡ€Π΅Π·Π΅Π½Ρ‚Π°Ρ‚ΠΈΠ²Π½ΠΎΠΉ Π²Ρ‹Π±ΠΎΡ€ΠΊΠΈ Π½Π΅ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΎΠ²Π°Π½Π½ΠΎΠΉ популяции 25-64 Π»Π΅Ρ‚, ΡΡ‚Ρ€Π°Π΄Π°ΡŽΡ‰ΠΈΠ΅ АГ ΠΈ ΠΏΠΎΠ»ΡƒΡ‡Π°ΡŽΡ‰ΠΈΠ΅ ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ. ВсС участники исслСдования ΠΏΡ€ΠΎΡˆΠ»ΠΈ стандартизованный кардиологичСский скрининг, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰ΠΈΠΉ опрос ΠΏΠΎ ряду ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-дСмографичСских, ΠΏΡΠΈΡ…ΠΎΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ…, повСдСнчСских ΠΏΠ΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ…, Π°Π½Π°ΠΌΠ½Π΅Π· ΠΈ сСмСйный Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΈ мСтаболичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска сСрдСчно-сосудистых Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, ΠΎΡ†Π΅Π½ΠΊΡƒ качСства ΠΆΠΈΠ·Π½ΠΈ, антропомСтричСскиС измСрСния, ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠ΅ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ давлСния (АД), Ρ‚ΠΎΠ»Ρ‰ΠΈΠ½Ρ‹ комплСкса Β«ΠΈΠ½Ρ‚ΠΈΠΌΠ° - ΠΌΠ΅Π΄ΠΈΠ°Β», наличия ΠΈ суммарной Ρ‚ΠΎΠ»Ρ‰ΠΈΠ½Ρ‹ ΠΊΠ°Ρ€ΠΎΡ‚ΠΈΠ΄Π½Ρ‹Ρ… атСросклСротичСских бляшСк. Π’ Π°Π½Π°Π»ΠΈΠ· вошли Π΄Π°Π½Π½Ρ‹Π΅ 480 рСспондСнтов. Π˜ΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½Ρ‹ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ парамСтричСский ΠΈ нСпарамСтричСской статистики. Для Π°Π½Π°Π»ΠΈΠ·Π° взаимосвязСй примСняли ΠΌΠ½ΠΎΠ³ΠΎΡ„Π°ΠΊΡ‚ΠΎΡ€Π½ΡƒΡŽ Π»ΠΎΠ³ΠΈΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Ρ€Π΅Π³Ρ€Π΅ΡΡΠΈΡŽ. Π’Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒ ошибки &lt;5% считали статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠΉ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Богласно ΠΎΡ†Π΅Π½ΠΊΠ°ΠΌ, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹ΠΌ с ΠΏΠΎΠΏΡ€Π°Π²ΠΊΠΎΠΉ Π½Π° возраст, ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ достатка, Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ сСрдСчно-сосудистых Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ количСство ΠΏΡ€ΠΈΠ½ΠΈΠΌΠ°Π΅ΠΌΡ‹Ρ… Π³ΠΈΠΏΠΎΡ‚Π΅Π½Π·ΠΈΠ²Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ², Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΡˆΠ°Π½ΡΡ‹ эффСктивного лСчСния АГ ΠΏΠΎΠ²Ρ‹ΡˆΠ°Π»ΠΈ ΠΏΡ€ΠΈΠ΅ΠΌ статинов ΠΈ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΎΡ‚Π²Π΅Ρ‚ Π½Π° вопрос ΠΎ Π±ΠΎΠ»ΠΈ ΠΈΠ»ΠΈ дискомфортС ΠΏΠΎ шкалС EQ5D; ΠΏΠΎΠ½ΠΈΠΆΠ°Π»ΠΈ ΡˆΠ°Π½ΡΡ‹ выявлСния Ρ†Π΅Π»Π΅Π²Ρ‹Ρ… ΡƒΡ€ΠΎΠ²Π½Π΅ΠΉ АД количСство ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠ² мСтаболичСского синдрома ΠΊΡ€ΠΎΠΌΠ΅ АГ ΠΏΠΎ критСриям IDF (0-4), заболСвания ΠΏΠΎΡ‡Π΅ΠΊ, пСрСнСсСнный Π±Ρ€ΠΎΠ½Ρ…ΠΈΡ‚, возраст. ΠŸΡ€ΡΠΌΡƒΡŽ Π°ΡΡΠΎΡ†ΠΈΠ°Ρ†ΠΈΡŽ с ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΡŽ лСчСния АГ Ρƒ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ ΠΏΠΎΠΊΠ°Π·Π°Π» Π²ΠΈΠ·ΠΈΡ‚ ΠΊ Π²Ρ€Π°Ρ‡Ρƒ Π·Π° ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΠΉ Π³ΠΎΠ΄, ΠΎΠ±Ρ€Π°Ρ‚Π½ΡƒΡŽ - количСство ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠ² мСтаболичСского синдрома, частота сСрдСчных сокращСний β‰₯75 ΡƒΠ΄/ΠΌΠΈΠ½ ΠΈ суммарная высота ΠΊΠ°Ρ€ΠΎΡ‚ΠΈΠ΄Π½Ρ‹Ρ… атСросклСротичСских бляшСк.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π΄Π°Π½Π½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Ρ‹ ΠΏΠΎΠ΄Ρ‡Π΅Ρ€ΠΊΠΈΠ²Π°ΡŽΡ‚ Π²Π°ΠΆΠ½Ρ‹ΠΉ Π²ΠΊΠ»Π°Π΄ Π² Π½Π΅ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ контроля АГ Ρ‚Π°ΠΊΠΈΡ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², ΠΊΠ°ΠΊ количСство мСтаболичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска, возраст, заболСвания ΠΏΠΎΡ‡Π΅ΠΊ, высокая частота сСрдСчных сокращСний, пСрСнСсСнный Π±Ρ€ΠΎΠ½Ρ…ΠΈΡ‚, нСпосСщСниС Π²Ρ€Π°Ρ‡Π° Π·Π° ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠΈΠΉ Π³ΠΎΠ΄, Π° Ρ‚Π°ΠΊΠΆΠ΅ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒ ΠΊΠ°Ρ€ΠΎΡ‚ΠΈΠ΄Π½ΠΎΠ³ΠΎ атСросклСроза. На ΡΠΈΡ‚ΡƒΠ°Ρ†ΠΈΡŽ ΠΌΠΎΠΆΠ΅Ρ‚ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π²Π»ΠΈΡΡ‚ΡŒ Π½Π°ΠΌΠ΅Ρ€Π΅Π½Π½ΠΎΠ΅ сниТСниС ΠΈΠ·Π±Ρ‹Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ вСса, ΠΏΡ€ΠΈΠ΅ΠΌ статинов Π»ΠΈΡ†Π°ΠΌΠΈ ΠΎΡ‡Π΅Π½ΡŒ высокого ΠΈ высокого риска, Π° Ρ‚Π°ΠΊΠΆΠ΅ рСгулярноС посСщСниС Π²Ρ€Π°Ρ‡Π°. НСобходимо дальнСйшСС ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Π·Π°Ρ‚Ρ€ΡƒΠ΄Π½ΡΡŽΡ‰ΠΈΡ… достиТСниС Ρ†Π΅Π»Π΅Π²Ρ‹Ρ… ΡƒΡ€ΠΎΠ²Π½Π΅ΠΉ АД, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ², Π½Π°Ρ†Π΅Π»Π΅Π½Π½Ρ‹Ρ… Π½Π° ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΡƒ ΠΈ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΡƒΡŽ ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΡŽ мСтаболичСских расстройств

    Prescribing frequency and adherence to statins in outpatients with type 2 diabetes mellitus and comorbid cardiovascular diseases

    Get PDF
    BACKGROUND: Due to the high rate of growth in the incidence and burden of cardiovascular complications, type 2 diabetes mellitus (T2DM) is a significant medical problem in the world. Even in the absence of cardiovascular disease (CVD), patients with T2DM are classified as high and very high risk. In addition to glycemic control, an extremely important aspect of managing this group of patients is prevention of cardiovascular complications. T2DM and hyperlipidemia determines the target group for statins. At the same time, little is known about the frequency of administration of this class of drugs among people with T2DM.AIM: To study prescribing frequency and adherence to statins in outpatients with T2DM and comorbid cardiovascular diseases.METHODS: 156 patients with type 2 diabetes (87.2% β€” women, average age β€” 65.2 years) were examined as part of an outpatient appointment with an endocrinologist at the city polyclinic ofTomsk. We used a standard questionnaire compiled on the basis of adapted international methods, including information on cardiac pathology, medications, income level, and Morisky-Green test. Anthropometric parameters, fasting plasma glucose, glycated hemoglobin, lipid spectrum parameters were measured. Methods of parametric and nonparametric statistics were used for comparisons.RESULTS: Statins were prescribed to 45.0% of the surveyed, and 47.0% of them were constantly taking statins. In 41 and 39% of cases, statins were prescribed by an endocrinologist and a cardiologist, respectively. Those taking statins were characterized by a more severe functional class of angina pectoris (p=0.03), a higher prior myocardial infarction rate (p=0.01). For other concomitant diseases, and also indicators of carbohydrate metabolism, differences between the groups were not revealed. One third of patients were adherent (3–4 points), 2/3 were not adherent to treatment (0–2 points), respectively. Patients with incomes between 1 and 2 cost of living took statins more often than the rest (p=0.021).CONCLUSION: An insufficient frequency of prescription and adherence to statin therapy in patients with T2DM was revealed. In most cases, statins were prescribed by an endocrinologist or cardiologist. Functional class of angina pectoris, prior myocardial infarction and moderate income were associated with more frequent use of statins. To increase the coverage of patients with T2DM with statin treatment, more attention needs to be paid to the issues of CVD prevention from both medical professionals and patients

    Pedagogical communication as a condition for the realization of the child's right to harmonious development

    Full text link
    Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΎΡ‚Ρ€Π°ΠΆΠ΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ тСорСтичСского осмыслСния ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ ΠΎΠΏΡ‚ΠΈΠΌΠΈΠ·Π°Ρ†ΠΈΠΈ процСсса общСния ΠΏΠ΅Π΄Π°Π³ΠΎΠ³ΠΎΠ² с Π΄Π΅Ρ‚ΡŒΠΌΠΈ Π² условиях дошкольной ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΈ.The article reflects the results of a theoretical understanding of the problem of optimizing the process of communication between teachers and children in a preschool educational organization
    • …
    corecore