?INOEOOO I*IEO OAI?IA ? OEAIEIII? OA?AI??

?I. A.I.O?EAOIAA

IO?AAAE

AEaiia Aieiaeeie??aia

OAeE 617.7-007.681-089.85

AOAEOEAI?NOUe IIA?AOe?? NAEOI?AEUeII? CAAeIUeI?

NEEA?AEOII?? OA AeEOA?AIOe?EIAAIEE I?AeO?Ae

AeI E?EOAAIIss OA?I?IAEUeIEO AEAOEII

14.01.18 — I/i? oai?iae

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? IIC
Oe?a?ie

Iaoeiaee ea??aiee:  eaiaeeaeao iaaee/ieo iaoe, i?ioani? Coaa??a
Noai?neaa Oaaei?iae/, Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao,
i?ioani? eaoaae?e ioi?eiiea?eiaieia?? c iooaeueiieia??th

Io?oe?ei? iiiiaioe:  aeieoi? iaaee/ieo iaoe, i?ioani? Eaoeioeaaa
Ethaeieea Oa?aio??aia, ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.
A.I.O?eaoiaa, aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eaiiy aeaoeiie oa
iooaeueiiaiaeie?eiieia??

aeieoi? iaaee/ieo iaoe, i?ioani? Eiiae?aoaiei TH??e Ieeieaeiae/,
Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea,
i?ioani? eaoaae?e i/ieo oai?ia

I?ia?aeia onoaiiaa:  Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y,
eaoaae?a i/ieo oai?ia, IIC Oe?a?ie, i. Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny «.22..» aeiaoiy.. 1999 ?. i 14 . aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 41.556.01 a ?inoeooo?
i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I. O?eaoiaa ca aae?anith: 270061,
Iaeana-61, O?aioeocueeee aoeueaa?, 49/51.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo i/ieo
oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa (270061, Iaeana-61,
O?aioeocueeee aoeueaa?, 49/51).

Aaoi?aoa?ao ?ic?neaiee “21..” aa?aniy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe,

i?ioani?
Iiiiia?/oe A.N.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. I?ioyaii inoaii?o o?eaeoeyoe ?ie?a a onueiio na?o?
/anoioa ne?iioe a?ae aeaoeiie oo?eio?oueny ia ??ai? 14-16% a?ae
caaaeueii? e?eueeino? ne?ieo (Ianoa?ia A.I.,1995, Oa?oeeueoaei E.E.,
1996). Ca i?iaiicii Quigley H.A., 1998, o 2000 ?. a na?o? aoaea
i?eaeecii 72,8 iei oai?eo ia aeaoeiio, na?aae ieo c aeainoi?iiiueith
ne?iioith — 6,7 iei /ieia?e. A Oe?a?i? ca inoaii? ?iee niinoa??aa?oueny
??no oai?eo c i?ci?ie noaae?yie aeaoeiie. Ca?aeii c aeaieie
Io?eiaiea ?.A., 1998, a 50,0% aeiaaee?a aioeaeaoeiiaoici? iia?aoe??
aeeiiothoueny o iaoe??io?a c o?ao?th-/aoaa?oith noaae??th caoai?thaaiiy.
Oaeei /eiii, iaaeeei-nioe?aeueia ?aaa?e?oaoe?y oai?eo c aeaoeiiaie
i?ci?o noaae?e ? aeooaeueiith i?iaeaiith no/anii? ioi?iie caei?ia’y.

I?e oa?i?iaeuei?e noaae?? aeaoeiie a?oa? aeaaaia?aoeai? ci?ie o an?o
no?oeoo?ao ne?iiai aieyuiai iea, eiia?iiaaia o?aaeaiiy oeyo?a a?aeoieo
aioo??oiueii/ii? ??aeeie, aenieee ??aaiue iooaeueiioiiono, ui ia
cieaea?oueny iaaeeeaiaioaie, iacaeaaeii a?ae ii/aoeiaiai iaoiaaiaco
caoai?thaaiiy (Aeaenaaa A.I., Ieaiaa?ia I.I., Eaaaiia E.A., 1986)
coiiaeththoue iaaoaeoeai?noue eiina?aaoeaiiai e?eoaaiiy, ?icaeiaiiy
iia?aoe?eieo oneeaaeiaiue oa iaaenie? a?aeaeaeai? ?acoeueoaoe
o??o?a?/ieo ao?o/aiue. O iaea?eueo oyaeeeo aeiaaeeao oa?i?iaeueieo
aeaoeii aioeeaaoe?y noa? iia?aoe??th aeai?o (Naeueieeiaa E.Ae.,
Na?naiaaaaa ?.I., Oonoa?ia TH.A., 1985, Aaeaa?aeeia E.I., 1996). O
ca’yceo c oeei iniaeeai? aaaeeeaino? iaaoaa? aea?? aoaeoeaiiai
i?aaiicaa??aath/iai iaoiaeo e?eoaaiiy oaeeo oai?eo.

?nio? aaaaoi iaoiae?a e?eoaaiiy oa?i?iaeueieo aeaoeii. Caaaeueiiaeciaii,
ui eiina?aaoeai? iaoiaee ia iathoue aoaeoo ? iiaeooue aooe aeei?enoai?
eeoa o eiiieaen? c ?aaeeeaeueieie o??o?a?/ieie (Oe?ii?aea I.?. oa ?io.,
1997).

Iia?aoeai? ao?o/aiiy ia oe?e?a?ieo ia?aao oa noaeeiao oaoi?/ii neeaaei?
oa i?eaiaeyoue aei ?icaeoeo a?ic?? ? ae?acee ?iaiai? iaieiiee oa
aioeeaaoe?? o 7,1-26,0% aeiaaee?a (A?ioaaneee O.E., Oeoeei I.A., 1955,
A?oeiae/ E.A., 1960). Iia?aoe?y eieaeueii? oeeeeiaeano?oeoe?? oeyoii
e??i- ? ae?aoa?iiae?yiiy ia oe?e?a?ia o?ei ? iaeio?aaiaoe/iith, iaeiae
no?eeee a?iioaiceaiee aoaeo i?ney ia? a?aei?/a?oueny eeoa o 26,0-30,0%
oai?eo (Meyer J.H., Soriano J.M., Janknecht P., Funk J., 1994), a o
50,0% niinoa??aa?oueny a?aeiiaeaiiy aieth oa i?ia?anoaaiiy aeeno?io?/ieo
ci?i ia?aaeiueiai a?ae??ceo i/iiai yaeoea, ui i?eaiaeeoue aei
aioeeaaoe?? o 10,3-15,3% i?iiia?iaaieo (Auethiiaa Ae.I., 1972).
Iaea?eueo aenieee a?iioaiceaiee ? aiaeueaaoe/iee aoaeo (46,0-62,0%)
io?eiaii i?ney aeei?enoaiiy eaca?ii? eiaaoeyoe?? /anoeie oe?e?a?iiai
o?ea (Aieeia A.A., Ea/aiia A.A., 1993, Shields M.B., Shields S.E.,
1994).

Na?aae o??o?a?/ieo iaoiae?a e?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio
ia?aaaaeathoue ao?o/aiiy ia oeyoao a?aeoieo aioo??oiueii/ii? ??aeeie.
O?nooe?coth/? iia?aoe??, ye? aacothoueny ia neiono?aaaeoeaeoii??,
caaacia/othoue ii?iae?caoe?th aioo??oiueii/iiai oeneo o 60,0-94,0%
oai?eo, aea ?oi? aeeiiaiiy noi?iaiaeaeo?oueny aaii?aa?/ieie
oneeaaeiaiiyie o 7,0-36,0% (Oe?ii?aea I.?. oa ?io., 1997, Peng S.X.,
Zhon W.B., 1994). A ?acoeueoao? iia?aoe?e c aeei?enoaiiyi
aenieaioiae?aioaaiiy no?eea eiiiainaoe?y aioo??oiueii/iiai oeneo
niinoa??aa?oueny o 34,0-83,0% oai?eo (Mastropasqua L et al., 1996, Mills
R.P. et al., 1996). Iaeiae o a?aeaeaeai? oa?i?ie aecia/a?oueny ae?aaeaia
?oaoethaaiiy o cii? ao?o/aiiy c cae?eooyi ioai?o ae?aiaaeo, ui iio?aao?
?aiia?aoe?e o 25,0% aeiaaee?a (Thomann U., Schipper J., 1990).
Aeoeaaoe?y oaaineea?aeueiiai oeyoo a?aeoieo aeinyaa?oueny iia?aoe?yie
oeeeeiae?ae?co Aaeia, ??eaeioeeeei?ao?aeoe??, iiiaeeiieie caaei?ie
neea?aeoii?yie. O a?aeaeaeai? oa?i?ie ii?iae?caoe?y aioo??oiueii/iiai
oeneo a?aecia/aia o 72,0-85,0% oai?eo ia oa?i?iaeueio aeaoeiio (Einuo
I.A., 1989,1990).

Oe?iea aeciaiiy o inoaii?e /an io?eiaee iaoiaee oeeeei?acaeoe?? c
/anoe/iith a?o?aeoii??th (Aaoiaiia TH.A., 1985, Ia?ao?ooei A.A., 1989,
Na?aeaiei I.I., 1989, Smiddly W.E., 1994). Iaeiae aeeiiaiiy oeeo
iia?aoe?e o ?yae? aeiaaee?a noi?iaiaeaeo?oueny aaii?aa?/ieie
oneeaaeiaiiyie (Na?ia A.A., 1986), a o a?aeaeaeai? oa?i?ie no?eea
eiiiainaoe?y iooaeueiioiiono ? eoi??oaaiiy aieth niinoa??aa?oueny o
45,0-76,0% i?iiia?iaaieo (Ianoa?ia A.I., 1986, Aaoiaiia TH.A., 1987,
Iiaae E.I., 1997).

Oaeei /eiii, ?nioth/? iaoiaee e?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio
ia ae??oothoue o iiai?e i??? i?iaeaie caa?aaeaiiy ne?iiai i/iiai yaeoea
c? no?eeith ii?iae?caoe??th aioo??oiueii/iiai oeneo ? a?aenooi?noue
?aoeeaeea?a aieth. Iiooe iioeiaeueiiai iaoiaeo e?eoaaiiy oe??? eaoaai???
oai?eo ? aecia/ea iaoo ? caaea/? iaoiai aeine?aeaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeaia ?iaioa ?
/anoeiith iaoeiai-aeine?aeieoeueei? oaie eaoaae?e ioi?eiiea?eiaieia?? c
iooaeueiieia??th Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo
“Aea/aiiy iniaeeainoae ee?i?ee ? e?eoaaiiy oneeaaeiaieo oi?i oaa?o?a”
(1994-1999 ?.?.) (? aea?ae. ?a?no?aoe?? 01950023465).

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoa aeine?aeaeaiiy: i?aeaeuaiiy
aoaeoeaiino? o??o?a?/iiai e?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio
oeyoii canoinoaaiiy iiai? iia?aoe?? — naeoi?aeueii? caaeiuei?
neea?aeoii?? oa ?ic?iaee aeeoa?aioe?eiaaiiai i?aeoiaeo aei e?eoaaiiy
oa?i?iaeueieo aeaoeii o caeaaeiino? a?ae ?oi?o ee?i?/ieo iniaeeainoae.

Aeey aeinyaiaiiy iinoaaeaii? iaoe iaiao?aeii ae??oeoe ianooii? caaea/?:

1. ?ic?iaeoe oaoi?eo iiai? aioeaeaoeiiaoicii? iia?aoe?? — naeoi?aeueii?
caaeiuei? neea?aeoii??.

2. Aea/eoe a aenia?eiaio? iaoai?ci a?iioaiceaii? ae?? iia?aoe?e caaei?o
neea?aeoii?e (iiiaeeiieo oa naeoi?aeueii?).

3. I?iaanoe aiae?c ee?i?/iiai aoaeoo iia?aoe?? naeoi?aeueii? caaeiuei?
neea?aeoii?? o ii??aiyii? c iiiaeeiieie caaei?ie neea?aeoii?yie o oai?eo
ia oa?i?iaeueio aeaoeiio.

4. ?ic?iaeoe iieacieee aeey iia?aoe?? aeai?o i?e o??o?a?/iiio e?eoaaii?
oai?eo ia oa?i?iaeueio aeaoeiio o caeaaeiino? a?ae ee?i?/ieo i?iya
caoai?thaaiiy.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. ?ic?iaeaia iiaa
aioeaeaoeiiaoicia iia?aoe?y — naeoi?aeueia caaeiy neea?aeoii?y (iaoaio
Oe?a?ie ? 23802 a?ae 16.06.98 ?.) oa iieacieee aei ?? canoinoaaiiy.

Anoaiiaeaii, ui a?iioaiceaiee aoaeo iia?aoe?e caaei?o neea?aeoii?e
(iiiaeeiieo oa naeoi?aeueii?) coiiaeaiee aeoeaaoe??th oaaineea?aeueiiai
oeyoo a?aeoieo oa i?eai?/aiiyi i?iaeoeoe?? eaia?ii? aieiae aiane?aeie
?icaeiaiiy ao?io?? oe?e?a?ieo a?ae?inoe?a o cii? iia?aoeaiiai ao?o/aiiy.

Iieacaii, ui caaaeyee a?aei?oiei iniaeeainoyi oaoi?ee iia?aoe??
naeoi?aeueii? caaeiuei? neea?aeoii?? (ae?aioaaiiy noi?aoi??i?aeaeueiiai
i?inoi?o oa iaiaaeaiith ciie o?aiaiaoe?e neea?e 1/4 ieiu? oe?e?a?iiai
o?ea) cieaeaia /anoioa oyaeeeo ?io?aiia?aoe?eieo aaii?aa?/ieo ?
i?neyiia?aoe?eieo (oeeee?o, noaao?io?y i/iiai yaeoea) oneeaaeiaiue.

Iaa?oioiaaia aeioe?euei?noue aeeoa?aioe?eiaaiiai i?aeoiaeo aei aeai?o
aeaeo iia?aoeaiiai ao?o/aiiy (ia ae?aiaaeieo ? iicaae?aiaaeieo oeyoao
a?aeoieo), a?aoiaoth/e iniaeeaino? ee?i?ee oa?i?iaeueii? noaae??
aeaoeii.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. ?ic?iaeaia iia?aoe?y
naeoi?aeueii? caaeiuei? neea?aeoii?? ? iaeio?aaiaoe/iith, oaoi?/ii
i?inoith, i?enooiiith aei oe?ieiai ai?iaaaeaeaiiy a iooaeueiieia?/io
i?aeoeeo, ui aeicaieeoue nooo?ai i?aeaeueoe aoaeoeai?noue
iaaeeei-nioe?aeueii? ?aaa?e?oaoe?? oai?eo ia aieth/o oa?i?iaeueio
aeaoeiio.

Anoaiiaeaii, ui iia?aoe?y naeoi?aeueii? caaeiuei? neea?aeoii??
caaacia/o? cieaeaiiy /anoioe ?io?aiia?aoe?eieo aaii?aa?/ieo oneeaaeiaiue
aei 4,4% ? ?icaeiaiiy noaao?io?? i/iiai yaeoea o a?aeaeaeai? oa?i?ie —
aei 3,03%.

Aeeoa?aioe?eiaaiee i?aeo?ae aei aeai?o aeaeo iia?aoeaiiai ao?o/aiiy ?
canoinoaaiiy iia?aoe?? naeoi?aeueii? caaeiuei? neea?aeoii?? o oai?eo ia
oa?i?iaeueio aeaoeiio aeicaieeoue caaacia/eoe a?iioaiceaiee aoaeo o
66,7-78,6% aeiaaeeao, aiaeueaaoe/iee — o 78,6-86,7% ?
i?aaiicaa??aath/ee — o 93,3-96,8% oai?eo.

Iiao iia?aoe?th naeoi?aeueii? caaeiuei? neea?aeoii?? ai?iaaaeaeaii o
i?aeoeeo i/ieo a?aeae?eaiue Oa?e?anueei? iaeanii? ee?i?/ii? e?ea?i?,
aei?iaeiuei? e?ea?i? no. Oa?e?a, oeaio?aeueii? ?aeiiii? e?ea?i? i.
E?aniia?aae.

Iniaenoee aianie caeiaoaa/a. Ee?i?ei-ae?aaiinoe/i? ianoaaeaiiy ?
e?eoaaiiy oai?eo ia oa?i?iaeuei? aeaoeiie i?iaaaeai? ia aac? i/iiai
a?aeae?eaiiy Oa?e?anueei? iaeanii? ee?i?/ii? e?ea?i?. ?aeay ?iaioe
iaeaaeeoue iaoeiaiio ea??aieeia? eaiae. iaae. iaoe, i?ioani?o Coaa??ao
N.O.. Naiino?eii caeiaoaa/ai aeeiiaii 40 iia?aoe?e (88%) oai?ei iniiaii?
a?oie ? 105 iia?aoe?e (53%) oai?ei eiio?ieueii? a?oie. Aenia?eiaioaeuei?
aeine?aeaeaiiy i?iaaaeai? naiino?eii ia aac? a?aeae?eo
aenia?eiaioaeueii-ee?i?/ii? iaaeeoeeie Oa?e?anueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo. Ii?oieia?/ia aea/aiiy aenia?eiaioaeueiiai
iaoa??aeo i?iaaaeaii ni?eueii c ni?a?ia?oieeaie iaoieiai-aiaoii?/iiai
a?aeae?eaiiy Oa?e?anueei? iaeanii? ee?i?/ii? e?ea?i?. Naiino?eii
?ic?iaeaia oaoi?ea iiai? iia?aoe?? — naeoi?aeueii? caaeiuei?
neea?aeoii??, i?iaaaeaia ioe?iea iaea?aeaieo ?acoeueoao?a ianoaaeaiiy,
noaoenoe/iee aiae?c ? oi?ioethaaiiy aeniiae?a ii aeena?oaoe??.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeieeaaeaeeny ia II iaoe?iiaeueiiio eiia?an? aa?iioieia?a ? aa??ao??a
Oe?a?ie (i. Ee?a, 1994 ?.), tha?eaei?e eiioa?aioe??, i?enay/ai?e
125-??//th eaoaae?e iooaeueiieia?? Ee?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo (i. Ee?a, 1995), neiiic?oi? “Eeeieea, aeeaaiinoeea e
ea/aiea eciaiaiee i?aaia c?aiey i?e naoa?iii aeeaaaoa” (i. Oa?e?a,
1995), IX c’?cae? iooaeueiieia?a Oe?a?ie (i. Iaeana, 1996),
iaoeiai-i?aeoe/i?e eiioa?aioe??, i?enay/ai?e 90-??//th e?ea?i? ?i.
E. E. A??oiaia (i. Oa?e?a, 1998), can?aeaiiyo Oa?e?anueeiai iaeaniiai
oiaa?enoaa iooaeueiieia?a (1994, 1995, 1996, 1998 ?.?.).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 12 ae?oeiaaieo ?ia?o, c
ieo 4 noaoo? a oaoiaeo iaoeiaeo aeo?iaeao ? iaeia — a oaoiaiio ca??ieeo
iaoeiaeo i?aoeue, iaoaio ia aeiao?ae, 6 ?ia?o — a iaoa??aeao ? oacao
c’?cae?a ? eiioa?aioe?e.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y iaienaia ?in?enueeith
iiaith, aeeeaaeaia ia 132 noi??ieao eiii’thoa?iiai oaenoo. Neeaaea?oueny
?c anooio, 4 ?icae?e?a, caeeth/aiiy, aeniiae?a ? nieneo aeei?enoaieo
e?oa?aoo?ieo aeaea?ae. ?ethno?iaaia 22 oaaeeoeyie ? 10 iaethieaie, ye?
caeiathoue 18 noi??iie. Nienie aeei?enoaieo aeaea?ae i?noeoue 241
iaeiaioaaiiy ? ?ici?uo?oueny ia 22 noi??ieao.

INIIAIEE CI?NO ?IAIOE

Aenia?eiaioaeuei? aeine?aeaeaiiy aoee i?iaaaeai? ia 12 e?ieeeao (24 iea)
ii?iaee oeioeea iaeiiai a?eo (12-14 i?nyoe?a) oa aaae (3,5-4,0 ea).
Ee?i?/ia niinoa?aaeaiiy ca noaiii i/ae oaa?ei i?ioyaii aenia?eiaioo
neeaaeaeiny c iaeyaeo i?e aieiaiio ina?oeaii?, a?ii?e?ineii?? oa
eiio?ieth ??aiy aioo??oiueii/iiai oeneo. 10 e?ieeeai (20 i/ae) aoea
aeeiiaia iia?aoe?y naeoi?aeueia caaeiy neea?aeoii?y, aeaa e?ieeee aoee
eiio?ieueiith a?oiith. Niinoa?aaeaiiy i?iaiaeeeinue aaciina?aaeiuei
ia?aae iia?aoe??th, uiaeaiii i?ioyaii ia?oiai oeaeiy i?ney iia?aoe??,
iio?i aea?/? ? iaeei ?ac ia oeaeaeaiue i?ioyaii o?ueio i?nyoe?a.

Oaa?eie aeaiaeeeeny c aenia?eiaioo /a?ac 1, 2, 3 i?nyoe? i?ney ao?o/aiiy
oeyoii aaaaeaiiy o aooio aaio 10,0 ie iia?o?y i?ae o?iiaioaeiaei
ia?eicii (0,05 a ia 1 ea aaae). Aioeeaaoe?th i?iiia?iaaieo i/ae
aeeiioaaee c?aco i?ney caaith oaa?ei. Aeaeaeai? i/? o?enoaaee 10%
?ic/eiii oi?iae?io, caeeaaee o ia?ao?i, aeaioiaeai? ia?eae?iiaeuei?
c??ce oiaueiith 5 iei oa?aoaaee aaiaoienee?i-aiceiii oa ii Aai-A?ciio,
i?e?ineiioaaee.

Ee?i?/iee noai i/ae e?ieee?a /a?ac 1-10 ae?a i?ney iia?aoe?? aoa
caaeia?eueiei. O an?o oaa?ei niinoa??aaeany iii??ia ?i’?eoe?y i/iiai
yaeoea, ianoici?noue eii’thieoeae o cii? iia?aoeaiiai ao?o/aiiy. ?ia?aea
caeeoaeany i?ici?ith, ia?aaeiy eaia?a caa??aaea cae/aeio aeeaeio,
?aoeaen c i/iiai aeia aoa ?iaeaaei.

Aeine?aeaeaiiy noaio aioo??oiueii/iiai oeneo e?ieee?a ia?aae ? i?ney
iia?aoeaiiai ao?o/aiiy aecia/eei, ui o ia?o? 10 ae?a i?ney iia?aoe??
niinoa??aaeiny iinooiiaa i?aeaeuaiiy ??aiy iooaeueiioiiono c 18,17(2,69
ii ?o. no. aei 21,75(1,75 ii ?o. no. *a?ac iaeei i?nyoeue i?ney
iia?aoe?? ? aei cae?i/aiiy oa?i?io aenia?eiaioo niinoa??aaeiny iinooiiaa
cieaeaiiy ??aiy iooaeueiioiiono oae, ui /a?ac o?e i?nyoe? i?ney
ao?o/aiiy aioo??oiueii/iee oene aoa ieae/a aeo?aeiiai (17,18(0,83 ii ?o.
no.).

Aeey aea/aiiy aieeao iia?aoe?? caaei?o neea?aeoii?e ia oeyoe a?aeoieo
aioo??oiueii/ii? ??aeeie i/ae e?ie?a aoee i?iaaaeai? ii?oieia?/i?
aeine?aeaeaiiy ae?aiaaeii? ciie, oe?e?a?iiai o?ea ? neea?e a cii?
iia?aoeaiiai ao?o/aiiy o ??ci? oa?i?ie i?ney iia?aoe??.

*a?ac 1 i?nyoeue i?ney iia?aoe?? a cii? i?iaaaeaieo neea?aeoii?e
aecia/aeiny ooai?aiiy e?ioi-a?no?ioeeoa?iiai ?io?eueo?aoo c iayai?noth
iiaiooai?aieo noaeei ? aeaci???ioiaaiei ?icoaooaaiiyi eieaaaiiaeo
aieieii. Niinoa??aaeiny caoaeaiiy eooa ia?aaeiuei? eaia?e, nei?i/aiiy
a?aa?iii? ca’ycee oa ei?iaioaaaeueieo o?aaaeoe. Oiioaiia? i?inoi?e aoee
a?aee?eo?, noaeeie oe?e?a?iiai o?ea ? ?aeaeoaeee ?icoe?ai?, iiaiie?iai?.

*a?ac 2 i?nyoe? i?ney iia?aoe?? a cii? iia?aoeaiiai ao?o/aiiy
aecia/aeiny oi?ioaaiiy ?oaoeaaiai aiaieua c n?oeith iiaiooai?aieo
noaeei. Eoo ia?aaeiuei? eaia?e ? oiioaiia? i?inoi?e aoee oe?ie?.
Niinoa??aaeiny noiioaiiy ei?iaioaaaeueii? /anoeie o?aaaeoey?iiai
aia?aoo.

*a?ac 3 i?nyoe? i?ney iia?aoe?? caaei?o neea?aeoii?e a?aei?/aeiny
oi?ioaaiiy ?oaoeaai? niieo/ii? oeaieie c aiaa?eciaoe/ii ?icoe?aieie
iiaiooai?aieie noaeeiaie o cii? o?aiaiaoe?? neea?e, noiioaiiy ?
neea?icoaaiiy a?aa?iii? ca’ycee ? ei?iaioaaaeueii? o?aaaeoee, iioe?aiiy
oiioaiiaeo i?inoi??a, neea?icoaaiiy ? ao?io?y oe?e?a?ieo a?ae?inoe?a o
cii? iia?aoeaiiai ao?o/aiiy.

Oaeei /eiii, iaea?aeai? ?acoeueoaoe aenia?eiaioaeueieo aeine?aeaeaiue
aeicaieythoue aeneiaeoe caeeth/aiiy a?aeiinii iaoai?cio a?iioaiceaii?
ae?? iia?aoe?? caaei?o neea?aeoii?e. Ii-ia?oa, aeoeaaoe?y
oaaineea?aeueiiai oeyoo a?aeoieo aioo??oiueii/ii? ??aeeie a?aeaoaa?oueny
aiane?aeie oi?ioaaiiy n?oee iiaiooai?aieo aiaa?eciaoe/ii ?icoe?aieo
noaeei o ?oaoeaa?e oeaiei?, ui cai?uo? neea?aeueiee aeaoaeo i?ney
o?aiaiaoe??. Ii?yae c oeei niinoa??aa?oueny ?icoe?aiiy eooa ia?aaeiuei?
eaia?e ? oiioaiiaeo i?inoi??a. Ii-ae?oaa, a?aeiia?aeii iaoei
niinoa?aaeaiiyi, aeeiiaiiy iiiaeeiieo neea?aeoii?e o i?iaeoe??
oe?e?a?iiai o?ea i?eaiaeeoue aei ?icaeiaiiy ao?io?? oe?e?a?ieo
a?ae?inoe?a o cii? iia?aoeaiiai ao?o/aiiy, ui noi?iaiaeaeo?oueny
ciaioaiiyi i?iaeoeoe?? eaia?ii? aieiae ? aioo??oiueii/iiai oeneo /a?ac
o?e i?nyoe? i?ney iia?aoe??. Oea coiiaeaii eieaeueieie o?io?/ieie
ii?ooaiiyie aiane?aeie ia?aoeiaiiy a?oie oe?e?a?ieo ia?a?a o
noi?aoi??i?aeaeueiiio i?inoi?? o cii? o?aiaiaoe?? neea?e. Io?eiai? aeai?
na?ae/aoue i?i iiaea?eio a?iioaiceaio ae?th caaei?o neea?aeoii?e: ca
?aooiie aeoeaaoe?? oaaineea?aeueiiai oeyoo a?aeoieo ? i?eai?/aiiy
i?iaeoeoe?? eaia?ii? aieiae.

Ee?i?/i? aeine?aeaeaiiy ? o??o?a?/ia e?eoaaiiy aoei i?iaaaeaii o 233
oai?eo (233 iea) c oa?i?iaeueiith noaae??th ia?aeiii? (137 oai?eo) ?
aoi?eiieo (96 oai?eo) aeaoeii. Na?aae oai?eo c aoi?eiieie aeaoeiiaie
ia?aaaaeia a?eueo?noue aoee iaoe??ioe c iaiaaneoey?iith aeaoeiiith
(57,3%), ?io? aeaee yaeyee niaith iaaaeee? a?oie — a?ae 5,2 aei 12,5%.
Na?aae ianoaaeaieo /ieia?e?a aoei 143 (61,37%), ae?iie — 90 (38,63%),
ia?aaaaeaee iaoe??ioe iioeeiai a?eo — a?ae 60 aei 80 ?ie?a (71,7%).
A?eueo?noue oai?eo no?aaeaeaee caaaeueiiniiaoe/ieie caoai?thaaiiyie:
a?ia?oii?/ia oai?iaa (44,2%), ?oai?/ia oai?iaa na?oey (39,9%), oeoe?iaee
ae?aaao 1 ? 2 oeio (17,2%). ?ai?oa ia e?eoaaeeny o iooaeueiieiaa 48,1%
oai?eo, aeei?enoiaoaaee ?inoeeyoe?? aioeaeaoeiiaoicieo e?aiaeue — 36,5%,
aoee i?iiia?iaai? — 15,4% oai?eo.

On?i oai?ei aoee i?iaaaeai? oae? ianoaaeaiiy: a?ciiao??y, ia??iao??y,
a?ii?e?ineii?y, aii?ineii?y, oiiiiao??y, oiiia?ao?y, ae?aoaiineii?y,
oeueo?acaoeiaa aeine?aeaeaiiy.

O ia?aaaaeii? a?eueoino? iaoe??io?a aoea i?aeoe/ia ne?iioa. ??ce? aie?
a?aei?/aee 179 oai?eo (76,82%), na?aae ieo 87 oai?eo (63,50%) ia
ia?aeiio aeaoeiio, 92 (95,83%) — ia aoi?eii?.

Iniaeeaa oaaaa caa?oaeany ia noai ia?aaeiueiai a?aeae?eo i/iiai yaeoea:
nooi?iue ? oa?aeoa? ae?aco aeaaaia?aoeaieo ci?i ?iaiai? iaieiiee (iaa?ye
ai?oae?th, no?iie, aoeueicia ea?aoiiao?y, ae?acea, no??/eiiiae?aia
iiiooi?iiy), iayai?noue ? nooi?iue iaiaaneoey?ecaoe?? ?aeaeoaeii?
iaieiiee, oa?aeoa? iaoieia?/ieo ci?i ??eaeiei?iaaeueiiai eooa
(i?ao?aaaeoey?ia aeieaaea, iaiaaneoey?ia iaia?aia).

Aeo?aeia ee?i?/ia ea?oeia oa?i?iaeueii? noaae?? aeaoeiie iaea ni?euei?
i?iyae iacaeaaeii a?ae ia?a?niiai iaoai?cio ?aoaioe?? aiaeyii? aieiae.
Aea i?e aoi?eiieo aeaoeiiao ee?i?/iee noai aoa a?eueo oyaeeei o
ii??aiyii? c ia?aeiiith. Oae, aeaaaia?aoeai? ci?ie ?ia?aee
niinoa??aaeeny a?aeiia?aeii o 85,42% ? 62,04% oai?eo, i?e /iio iaa?ye
ai?oae?th ? no?iie — 17,71% ? 8,76%, aoeueicia ea?aoiiao?y — 8,33% ?
5,84%. ae?acea — 2,08% ? 1,45%. Iaiaaneoey?ecaoe?y ?aeaeoaeee oaeiae
/ano?oa a?aei?/aeany o iaoe??io?a c aoi?eiieie oa?i?iaeueieie aeaoeiiaie
— 67,71% (o ii??aiyii? i?e ia?aeii?e — 25,55%).

sse?nia aii?ineii?/ia ianoaaeaiiy aoei iiaeeeaa eeoa o 85 oai?eo
(34,48%), na?aae ieo 64 oai?eo ia ia?aeiio aeaoeiio. A?aee?eoee eoo
ia?aaeiuei? eaia?e aoei a?aei?/aii o 73,44%, cae?eoee — o 26,56%,
aii?in?iao?? — 14,06%, n?oeo iiaiooai?aieo noaeei — o 15,63% oai?eo.

Aeo?aeiee ??aaiue aioo??oiueii/iiai oeneo o an?o oai?eo aoa aenieei:
43,8(5,7 ii ?o. no. i?e aoi?eiieo aeaoeiiao ? 42,5(2,0 ii ?o. no. — i?e
ia?aeii?e, ? <0,05. I?e i?iaaaeaii? oiiia?ao?? aoee aeyaeai? cia/i? iia??oiino?, oiio oe? iieacieee ia o?aoiaoaaeeny i?e iiaeaeueoeo aeine?aeaeaiiyo. I?e i?iaaaeaii? ae?aoaiineii?? oa oeueo?acaoeiaiai aeine?aeaeaiiy a aeiaeiiio aeiaaeeo ia aoei aecia/aii aioo??oiueii/iiai iiaiooai?aiiy. On?i oai?ei aoee aeeiiai? aioeaeaoeiiaoici? iia?aoe??. Aea?? aeaeo iia?aoeaiiai ao?o/aiiy aecia/aany aeo?aeiith ee?i?/iith ea?oeiith caoai?thaaiiy. Ia?aaeiia?aoe?eia i?aeaioiaea aoea caaaeueiith o an?o ? aeiiiaithaaeany aeiaeaoeiaeie caoiaeaie o caeaaeiino? a?ae aeo?aeiiai ee?i?/iiai noaio (noaa?e?caoe?y ??aiy a?oa??aeueiiai oeneo, ei?eaoaaiiy ??aiy ae?eai?? oa ?io?.). I?ney iia?aoe?e i?ecia/aeeny ?inoeeyoe?y i?ioecaiaeueieo e?aiaeue, ?i'?eoe?? aeaenaiaoaciio ia?aaoeueaa?ii. Aoaeo iia?aoeaieo ao?o/aiue ioe?ithaaany /a?ac 1 i?nyoeue oa o a?aeaeaeai? oa?i?ie (/a?ac 6-72 i?nyoe?) i?ney ieo, a?aoiaoth/e aeinyaiaiiy oa caa?aaeaiiy aiaeueaaoe/ii?, a?iioaiceaii? oa i?aaiicaa??aath/i? ae??. Iia?aoe?y neiono?aaaeoeaeoii?? (NOAO) aoea aeeiiaia o 106 oai?eo (106 i/ae) ia oa?i?iaeueio aeaoeiio. Na?aae ieo 75 oai?eo ia ia?aeiio aeaoeiio ? 31 — ia aoi?eiio. Iniiaiei iioeaii aeeiiaiiy o?nooe?caoe?? ia?aaeiueiai a?aeae?eo aoa a?aeiinii aeaaeeee ee?i?/iee ia?aa?a oai?iae: a?aenooi?noue ae?aaeaiiai aieth/iai neiae?iio, i?ici?a ?iaiaa iaieiiea /e iacia/iee iaa?ye ?? ai?oae?th, a?aenooi?noue iiaiooai?aieo noaeei a iaeano? ei?aiy ?aeaeoaeee oa no?oeoo?ao ae?aiaaeii? nenoaie, a?aee?eoee eoo ia?aaeiuei? eaia?e c a?aenooi?noth iciae i?ao?aaaeoey?ii? aeieaaee (oaae. 1). Ca?aeii c iniaeeainoyie noaio i/iiai yaeoea ie aeae?eeee aea? ee?i?/i? a?oie oai?eo: ia?oa — c a?aenooi?noth ci?i ?iaiai? iaieiiee ? iiaiooai?aieo noaeei ?aeaeoaeee (68 oai?eo), ae?oaa — c iaiaaneoey?ecaoe??th ?aeaeoaeee 1-2 noaae?? ? iaa?yeii ai?oae?th ?ia?aee (38 oai?eo). Aiae?c ?acoeueoao?a iia?aoe?? NOAO i?iaaaeaii ia o?eueee a?aoiaoth/e oei aeaoeiie, aea ? iaeaaei?noue aei ee?i?/ii? a?oie. Oaaeeoey 1 Aeo?aeia ee?i?/ia ea?oeia oa?i?iaeueii? noaae?? aeaoeii Oei Onueiai Ci?ie ?ia?aee Iaiaaneoey?ecaoe?y ?aeaeoaeee aeaoeiie oai?eo i?ici?a iaa?ye ai?oae?th a?aenooiy 1 noaae?y 2 noaae?y Ia?aeiia 75 52 23 68 7 — 100% 69,33% 30,67% 90,67% 9,33% Aoi?eiia 31 14 17 — 13 18 100% 45,16% 54,84% 41,94% 58,06% Onueiai 106 66 40 68 20 18 100% 62,26 37,74% 64,15% 18,87% 16,98% A oiae? iia?aoe?? aoee a?aei?/ai? aaii?aa?/i? oneeaaeiaiiy (oaae. 2). Oaaeeoey 2 ?io?aiia?aoe?ei? oneeaaeiaiiy NOAO i?e oa?i?iaeueieo aeaoeiiao Ee?i?/ia Onueiai Oa?aeoa? oneeaaeiaiiy a?oia oai?eo oai?eo a?oaia noaoi??i?aeaeueiee e?iaiaeeea aenioeueneaia aaii?aa?y onueiai oneeaaeiaiue Ia?oa 68 11 — — 11 100% 16,18% 16,18% Ae?oaa 38 18 1 4 23 100% 47,37%* 2,63%* 10,53%* 60,53%* Onueiai 106 29 1 4 34 100% 27,36% 0,94% 3,77% 32,07% * — ??aaiue cia/ouino? ??cieoe? i?ae iieacieeaie ??cieo a?oi ? < 0,05 Aecia/a?oueny /?oea caeiiii??i?noue aeieeiaiiy aaii?aa?/ieo oneeaaeiaiue o caeaaeiino? a?ae ee?i?/ieo i?iya caoai?thaaiiy (i?e iaiaaneoey?ecaoe?? ?aeaeoaeee 1-2 noaae?? a 60,53% aeiaaee?a niinoa??aa?oueny aeieeiaiiy aaii?aa?e o oiae? iia?aoe??). A on?o aeiaaeeao iia?aoe?th aoei cae?i/aii c? caa?aaeaiiyi iea. O iaeaeeae/? oa?i?ie (/a?ac iaeei i?nyoeue i?ney iia?aoeaiiai ao?o/aiiy) niinoa??aaeany ii?iae?caoe?y iooaeueiioiiono ? i?aaiicaa??aath/ee aoaeo o an?o oai?eo. Eoi??oaaiiy aieth aecia/aeiny o 92,65% oai?eo ia?oi? a?oie ? 71,05% — ae?oai?. A?aeaeaeai? ?acoeueoaoe i?inoaaeai? o 42 oai?eo (42 iea) (oaae. 3). Oaaeeoey 3 A?aeaeaeai? ?acoeueoaoe iia?aoe?? NOAO o oai?eo ia oa?i?iaeueio aeaoeiio Ee?i?/ia a?oia oai?eo Onueiai oai?eo Ii?iae?caoe?y iooaeueiioiiono Eoi??oaaiiy aieth Caa?aaeaiiy i/iiai yaeoea Ia?oa 28 21 23 28 100% 75,00% 82,14% 100% Ae?oaa 14 3 3 12 100% 21,43%* 21,43%* 85,71%* Onueiai 42 24 26 40 100% 57,14% 61,90% 95,24% * — ??aaiue cia/ouino? ??cieoeue i?ae iieacieeaie ??cieo a?oi ? < 0,05. O oai?eo c oa?i?iaeueiith noaae??th ia?aeiii? ? aoi?eiieo aeaoeii i?e a?aenooiino? aeaaaia?aoeaieo ci?i ?ia?aee ? iaiaaneoey?ecaoe?? ?aeaeoaeee (ia?oa ee?i?/ia a?oia) iia?aoe?y NOAO caaacia/eea no?eeee a?iioaiceaiee aoaeo o 75,0%, aiaeueaaoe/iee — o 82,14%, caa?aaeaiiy ne?iiai iea — a on?o aeiaaeeao. I?e iayaiino? iiaiooai?aieo noaeei ?aeaeoaeee (ae?oaa ee?i?/ia a?oia), iacaaaeath/e ia a?aeiinii aeaaeeee ee?i?/iee ia?aa?a, iia?aoe?y NOAO o a?aeaeaeai? oa?i?ie caaacia/eea a?iioaiceaiee ? aiaeueaaoe/iee aoaeo eeoa o 21,43% i?iiia?iaaieo, ui coiiaeaii ?icaeiaiiyi ?io?aiia?aoe?eieo aaii?aa?/ieo oneeaaeiaiue a 60,53% aeiaaeeao, ?oaoethaaiiyi ciie ao?o/aiiy, i?ia?anoaaiiyi iaiaaneoey?ecaoe?? c cae?eooyi iia?aoe?eii? o?nooee. Oea i?eaaei aei ??ceiai i?aeaeuaiiy iooaeueiioiiono ? ?aoeeaeeao aieth ? aioeeaaoe?? o 14,29% aeiaaeeao. Io?eiai? ?acoeueoaoe na?ae/aoue i?i aeioe?euei?noue ao?o/aiiy ia ae?aiaaeieo oeyoao a?aeoieo eeoa i?e a?aenooiino? iaiaaneoey?ecaoe?? ? a?aee?eoiio eoo? ia?aaeiuei? eaia?e o oai?eo ia oa?i?iaeueio ia?aeiio /e aoi?eiio aeaoeiio. Iia?aoe?y iiiaeeiieo caaei?o neea?aeoii?e (ICNA) i?iaaaeaia 82 oai?ei (82 iea), i?e/iio ia?aeiia aeaoeiia aoea o 40 ? aoi?eiia — o 42 iaoe??io?a. Aea?? oeueiai iia?aoeaiiai ao?o/aiiy iiynithaaany a?oaeie aeaaaia?aoeaieie ci?iaie ?iaiai? iaieiiee (aoeueicia ea?aoiiao?y, ae?acea, no??/eiiiae?aia aeaaaia?aoe?y, iiiooi?iiy), ui ?iaeei iaiiaeeeaei i?iaaaeaiiy ye?nii? aii?ineii??; iayai?noth iaiaaneoey?ecaoe?? ?aeaeoaeee 2-3 noaae?? c ?iciianthaeaeaiiyi iiaiooai?aieo noaeei ia ae?aiaaeio ciio. A oiae? iia?aoe?? a?aei?/ai? aaii?aa?/i? oneeaaeiaiiy (a?oaia, noaoi??i?aeaeueiee e?iaiaeeea, aenioeueneaia aaii?aa?y) o 28,1% oai?eo. *anoioa aaii?aa?/ieo oneeaaeiaiue a oe?eiio ia caeaaeaea a?ae oeio oa?i?iaeueii? aeaoeiie. ?icaeiaiiy noaoi??i?aeaeueiiai e?iaiaeeeao ? aenioeueneaii? aaii?aa?? aoei coiiaeaii o?aaioaaiiyi noaeei /anoeie oe?e?a?iiai o?ea, cauaieaii? o o?aiaiaoe?eiiio ioai??, i?e a?aen?eaii? eacii neea?aeueieo aeene?a. O an?o aeiaaeeao e?iaioa/a aoea eoi??iaaia iaaeeeaiaioaie ? iia?aoe?th aoei cae?i/aii ?c caa?aaeaiiyi i/iiai yaeoea. I?neyiia?aoe?eiee ia??iae oa?aeoa?ecoaaany yaeuaie oeeee?oo, ui a?aeia?aaeaii o oaaeeoe? 4. Oaaeeoey 4 Iia?aoe?ei? oneeaaeiaiiy iia?aoe?e ICNA oa NCNA o oai?eo ia oa?i?iaeueio aeaoeiio Aeae Anueiai ?io?aiia?aoe?ei? oneeaaeiaiiy I?neyiia?aoe?eiee iia?aoe?? oai?eo a?oaia noaoi??i?aeaeueiee e?iaiaeeea aenioeueneaia aaii?aa?y oeeee?o ICNA 82 9 10 4 74 100% 10,98%( 12,20%( 4,88%( 90,24%( NCNA 45 2 — — 32 100% 4,44% 71,11% * — ??aaiue cia/ouino? ??cieoeue i?ae iieacieeaie iia?aoe?e ICNA oa NCNA ? < 0,05 *a?ac 1 i?nyoeue i?ney iia?aoe?? iiiaeeiieo caaei?o neea?aeoii?e ii?iae?caoe?y iooaeueiioiiono ? caa?aaeaiiy i/iiai yaeoea niinoa??aaeeny o 98,8% i?iiia?iaaieo. O 25,6% aeiaaee?a aecia/aeeny iii??i? aie? i?e iaeueiaoe?? i/iiai yaeoea. ?acoeueoaoe /a?ac 6-72 i?nyoe? (oaae. 5) i?inoaaeai? o 40 oai?eo (40 i/ae). O a?aeaeaeai? oa?i?ie eiiiainaoe?y aioo??oiueii/iiai oeneo a?aei?/aia o 50,0-63,6%, a no?eea eoi??oaaiiy aieth — eeoa o 27,8-63,6% ia oii? i?aaiicaa??aath/iai aoaeoo a 77,8-90,9% oai?eo ia oa?i?iaeueio aeaoeiio. Iayai?noue ia??iaee/iiai aieth a i?iiia?iaaiiio ioe? ca'ycaia c ?icaeiaiiyi i?neyiia?aoe?eiiai oeeee?oo o ia?aaaaeii? e?eueeino? oai?eo (90,2%). Caa?oa? oaaao ?icaeiaiiy a?iioii?? iea c iciaeaie eiai noaao?io?? o oa?i?ie a?ae 6 aei 14 i?nyoe?a o 32,5% oai?eo. I?e oeueiio a?ii?e?ineii?/ii aecia/aeiny ciaioaiiy ?ici???a ?ia?aee, ?? iiiooi?iiy, aaneoey?ecaoe?y iiaa?oiaaeo oa aeeaieeo oa??a. ??aaiue aioo??oiueii/iiai oeneo ciaoiaeeany a iaaeao 10-14 ii ?o. no. Oeueo?acaoeia? aeine?aeaeaiiy noaa?aeaeoaaee ciaioaiiy ?ici???a i/iiai yaeoea (19,8(1,1 ii, ?<0,05). Aiae?c ia?aa?ao caoai?thaaiiy i?ney iia?aoe?? o oai?eo oe??? a?oie ia aecia/ea caeaaeiino? ?icaeoeo noaao?io?? i/iiai yaeoea a?ae ?io?aiia?aoe?eieo aaii?aa?/ieo aai i?neyiia?aoe?eieo caiaeueieo oneeaaeiaiue. Oaaeeoey 5 A?aeaeaeai? ?acoeueoaoe iia?aoe?e caaei?o neea?aeoii?e o oai?eo ia oa?i?iaeueio aeaoeiio Aeae Oei Onueiai ?acoeueoaoe iia?aoe?e iia?aoe?? aeaoeiie oai?eo ii?iae?caoe?y iooaeueii-oiiono eoi??oaaiiy aieth caa?aaeaiiy i/iiai yaeoea ICNA ia?aeiia 22 14 14 20 100% 63,64% 63,64% 90,91% aoi?eiia 18 9 5 14 100% 50,0% 27,78% 77,78% NCNA ia?aeiia 14 11 11 14 100% 78,56%* 78,56%* 100%* aoi?eiia 19 13 13 18 100% 68,42%* 68,42%* 94,74%* * — ??aaiue cia/ouino? ??cieoeue i?ae iieacieeaie iia?aoe?e ICNA oa NCNA ?<0,05 Oaeei /eiii, iia?aoe?y iiiaeeiieo caaei?o neea?aeoii?e o oai?eo c "aacia?niaeoeaiith" oa?i?iaeueiith aeaoeiiith caaacia/eea caa?aaeaiiy i/iiai yaeoea ? no?eeee a?iioaiceaiee aoaeo o ia?aaaaeii? e?eueeino? i?iiia?iaaieo. Iaaeinoaoi?e aiaeueaaoe/iee aoaeo ? ?icaeiaiiy noaao?io?? i/iiai yaeoea aoee iioeaii aei iiaeeaeaiiai aea/aiiy ? onoiaiiy ?o i?e/ei. Iaie aoea cai?iiiiiaaia iiaa iia?aoe?y — naeoi?aeueia caaeiy neea?aeoii?y (NCAN) (iaoaio Oe?a?ie ? 23802) — aeey e?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio. Iniiaieie iniaeeainoyie ?? oaoi?ee aoee: aeeiiaiiy o?aiaiaoe?e neea?e o oaoiaiio ii?yaeeo a 3 ?yaee a i?iaeoe?? oe?e?a?iiai o?ea ? oi??i?aea? a iaaeao iaeiiai eaaae?aioa i/iiai yaeoea. I?eioeeiiaith a?aei?iith a?ae iia?aoe?? iiiaeeiieo caaei?o neea?aeoii?e ? iaiaaeaiiy ciie iia?aoeaiiai ao?o/aiiy 1/4 ieiu? oe?e?a?iiai o?ea. Oea aeicaieeoue ciaioeoe ae?ac caiaeueii? ?aaeoe?? iea o i?neyiia?aoe?eiiio ia??iae?. Ii ae?oaa, aeeiiaiiy neea?aeoii?e o iaaeao iaeiiai eaaae?aioo oe?e?a?iiai o?ea (a ia iieiaei?, ye i?e ICNA) caaacia/eoue ciaioaiiy e?eueeino? noaao?io?e i/iiai yaeoea o a?aeaeaeai? oa?i?ie. Ae?oaith a?aei?iith iia?aoe?? yaey?oueny aeeiiaiiy ia?a?nii ae?aioaaiiy noi?aoi??i?aeaeueiiai i?inoi?o, a iio?i o?aiaiaoe?? neea?e a i?iaeoe?? oe?e?a?iiai o?ea. Oea aeicaieeoue, ii-ia?oa, iinooiiai cieaeoaaoe aioo??oiueii/iee oene ? ciaioeoe nooi?iue aenooio ? cauaieaiiy /anoeie oe?e?a?iiai o?ea i?e iiaeaeueoeo aoaiao iia?aoe??, a, ii-ae?oaa, ae?aioaaiiy noi?aoi??i?aeaeueiiai i?inoi?o ? i??ith i?io?eaeoeee ?icaeiaiiy aenioeueneaii? aaii?aa??, ?ecee aeieeiaiiy yei? aeoaea aenieee i?e oa?i?iaeueieo aeaoeiiao. Iia?aoe?y naeoi?aeueii? caaeiuei? neea?aeoii?? (NCNA) aeeiiaia o 45 oai?eo (45 i/ae) c oa?i?iaeueieie aeaoeiiaie. Na?aae ieo 22 oai?eo c ia?aeiiith aeaoeiiith ? 23 — c aoi?eiieie. Ee?i?/ia ea?oeia oa?aeoa?ecoaaeany aieth/ei neiae?iiii, aeaaaia?aoeaieie ci?iaie ?iaiai? iaieiiee oaeeie, ye iaa?ye ai?oae?th oa no?iie, aoeueicia ea?aoiiao?y, ?oaoeaaa iiiooi?iiy, ae?acea c caa?icith ia?oi?aoe??; ?oaaicii ?aeaeoaeee 1-3 noaae??, i?ao?aaaeoey?iith aeieaaeith ei?aiai ?aeaeoaeee, iiaiooai?aieie noaeeiaie, e?ia'th. Ii??aiyeueiee aiae?c iia?aoe?e naeoi?aeueii? ? iiiaeeiieo caaei?o neea?aeoii?e aecia/ea, ui caaaeyee ia?a?niiio aeeiiaiith ae?aioaaiiy noi?aoi??i?aeaeueiiai i?inoi?o io?eiaii a??ia?aeia ciaioaiiy e?eueeino? aaii?aa?/ieo ?io?aiia?aoe?eieo oneeaaeiaiue (c 28,1% aei 4,4%, ? < 0,05), aeeeth/aiiy aeieeiaiiy noaoi??i?aeaeueiiai e?iaiaeeeao oa aenioeueneaii? aaii?aa?? (oaae. 4). Caaaeyee iaiaaeaiith ciie iia?aoeaiiai ao?o/aiiy io?eiaii ciaioaiiy e?eueeino? i?neyiia?aoe?eieo oeeee?o?a c 90,2% aei 71,1% ? ?icaeoeo noaao?io?e i/iiai yaeoea o a?aeaeaeai? oa?i?ie — c 32,5% aei 3,03%, ? < 0,05. *a?ac iaeei i?nyoeue i?ney iia?aoe?? i?aeoe/ii o an?o oai?eo iaea?aeaii aiaeueaaoe/iee, a?iioaiceaiee ? i?aaiicaa??aath/ee aoaeo. A?aeaeaeai? ?acoeueoaoe i?inoaaeai? o 33 oai?eo (33 iea) /a?ac 6-30 i?nyoe?a i?ney iia?aoe??. Na?aae ieo aoei 14 oai?eo c ia?aeiith aeaoeiiith ? 19 — c aoi?eiieie (aeea. oaae. 5). No?eea ii?iae?caoe?y aioo??oiueii/iiai oeneo, a?aenooi?noue ?aoeeaeeao aieth a?aecia/ai? o 68,4-78,6% oai?eo. O inoaii?o aeiaaeeao niinoa??aaeiny i?aeaeuaiiy iooaeueiioiiono aei 30-32 ii ?o. no. ? ia??iaee/i? iii??i? aie? o ioe?, ye? eoi??oaaeeny iaaeeeaiaioaie. Caa?aaeaiiy i/iiai yaeoea ye einiaoe/iiai i?aaia aecia/aeiny o 94,7-100% oai?eo. Aiae?c a?iioaiceaii? ae?? iia?aoe?? naeoi?aeueii? caaeiuei? neea?aeoii?? i?iaiaeeany oeyoii eiio?ieth ci?ie ??aiy aioo??oiueii/iiai oeneo. A?aei?/aii a??ia?aeia cieaeaiiy ??aiy iooaeueiioiiono ye o iaeaeeae/?, oae ? a?aeaeaeai? oa?i?ie i?ney ao?o/aiiy (a?aeiia?aeii: 42,5(1,9 ii ?o. no., 26,3(2,9 ? 22,2(1,8, ? < 0,05). Oaeei /eiii, caaaeyee oaoi?/iei iniaeeainoyi iiai? iia?aoe?? NCNA, ui iieyaathoue o iaiaaeaii? ciie iia?aoeaiiai ao?o/aiiy 1/4 ieiu? oe?e?a?iiai o?ea ? iiia?aaei?i aeeiiaiiyi ae?aioaaiiy noi?aoi??i?aeaeueiiai i?inoi?o, io?eiai? iiceoeai? ?acoeueoaoe: ciaioaiiy /anoioe aaii?aa?/ieo iia?aoe?eieo oneeaaeiaiue aei 4,4% ? ?icaeiaiiy noaao?io?? i/iiai yaeoea aei 3,03%. Iia?aoe?y caaacia/eea no?eeo ii?iae?caoe?th iooaeueiioiiono ? a?aenooi?noue aieth o 72,73% oai?eo c caa?aaeaiiyi i/iiai yaeoea o 96,97% aeiaaeeao oa?i?iaeueii? aeaoeiie c a?oaeie iaiai?ioieie ci?iaie ia?aaeiueiai a?aeae?eo ? iaiaaneoey?ecaoe??th ?aeaeoaeee 1-3 noaae??. AENIIAEE 1. E?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio ? aeooaeueiith i?iaeaiith no/anii? iooaeueiieia??. Oea coiiaeaii iniaeeaith oyaee?noth oeueiai eiioeiaaioo oai?eo, c?inoaiiyi ?oiuei? e?eueeino? o ca'yceo c i?ci?i caa?iaiiyi, a oaeiae a?aenooi?noth aeinoaoiuei aoaeoeaieo iaoiae?a e?eoaaiiy. 2. ?ic?iaeaii iiao aioeaeaoeiiaoicio iia?aoe?th — naeoi?aeueio caaeith neea?aeoii?th, iniaeeainoyie yei? ? aeeiiaiiy o?aiaiaoe?e neea?e o oaoiaiio ii?yaeeo o iaaeao 1/4 ieiu? oe?e?a?iiai o?ea c iiia?aaei?i ae?aioaaiiyi noi?aoi??i?aeaeueiiai i?inoi?o. 3. Iaoai?ci a?iioaiceaii? ae?? iia?aoe?? caaei?o neea?aeoii?e (iiiaeeiieo ? naeoi?aeueii?) coiiaeaiee ia o?eueee aeoeaaoe??th oaaineea?aeueiiai oeyoo a?aeoieo aioo??oiueii/ii? ??aeeie, aea ? i?eai?/aiiyi i?iaeoeoe?? eaia?ii? aieiae aiane?aeie ?icaeiaiiy ao?io?? oe?e?a?ieo a?ae?inoe?a o cii? iia?aoeaiiai ao?o/aiiy. 4. A?aei?oi? iniaeeaino? oaoi?ee iia?aoe?? naeoi?aeueii? caaeiuei? neea?aeoii?? (iaiaaeaiiy ciie iia?aoeaiiai ao?o/aiiy 1/4 ieiu? oe?e?a?iiai o?ea ? ae?aioaaiiy noi?aoi??i?aeaeueiiai i?inoi?o) aeicaieyoue cieceoe /anoioo ?io?aiia?aoe?eieo aaii?aa?/ieo oneeaaeiaiue aei 4,44% ? ?icaeiaiiy noaao?io?? i/iiai yaeoea aei 3,03%. 5. Aeeoa?aioe?eiaaiee i?aeo?ae aei aeai?o aeaeo iia?aoeaiiai e?eoaaiiy (ia ae?aiaaeieo ? iicaae?aiaaeieo oeyoao a?aeoieo) o caeaaeiino? a?ae aeo?aeii? ee?i?/ii? ea?oeie caoai?thaaiiy ? canoinoaaiiy iia?aoe?? naeoi?aeueii? caaeiuei? neea?aeoii?? i?e oa?i?iaeueieo aeaoeiiao aeicaieyoue i?aeaeueoe aoaeoeai?noue e?eoaaiiy. I?e a?aenooiino? iaiaaneoey?ecaoe?? ?aeaeoaeii? iaieiiee, aeaaaia?aoeaieo ci?i ?ia?aee, a?aee?eoiio eoo? ia?aaeiuei? eaia?e iia?aoe?y NOAO caaacia/o? aeinyaiaiiy a?iioaiceaiiai aoaeoo o 75,0%, aiaeueaaoe/iiai — o 82,14%, i?aaiicaa??aath/iai — o 100% oai?eo. I?e a?oaeo aeaaaia?aoeaieo ci?iao ?ia?aee, iaiaaneoey?ecaoe?? ?aeaeoaeee 1-3 noaae??, i?ao?aaaeoey?i?e aeieaae? iia?aoe?y NCNA caaacia/o? no?eeo ii?iae?caoe?th iooaeueiioiiono ? a?aenooi?noue ?aoeeaeeao aieth o 72,73% ?c caa?aaeaiiyi i/iiai yaeoea o 96,97% oai?eo. NIENIE IIOAE?EIAAIEO ?IA?O CA OAIITH AeENA?OAOe?? 1. Aooeaae/ C.E., Io?aaae AE.A. Oe?o?ae/aneia ea/aiea oa?ieiaeueiuo aeaoeii//Aanoiee i?iaeai nia?aiaiiie iaaeeoeeiu.- 1994.-? 4.- N.59-63. 2. Io?aaae AE.A. Oa?ieiaeueiua aeaoeiiu: eeeieea e ea/aiea // Aanoiee i?iaeai aeieiaee e iaaeeoeeiu.- 1997.-? 13.- N.107-116. 3. Iaiueeia I.A., Coaa?aa N.O., Aooeaae/ C.E., Io?aaae AE.A. ?acoeueoaou iia?aoeee iiiaeanoaaiiie caaeiae neea?yeoiiee i?e oa?ieiaeueiie aeaoeiia // Iooaeueiie. aeo?i.- 1998.-? 2.- N.149-152. 4. Io?aaae AE.A. Aiaeec ?acoeueoaoia oe?o?ae/aneiai ea/aiey aieueiuo n oa?ieiaeueiuie aeaoeiiaie//A?niee i?iaeai a?ieia?? ? iaaeeoeeie.- 1998.-? 20.- N.36-39. 5. Iao. 23802. Oe?a?ia. Niin?a e?eoaaiiy aaniethoii? aeaoeiie / AE.A.Io?aaae (Oe?a?ia). — 4 n. ?e.; Iioae. 31.08.98, Athe. ? 4. 6. Io?aaae AE.A. E aii?ino oe?o?ae/aneiai ea/aiey oa?ieiaeueiuo iaiaaneoey?iuo aieaauo aeaoeii //Aeooaeuei? i?iaeaie iooaeueiieia??. Ca??iee iaoeiaeo i?aoeue iieiaeeo a/aieo-iooaeueiieia?a Oe?a?ie.- Caii??aeaey, 1997.- N.22-24. AIIOAOe?ss Io?aaae AE.A. Aoaeoeai?noue iia?aoe?? naeoi?aeueii? caaeiuei? neea?aeoii?? oa aeeoa?aioe?eiaaiee i?aeo?ae aei e?eoaaiiy oa?i?iaeueieo aeaoeii.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.18 - i/i? oai?iae. - ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I. O?eaoiaa AII Oe?a?ie, Iaeana, 1999. A aeena?oaoe?? aea/aii ?acoeueoaoe o??o?a?/iiai e?eoaaiiy oai?eo ia oa?i?iaeueio aeaoeiio, cai?iiiiiaaii iiao aioeaeaoeiiaoicio iia?aoe?th — naeoi?aeueio caaeith neea?aeoii?th. Ia i?aenoaa? aenia?eiaioaeueiiai aeine?aeaeaiiy iieacaii, ui a?iioaiceaia ae?y iia?aoe?e caaei?o neea?aeoii?e (iiiaeeiieo ? naeoi?aeueii?) coiiaeaia aeoeaaoe??th oaaineea?aeueiiai oeyoo a?aeoieo aioo??oiueii/ii? ??aeeie ? i?eai?/aiiyi i?iaeoeoe?? eaia?ii? aieiae. Iieacaia ia?aaaaei?noue iiai? iia?aoe?? o ii??aiyii? c iiiaeeiieie neea?aeoii?yie, a?aoiaoth/e ciaioaiiy e?eueeino? iia?aoe?eieo oneeaaeiaiue ? aoaeoeai?noue o a?aeaeaeai? oa?i?ie. Ia i?aenoaa? ee?i?/iiai ianoaaeaiiy ? ?acoeueoao?a iia?aoeaiiai e?eoaaiiy 233 oai?eo c oa?i?iaeueiith noaae??th ia?aeiii? oa aoi?eiieo aeaoeii iieacaia aeioe?euei?noue aeeoa?aioe?eiaaiiai i?aeoiaeo aei aeai?o aeaeo iia?aoeaiiai ao?o/aiiy (ia ae?aiaaeieo ? iicaae?aiaaeieo oeyoao a?aeoieo) o caeaaeiino? a?ae aeo?aeii? ee?i?/ii? ea?oeie caoai?thaaiiy. Eeth/ia? neiaa: oa?i?iaeueia aeaoeiia, caaei? neea?aeoii??, oaaineea?aeueiee oeyo a?aeoieo, i?eai?/aiiy i?iaeoeoe?? eaia?ii? aieiae. AIIIOAOeEss Io?aaae AE.A. Yooaeoeaiinoue iia?aoeee naeoi?aeueiie caaeiae neea?yeoiiee e aeeooa?aioee?iaaiiue iiaeoiae e ea/aieth oa?ieiaeueiuo aeaoeii.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.18 - aeaciua aieacie. - Einoeooo aeaciuo aieaciae e oeaiaaie oa?aiee ei. A.I. Oeeaoiaa AII Oe?aeiu, Iaeanna, 1999. A aeenna?oaoeee eco/aiu ?acoeueoaou oe?o?ae/aneiai ea/aiey aieueiuo n oa?ieiaeueiie noaaeeae ia?ae/iie e aoi?e/iuo aeaoeii. Eeeie/aneee aiaeec 233 aieueiuo n oa?ieiaeueiuie aeaoeiiaie iicaieee onoaiiaeoue iauea i?iyaeaiey caaieaaaiey, iacaaeneii io ia?aiia/aeueiiai iaoaiecia ?aoaioeee aiaeyienoie aeaae: neaiioa, aieaaie neiae?ii, aunieee o?iaaiue iooaeueiioiiona, aeaaaia?aoeaiua eciaiaiey ?iaiaie iaiei/ee (ioae yieoaeey, no?iiu, aoeeaciay ea?aoiiaoey, ycaa, iiiooiaiea), iaiaaneoey?ecaoeey ?aaeoaeiie iaiei/ee 1-3 noaaeee, iaoieiae/aneea eciaiaiey ae?aiaaeiie nenoaiu (i?ao?aaaeoey?iay aeieaaea, iaiaaneoey?iay iaia?aia). Onoaiiaeaii aieaa oyaeaeia eeeie/aneia oa/aiea aoi?e/iuo oa?ieiaeueiuo aeaoeii a n?aaiaiee n ia?ae/iuie. A ?acoeueoaoa yenia?eiaioaeueiuo enneaaeiaaiee aeieacaii, /oi iaoaieci aeiioaiceaiiai aeaenoaey iia?aoeee caaeieo neea?yeoiiee (iiiaeanoaaiiuo e naeoi?aeueiie) iaoneiaeai ia oieueei aeoeaaoeeae oaaineea?aeueiiai iooe iooiea ca n/ao oi?ie?iaaiey naoe iiaiia?aciaaiiuo ninoaeia a ciia iia?aoeaiiai aiaoaoaeuenoaa e ?anoe?aiey oaea ia?aaeiae eaia?u, ii oaeaea e oaiaoaieai i?iaeoeoeee aiaeyienoie aeaae a ?acoeueoaoa ?acaeoey ao?ioee oeeeea?iuo io?inoeia a ciia aiaoaoaeuenoaa. ?ac?aaioaia oaoieea iiaie iia?aoeee — naeoi?aeueiie caaeiae neea?yeoiiee, ioee/eoaeueiuie iniaaiiinoyie eioi?ie yaeythony auiieiaiea o?aiaiaoeee neea?u a oaoiaoiii ii?yaeea a i?aaeaeao 1/4 ieiuaaee oeeeea?iiai oaea n i?aaeaa?eoaeueiui ae?aie?iaaieai noi?aoi?eieaeaeueiiai i?ino?ainoaa. Iieacaii, /oi aeaaiaea?y ioee/eoaeueiui iniaaiiinoyi oaoieee iia?aoeee NCNY iieo/aii nieaeaiea /anoiou eio?aiia?aoeeiiiuo aaii??aae/aneeo ineiaeiaiee aei 4,44% e ?acaeoea noaao?ioee iia?e?iaaiiiai aeaca aei 3,03%. Onoaiiaeaii, /oi iia?aoeey NOYO o aieueiuo n oa?ieiaeueiie noaaeeae ia?ae/iie e aoi?e/iuo aeaoeii i?e ioiineoaeueii aeaaeeii eeeie/aneii oa/aiee (ionoonoaee eciaiaiee ia?aaeiaai io?acea aeaciiai yaeiea e iaiaaneoey?ecaoeee ?aaeoaeiie iaiei/ee, ioe?uoii oaea ia?aaeiae eaia?u) iicaieeea aeinoeaiooue noieeee aeiioaiceaiue yooaeo a 75,0%, aiaeueaaoe/aneee — a 82,14%, i?aaiinio?aiiue — a 100% neo/aaa. I?e iaee/ee iaiaaneoey?ecaoeee ?aaeoaeee 1-2 noaaeee i?iaaaeaiea iia?aoeee ia ae?aiaaeiuo iooyo iaoeaeaniia?acii, /oi iauyniyaony ?acaeoeai eio?aiia?aoeeiiiuo aaii??aae/aneeo ineiaeiaiee o 60,53% aieueiuo (a o./. yenioeueneaiie aaii??aaee — o 10,53%), ?oaoeaaaieai iia?aoeeiiiie oenooeu e i?ia?anne?iaaieai iaiaaneoey?ecaoeee. Noieeay ii?iaeecaoeey aioo?eaeaciiai aeaaeaiey e eoie?iaaiea aieae ioia/aii o 21,43%, yioeeaaoeey i?iecaaaeaia o 14,29% aieueiuo. I?e a?oauo aeaaaia?aoeaiuo eciaiaieyo ?iaiaie iaiei/ee, iaeanoe eeiaa, iaiaaneoey?ecaoeee 1-3 noaaeee, cae?uoii oaea ia?aaeiae eaia?u oeaeaniia?acii i?iaaaeaiea iia?aoeaiuo aiaoaoaeuenoa ia aiaae?aiaaeiuo iooyo (caaeiea neea?yeoiiee). Iia?aoeey naeoi?aeueiie caaeiae neea?yeoiiee iaania/eaaao aeiioaiceaiue e aiaeueaaoe/aneee yooaeo o 72,73% n nio?aiaieai aeaciiai yaeiea o 96,96% aieueiuo a n?iee iaaethaeaiey aei 30 ianyoeaa iinea aiaoaoaeuenoaa. Aeieacaia oeaeaniia?aciinoue aeeooa?aioee?iaaiiiai iiaeoiaea e auai?o aeaea iia?aoeaiiai aiaoaoaeuenoaa a caaeneiinoe io eeeie/aneeo iniaaiiinoae oa?ieiaeueiie noaaeee ia?ae/iie e aoi?e/iuo aeaoeii. Eeth/aaua neiaa: oa?ieiaeueiay aeaoeiia, caaeiea neea?yeoiiee, oaaineea?aeueiue iooue iooiea, oaiaoaiea i?iaeoeoeee eaia?iie aeaae. ANNOTATION Muravey Zh. V. Effectiveness of the sectoral posterior sclerectomy and differentiated approach to the treatment of absolute glaucoma. — Manuscript. Thesis for a candidate’s degree by speciality 14.01.18. — eye diseases. — The Filatov Institute of Eye Disease and Tissue Therapy of AMS of Ukraine, Odessa, 1999. The results of the surgical treatment of patients with absolute glaucoma was studied in ours investigations. New surgical treatment — sectoral posterior sclerectomy — was proposed. The experimental investigation has shown that the hypotensive action of posterior sclerectomy (plural and sectoral) is conditioned by activation of the uveoscleral outflow of the aqueous humor and the reducing aqueous production. It has shown that the sectoral posterior sclerectomy decreases the number of operative complication and improves the effectiveness of treatment in distant time. The clinical investigation and results of the surgical treatment of 233 patients with absolute primary and secondary glaucoma have demonstrated that the operation of choice (on the conventional system or secondary pathways) has to depend on the initial clinical peculiarity of the disease. Key words: absolute glaucoma, posterior sclerectomy, uveoscleral outflow, reducing aqueous production. PAGE PAGE 2

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