Diabetik nefropatiya (DN) —Qandli diabet kasalligiga xos bo‘lgan og‘ir asoratlardan biri bo‘lib, so’ngi bosqichdagi buyrak yetishmovchiligi (SBBY)ning asosiy sababidir. Garchi mikro- va makroalbuminuriya DNni aniqlashda "oltin standart" bo‘lib kelgan bo‘lsa-da, yangi ma’lumotlarga ko‘ra, buyrak shikastlanishi siydikdagi albumin miqdori ortishidan ancha oldin boshlanadi. An’anaviy ravishda DNning oldini olish bo‘yicha klinik tavsiyalar qonda glyukoza miqdori, qon bosimi va lipid darajasini nazorat qilishga qaratilgan. Surunkali buyrak yetishmovchiligi (SBY)dagi dislipidemiya, asosan, triglitseridlarning ko‘payishi, yuqori zichlikdagi lipoprotein (YZLP) kamayishi va past zichlikdagi lipoprotein (PZLP) o‘zgaruvchan darajalari bilan tavsiflanadi. Bundan tashqari, juda past zichlikdagi lipoproteinlar (JPZLP) almashinuvi buzilgan bo‘ladi. SBY rivojlanishi va uning davosi lipid almashinuviga ham ta’sir ko‘rsatadi va dislipidemiya holatini yanada og‘irlashtiradi. Ushbu patofiziologik mexanizmlarni chuqur tushunish — DN va SBYga chalingan bemorlar uchun lipidlar miqdorini optimal boshqarish va natijalarni yaxshilashda muhim ahamiyatga ega.
Ushbu maqolada Alfa avlodining rivojlanishiga ta’sir etuvchi asosiy psixologik, ijtimoiy va texnologik omillar tahlil qilinadi. Alfa avlodi — 2010-yillarning boshidan keyin tug‘ilgan bolalar bo‘lib, ular raqamli texnologiyalar bilan ichki bog‘liqlikni rivojlantirganlar. Maqolada ularning diqqatni jamlashdagi qiyinchiliklari, o‘z-o‘zini boshqarishdagi muammolar va ijtimoiy aloqalardagi zaifliklar ko‘rib chiqiladi. Shuningdek, bu muammolarni bartaraf etish uchun psixologik yordam, ota-onalar va pedagoglarning roli, shuningdek, raqamli texnologiyalarni maqsadli va sog‘lom foydalanish bo‘yicha amaliy tavsiyalar taqdim etiladi.
The automatization of the heart is its fundamental ability to independently generate electrical impulses that initiate heart contractions, without external stimulation from the nervous system. This review is devoted to a comprehensive review of this phenomenon. The main driver of the rhythm is normally the sinoatrial (CA) node, whose cells have unique electrophysiological properties, in particular, the ability to slow spontaneous diastolic depolarization (phase 4 of the action potential). This process is based on the complex dynamics of ion currents, including the "funny" current (If), calcium currents (ICa,T, ICa,L) and potassium currents (IK). The review examines in detail the ionic mechanisms of pacemaker activity, the hierarchy of pacemakers (CA node, atrioventricular node, Gis-Purkinje system) and the phenomenon of suppression of the underlying centers of automatism (overdrive suppression). The mechanisms of regulation of heart rate by the autonomic nervous system (sympathetic and parasympathetic), humoral factors (adrenaline, thyroid hormones) and other influences (temperature, ion balance, hypoxia) are highlighted. The clinical significance of automation is discussed, including pathological conditions such as CA node dysfunction (sinus node weakness syndrome), ectopic foci of automatism, atrial and ventricular arrhythmias associated with abnormal automation, as well as approaches to their diagnosis (ECG) and treatment (antiarrhythmic drugs, artificial pacemakers). In conclusion, modern research directions in this field are considered, including the study of the genetic basis of automatism disorders and the development of biological rhythm drivers.
This article explores the role of mobile applications in fostering autonomous learning of the French language. The rapid advancement of digital technologies has significantly transformed approaches to foreign language instruction, creating new opportunities for independent, flexible, and interactive learning. Through the analysis of various mobile applications and their pedagogical potential, the article highlights the effectiveness of these tools in developing linguistic competence and promoting learner autonomy.