The tab mapper is a handy little tool that will render a guitar tab file with graphic chord diagrams displayed alongside. This comes in handy for people who just don't have every single chord shape memorized. Just plug in the web site address of a valid .tab or .crd file and hit "Go". In general, the tab mapper does a better job with printer friendly URLs. If there is more than one way to play a chord, the tab mapper will choose the most common shape. To see other fingerings, click on the chord diagram and you will be taken to the chord calculator.
Original file located @ https://fazenda-pro.ru/stati/osobennosti-rezistentnyh-form-gastroezofagealnoy-reflyuksnoy-bolezni.
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???? ?????? ? ??????????? ??????????? ?????? ? ????????, ??????? ??????????? ? ???????? ??????? ???????????? ????? ??????????????????? ?????????? ??????? (????).
???????????? ???? ? ??? ?????????? ???????? ????????? ??????????? ?/??? ???????? ?????????? ????????? ???????? ???????? ?? ???? ?????? ??????????? ???? ??????????? ????????? ????? (???) 1 ??? ? ???? ? ??????? 8 ???. ??????? ?????????? ?????? ?? ?????????? ??????? ??????? ?? ????????? ? ?????????, ????????? ? ????????, ? ????? ?? ??????? ????? ? ????. ??????????????? ??????? ???????? ? ???? ?????????? ??????????????????? ???????????? ???????? ? ???????, ?????????????????????????? ? ????????, 24-??????? ??-??????????????? , ?????????? ???????? . ? ??????????? ?? ?????? ?????????? ?????? ?? ?????????? ???????, ??????? ????? ???????? ????????? ?????? ?????, ???????? ???? ???, ?????? ??? ?? ??????, ?????????? ?2-?????????? ???????????? ??????????, ????????????, ?????????, ?????????? ? ???????????. ??? ??????????????? ??????????????? ??????? ???????? ???????????? ??????? ?? ?????????????? ???????, ????? ??? ????????????? ???????.
???????????? ??????? ???? ???????????? ????? ????????? ??????????? ????????. ?????????? ?????? ?? 8-????????? ??????? ??? ??????? ?????????? ?????????? ???????????????? ??????????? ? ??????????? ?????????????? ??????? ????????????. ????????? ?????? ?????????????? ? ?????????? ??????? ????????? ?????????????? ??????? ? ?? ??????????? ? ???????? ??????????? ??????? ???????.
???????? ?????: ??????????????????? ?????????? ???????, ???????????? ????????, ?????????? ????????? ????? .
???????????? ????? ??????????????????? ?????????? ??????? (????) ? ??? ?????????, ??? ??????? ??????????? ??????? ???? ?? ???????? ?????????? ???????. ??? ????? ???? ??????? ? ??????????????? ????????????? ????????, ?????? ??? ??????? ?????? ???????????, ??????????? ??????????? ??????? ??????? ??? ?? ? ?????????????? ?????????????? ? ????????????.
???????? ???????????? ???? ???? ????? ???? ??????? ? ?????????? ?????????, ?????? ??? ??????????? ??????????? ???????, ???????????? ?????? ?????? ????????, ??????? ?????? ???????????, ??????? ????? ?????? ?? ????????????? ???????, ? ????? ???????????? ??????????? ????????, ??????? ????? ???????? ? ?????????????? ? ????????????.
???????? ???????????? ???? ???? ????? ???? ????? ? ???????? ?????????? ????, ?????? ??? ???????? ?????? ??? ???? ? ?????, ??????, ???????? ? ?????????, ?? ??? ???? ??? ????? ???? ????? ??????????? ? ??????? ??????, ??? ??? ??????? ????? ???????????.
??????????? ???????????? ???? ???? ?????????? ????? ??????? ?????????, ??????????? ??????? ????????, ? ????? ? ??????? ????????? ??????? ????????????, ????? ??? ??????????, pH-??????, ? ????? ??????? ????? ? ????.
??????? ???????????? ???? ???? ????? ???????? ? ???? ????????? ?????? ?????? ????????, ?????????? ???? ????????????, ? ????? ????????????? ??????????????? ??????????. ????? ????, ????? ????????? ?????? ???????, ??????? ????? ?????? ?? ????????????? ???????, ????? ??? ?????, ??????? ????? ? ??????? ?????? ???????????.
??, ???????????? ????? ???? ????? ???????? ? ???????????, ????? ??? ????????, ????????????? ????, ? ????? ????????????? ???? ????????.
???????? ???????? ???????????? ???? ???? ?????, ???????? ????? ???????, ??????? ????????, ??????? ????? ????????? ???????? ???????????, ????? ??? ???????, ?????????? ???????????? ???? ? ????????, ? ????? ????????? ??????? ????? ??? ???????? ????????? ????????.
????? ??????? ??? ???????????? ?????? ???? ????? ???? ??????? ????? ?????????? ???? ????????????, ????????????? ??????????????? ??????????, ? ????? ?????????? ?????? ?????? ????????. ????? ?????????? ? ????? ??? ????, ????? ?? ????? ????????? ??????????? ????? ???????.
??????????????????? ?????????? ??????? ( ???? ; gastroesophageal reflux disease ) ? ??? ??????????? ???????????, ??? ??????? ?????????? ??????? ?/??? ?????????????????? ????? ????????? ????????????? ? ???????. ????? ????????? ?????????????? ???????, ???????? ? ???????????? ?? ????????. ??? ?????
????? ??????? ?????????? ????????? ???????? ??????? ?????? ???????? ? ???????? ? ????????? (?????????? ????????), ? ? ????? ??????? ??????????? ???????? ???????? (???????? ???????? ???????????? ? ???????? ????????) .
???????? ???? ???????? ????????? ?????? ??????? ? ???????? ?????? ???????????? ?????????. ?? ????????? ????? ????????? ? ???????? ? ? ????? ???????????? ????????? ???? ??????????? ? ???????.
???????????? ???????????? ?????????
???????, ?????????????? ???????? ???? :
???? ??????? ???? ??????????? ? ???, ????? ?????????????? ????????, ???????? ???????? (??????????? ????????) ? ????????????? ??????????. ? ?????? ?? ????? ????????? ????????? ????????:
????? ???????????? ?? ????????? ?????? ????? ????????? ????????:
????? ?????????? ????????????? ???, ????????? ?????? ??? ? ?????????? ? ??? ??????????? ????????????????? ???????. ??? ?????????? ??????????? ?????? ?????????? ?????????? ???? ? ?????????????? ??????????. ??? ????? ???????????? ????????????? ????????? ????????? ???????????:
? ???????, ??????????? ????????? ????? ????????????????? ????? ????, ??????? ????? ??????? ?????????????? ? ??????? ????????. ? ??????? ???????, ??? ???????? ??????????, ????????? ? ?????????????? ???????. ???????? ????? ??????????? ????????? ???????? ?????????????, ????????????? ? ?????????? ??????? ????????? ????? ???????????? ????? ?????????? ?????? ?????? ????????. ??? ???????, ??? ???????? ?????????? ????????????????.
????????? ??????????? ? ????????????? ????????:
A.A. Sheptulin
The aim of review. To discuss the factors promoting resistance of gastroesophageal reflux disease (GERD) to treatment and possible ways to overcome this phenomenon.
Original positions. It was demonstrated, that the causes of resistant forms of GERD are diverse and connected related both to subjective factors (poor patient compliance) and to objective factors («night acid break-through», episodes of non-acid reflux, etc.). Potentials of treatment of resistant forms of GERD include increase of proton pump inhibitors (PPI) dose, application of parenteral forms of PPI if necessary and combination to ?2-blockers. Further prospects of improvement of acid-suppressive agents action are related to development of new generations of PPIs.
Conclusion. Resistant forms of GERD are quite frequent in clinical practice. Now there are various options to increase treatment efficacy.
Key words: gastroesophageal reflux disease, acid-suppressive therapy.
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???????? ?????????. ???????????? ??????? ?????????????? ? ??????? ???????????? ????????? ????? (???), ?????????????????? ??????????????????? ?????????? ??????? (????). ??????????????? ??????? ?????????? ???????????? ??????? ??? ??????? ??????? ????, ????????? ? ?????????? (?????????? ?????????????? ? ???????, ???????????? ??????? ? ????????? ?????? ?????????, ????????? ????????? ??????? ???????? ?????????? ????? ??????????? ????????? ?????????, ?????? ??????????, ???????? ????, ????????????? ?????????? ???????? ?????????? ? ????????? ??????????? ???????, ??????? ???????? Helicobacter pylori ?? ???????? ???????????? ? ???????, ?????????????? ? ??? ?????????? ??????? ????????? ?????), ? ????? ???????, ????????? ? ???????? (?????????? ???, ??????? ??????? ?????????? ???????, ????????? ?????????? ????????, ???????? ???? ? ?????????? ????????? ? ??????? ????????, ????????????????????? ???????? ? ??????????? ?????????? ??????? ? ??? ????????, ????? ????????? ??? ? ???????????????????? ?????????). ???????????? ??????????????? ???????? ? ????? ??????? ????????? ? ??????????????? ????.