Современная концепция и философия ортодонтии Alexander PDF

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Sra khura He ABAAETeR y4eBHuKOM! OHA He npep- HasHayaeTCA ANA CTYAeHTOB Mayyaiouyyx OpTOAOH- Two, OCHOBHOM KOHTHHreHT, anA KoTOPorO Gpinia Harmcava 3Ta KHura, — npakruKyiouye OpTOAOHTEl. Ova MoxeT G6bITb NonesHa TawKe ANA MONoOpbIX Bpaveli, KOTOpbIe TONLKO OTKPLIBAIOT CBO NpakTu- xy. Hanetoce, 470, npouMTas Sty KHMTY, OHA CMOryT vaGexaTe OUMGOK KoTOpbIe Ghinn cpenaHel MHOM. Matepwan ans Kaur He BO3HMK CNOHTaHHO, 8 nepu- A Kparkoro Bcninecka MOSrOBOH AeATeNbHOCTH, a ABNAeTCA peaynbTATOM 22 NeTnpob m owwGoK. Kn HnvecKaR WHcbopmauMA He ABNAeTCR KOHeUHEIM Nponyktom, w nomKHa paccmarpuearecA c yHeToM Awanextuku. Yepes AeCATb NeT Mom NpaKTuKa uaMe- HuToR, A 6yAy AeN@Te HEKOTOpbIe BEL NO Apyromy. Optopoutuyeckne pesynbtate! B moe ocbuce Ha CeropHAWHW AeHb MHoro Gonee nocnenosatenb- Hol, 4eM AecATS ner Hasag. Mo mepe pasBuTMA OpTOAOHTHMN Kak HaykH, GyneT pageMBaTeCA WM MOR Avcuunnuna. a Kura MoxeT GbiTs Hassaxa asToSuorpadmen Moe npocbeccnoHanbHoii Kapbepbi. A xoTeN onw- cate kak paOoTaeT BCA MOA NpakruKa, Ha4MHaA c YMPABNeHWA 3aKAHYNBAR MeXanuKoA, MOTMBAUIA- i, MapKeTMHTOM, Bbina Cflenana nonbiTka ynennTs AOMKHOe BHMMAHKe KaxKAOH cuTyaynn, HanBonee ‘acTo BcTpeYatoUlelicn B OpTOOHTMHECKOM o¢bce. B naHHbili curHanbibid ebinyex Kirn Dloxtopa Anex- cangepa BOWUNM TONbKO Te paszenbi, KOTOpbie CaM aBTep npeanoxun Ana nepesona. ViapaHe He AB- TAETCR NONHOCTBIO SABEPU/EHHBIM KaK C TOUKA ape- Hus ManOKeHKA MaTepwana, Tak MC TOUKK 3peHiMA Ronurpacbin. Euje Tonsko npeactour npmiiTn k non Homy BsaMMONCHMMAHWNO No sonpocaM TepMMHONo- Ww NPEAUCNOBME Npw HanucaHinn KHMrH y MeHS He BOsHAKaNO Mic, 4TO WhTaTeNb NovepNHyB MHqopMauimio, ¢ MecTa HaHeT NPAMeHATE ce Ha npaKTHKe. KaxgbiA opto AOHT uMeeT CBOH NH4HbI BINA Ha BeLUM, MNOgXOR W3NOKEHHbIA 3fec, GyneT BOCNpUHMMaTECA M NpY- MeHRTECA AndxheperumposaHHo. OpHaKo, A Wc- KpeHHe BEPIO, YTO OCHOBHOIE NpHHUHTe GyzyT c BEITOAO! MCNONBIOBAHbI NpAKTUKY:OWIMMM OPTOROH Tam. Sta kHura opmeHTHposana He Ha uccnepoRaHi, a cxopee Ha pesynbTat. Bbi He Haligete ccbinoK Ha ABTOPOB B KOHUe KaXkOl4 rnaBbi. Mioro npeKpacksix Kaur no opTogoHTwn Gbinn HanMcakb! uTOGbI nop- TBePAMT> WeCNeAOBAHMAMA Ty MNK MHYI0 TOUKy spe- tins. Mon cbisnocochun — akKyMynsunA KOHYeNUWi ApYTUX MeTOQMK NeveHAR, Wx KayYeHE, M aKcTpAK- A CaMOrO MonesHoro ANA ucnombsoBAHWA Ha Npaxraxe. fonrue roabi A neirancr, He B yulep6 kavecTBy seveHnA, v36aBNATECA OT Npo\eAyp, No NOBOAY HEOBXOAMMOCTM KOTOPLIX, y MeHA BOSHINKa- Tw CoMHeHiNA. B cpasHenne c MeTogaMmy KoTOpbIM ObyuANCA MsHAvANbHO, MOA TexHnKa sHa“uTeNbHO Geictpee, pesynsTaTbt neveHun Gonee nocnenose- Tensibi. To 4TO BbI Npo“TaeTe B ZTON KHure — MO; Cerop- HALIM NOBXeA K OpTOACHTHYESKOMy NeYeHWo.. Mpegncnosue nepesosAinka Twi, NONeaHOCTA HANNA Tex MN MHibix paszenos, TOWCKY NOAXOAALINX RabiKOBLIX COOTBETCTBUM, Nos Tomy AO3T fleHTan-Komnnekc oTKpbITo gna oBcyxk- AeHiNA MOBO KOHCTPYKTABHOM KPMTMKi1, AaBEI co- Aepaatine nevaTHoro MaTepnana nocnenyIOUNx ¥3- AaHNA MoNHOCTbIO COOTRETCTBOBAN NpMHATLIM & Hawei CTpave cTaHfaptam. BBEQEHME 3a ropbl Moew NpocbeccnoHanbHOl Kapbepns, rnaB- Hoi Yenbic Obino cTpemnesne nonyyats peayniTa- Tei NeYeHMA BbICOKOTO KaYeCTBA, B YCNOBKAX Gonb- WOM NpaKTuKY M HaCbILIeHHOrO OpToZoHTMMecKoro Apvema, VCnONb3yA Np STOM OTHOCHTENbHO Npo- Tyo TexHinky Mpucnocobnennii. B oTBer Ha nocTaB- AeHHbIe Nepefo MHOM sanayn, A cosaan Vari-Simp- lex Discipline; cnocodsna neveuun bina paspa6o- Tava ANA nony4ekMA NPeKpACHbIX PesyNsTaTOB op- TOAOHTMYECKOTO NeveHiNA NPOCTbIM 4 OpraHusoBaH- bin nyTeM. Bbino Gbi He CoBceM cKpoMHo yTBepx- AaT 4TO BTA TeXHVKA B YeNOM yHMKANbHa. Oa Gasnpyetcn Ha pasnv4HLX BApMAyWAX yxe pOKA- SaHHbIX Me MHOrMX NpakTMkoB. OgHako, Gynyyn coOpavibimu no Kpyrinuam & OfHO egnHoe Yenoe, OH 4 OGpasyloT TOT YHAKANbHbIM NOAXOD KOPTOAOH- TMeCKOMy NeveHHIO HasbiBaemBii Vari-Simplex Discipline. Ha ceronHAWHii AeHe WwMpoKo WM AoOCTaTONHO yo Neu npaktuKyeTca HeKoTOpoe KoNWMeCTBO Apy- Tx KOMNNeKcHbiX MeToQUK Ne4eHIMA. Ho B Hx npO- Gnema focTWKeHiA XOPOLMX pesynLTaToR NeveHiNa peuiaetcr 3a cueT YpesMepHoro yonoxHeHia opTo- AOHTHYeCKON annapatypel. OnHaKo, Yem cnoxHee MeTognika, Tem TpyAHee MaliveHTy CreQOBATS BCeEM npegnncaHinam apava. Uem npouje SyneT nevenne nA nayveHra, TeM BbiLe CTeneHb KoMcbopTa, KoO- Nepayna " KOHTpoNA 3a NeveHHem. Tan neveHHA, koTOpbii nerue m ynoSHee ANA naynexTa, NosBonuT coxpatuts Kak CyMMapHoe BpeMA reveHuA, Tak 1 BPEMA, KOTOPOe NALIMEHT NPOBOAKT 8 Kpecne, “To B KOHEYHOM MTOFe CHS Harpysky Ha OPTOAOHTa uv Ha Nepconan. MauwelTel Tax xe AopoxKaT cBouM gpe- MeHeM, Kak YeHIO CBOE BpeMa A. Haseanne "Vari-Simplex Discipline” Gbino sei6paHo: OTHIOM> He Cnyyaiiko. "Vari" OTHOCMTBCA kK pasHoo6- pasiio ucnonbsyemiix MHOi THnos Bpekeros (na0i- Holi Gpexer, Gpexerbt Mbionca fara). Cros "Simplex" 3kctparupoBanio ua npuHusina KISS (Keep it Simple, Sir — ByabTe npowe, cap). NogrotoeKa nposonovHbix ayr ynpoujeta, TaK Kak acbcbexTei nep- BOrO BTOPOTO M TPETbETO NOPARKOB 3aNoxeHbi B KOHCTpyKUMIo Gpexeros, M HaHocHTs ZononKMTeN- Hble MaTMGbI Ha NpoBONoUHYIO Ayry ye He TpeGyeT- ca, Yem jipouye npoLonouHaa Ayra, TeM pexe riot peGyetcs ee sameHa, Tem Gonee npocttim saHATH- eM Syne! HanOxeHMe Ha Hee nuraTyp MaKTHDaYyW Yari-Siniplex Discipline peaxo npumenset mHoro- NETREBE? AY, TUK KAK KX ICATOT2BKA JaKMMceT AHOFO BPEMEHH, MOQ LET NoNapaeT sHAUIATe:ib- Noe KONIMMeCTBO NMLesbX OcTaTINA, UacTO He YRaeter VaGeata Th WMNpUTHaUAN Ha /Yecr eBLix tka [napa 1 ®UNOCOOMA OPTOZOHTMK Hei. Kpiouky o6.iuHo He npunampaiores x npoBono4- oii ayre. Npouecc naitkw saHMmaeT MHoro spemeHn uMoxeT yMeHBUINTE adacbekTMBHOCTE: NPOBONONHOA Ayru. BMecTo sToro muraTypHbie, Hil Wapogvigkbie~ KpIO4KM NipukpennaioTca kK Camu GpexeTaM no mepe HeoSxoqmmoctn, Boe ato OSwAcHReT BRezeHHe B Hasbanue MoeH AMCYMNNMHE! cnoBa “Simplex”. Fenan sviGop mexqy cnosam "Tpucnoco6nenne" "Discipline", npeanoyTerwe Gtino oTpaHio nocnen- Hemy, YTOGbI OTpasHTS MbIcrs © TOM, 4TO OPTOAOHT ‘AONKeH Beit XOpoluo OcgefOMNeH B amKyaiia Me- X@HMKE 8 LENOM, MW QOSKEH MIpaTb AKTMBHYIO PoONb BNpAMeHeHMM annapaTypbic y¥eTom MHAMEMAYAN~ Hbix ocoGeHHOCTeli NauWeHTa ANA Toro 4TO6bI neve- Hine Guino yonewHbin. OT YAPSIb3A TEMA 10 VARI-SIMPLEX — ABAQUATMNETHAA ONMCCEA Optoposmnveckyio noproToeKy # npoxoAHN 8 yHit- sepeuTere rata Texac, sakoH4Ms ero 8 1964 roay. Tlporpamiaa o6y4eHna Obina xKecTKo OpmeHTHpoBaH- Ha Ha MeTogMKy TBga. HaumHan NOcTuraTe a3bi OpTOAOHTMM, CTOMaToNor 3aNacTyiO He MMen MpencTasneHitA o WMpOKHX Ba- puayax chopm optonoHTauecKor chunococan m MeXAHMKH, NPeNoAAIOUINXGA B PaanMMHoIX yHUBEP- curetax. Bonee Toro, name mMeA STY MHchopMaLiniO, As HeorisITHoro CTyZeHTa ObiNo Tpy~HO OYeHATEs NO AOCTOMACTEY NpenMyuecTBA TOrO MMM HHOFO MeTO- fa. Dloctarouxo THMMHHOM Gbina cuTyayns, Kora CTYAeHT, HOmDtbim OGpasom yoBomB Hasbikn M 3Ha- Hida, NONYHEHHbIe OT CB0erO KHCTPYKTOpA, E KOHLYe AByxneTHeA cheywanbHow NogroTOBKM Ha4wHaN NPAKTMKOBATS CAMOCTORTeNGHO, OMMpARACh UCKMIO- UMTENbHO Ha Te MeTOMbI KOTOpbIe NpenopaBanuch B opTopoHTHHeckol uKone, HaBepHoe, # Mano OTAM- Namica 8 aTOM cMBicne OT APyrMX, 3a MoKnioNeHHeM optoro "HO", A Gbin oGecnokoeH Tem, Kak NerKo B GonbwHcTse cnyY¥aes no4uTM Bce CPTOAOHTE! whH Ha yaanenne nocToRHHLIx npemonapos. B TexHiKe ‘Tena Gonuioe sHayerme npugasanoce coxpale- Hino ycTomuMBoro NonOKeHMA safHed rpynnbi ayb08, JleveHne KoHueHTpupoBanoc’ BoKpYT CooT- BeTCTEYIOWX NPUCTOCOGneHHi AAA AOCTAKEHKA STOW yenn, naxe 8 cny4asx c ynaneHnen npeMonn- pos. Kora nonoxexne monapoa Sino sadwxcvno- avo, hepeAHHA rpynria syUoB Nepemeujanaci. jM:- TalbHO [NIA SaKpeITMA NOCTOKCTPAKUMOHHEIX 1Npoc™— palicts. Opnako, Kora HecoorbevoToMe pagrepua 3) 28h ANEHHBI 3yCHOR Ayr HesI-a4MTeNbHO, TaKOH Mo xox MOMeT ableaay? “ApenencsHh'e NpOGNeM! Moxtic CK3a 11, NOSOpOTHt!M COBbITHEM Asi MeHA, B.KOpHE NO: (eHSIBLIIM CONbLUMHCTED Ma AOWX NEA binyUMX BarnAgos, Gbin cny4aii c ogHOH Kpacneo’ ManeHbKor AeBO4KOK, KOTOPAR NocTynuna B KNIAHV= ny yanpepcurera usrara Texac Korga a eule Guin ctynexTom. HecKonbKo néx MBI neuwnu ee, npugep- 2XNBZACD METOAVKM NPUNATOM 8 TO BPeMA B YHNBED- cwtete. [pa roga cnyctA npodyinb JesouKN BbIrnA~ en HamHoro xyxKe, Yem 0 NeveHinn. Mpowsoulno ‘370 BCNe/CTBMe Toro YTO OO eM OpToAOHTMNECKOrO BMeWATeNbCTBa Gbis| 3HAYMTENbHO BbiLue HEOGXO- Aumoro. A oTfalo ceGe OTYeT, YTO McxonA 3 KpMTe- pues KaY¥eCTBa CeropHAHeTO AHA, GONbUIMHCTEO OpTOLOHTOB, Jaxe M3 cpesbI APLIX NpMBEPMeHYES Gas080i4 cbunocodiu Tena, yxe He paccmaTpnEa- nu 6bi NoAOGHBI Cny4all KaK chyYaii c ynaneHveM. Ho Tora sto coGbiTne sacTaBiino MeHA sanaTbcA BONPOCOM: MOry NM A NPEANOKMTS cBoMM Mauer TaM uTo-T0 Gonee ny4uiee. Cneayloujee oBujee npeactasnenve, KoTopoe Gino nogBeprHyto MHOIO COMHEHMIO, Gbino BCeO6- ujee yaneveHire .022 nasom Gpexera. A eule mory BCNOMHUT CBO ONbIT ucNONbsoBaHMA .022 nasa. Korga BosHnKana HeoOxoaMMocTh ZOCTWxKeHUA RonHoro ganonkeHua nasa Gpexera, To cgenats 30 Gbino He Nerko, Tax Kak XECTKaR, npAMoyronbHaR nposorioka AocTaTOuHo TAXKeNO BxopMTa B Nas Gpe- KeTa, ocoGeHHo Ha Tex syGax, Ha KoTOpLIx coxpalin- AWCb MVHAMAnbHbIe PoTAuMM, M BbIpasHABAHne euie He Gbisio Ao KOHUIa 3aBePLUEHO. B To BpeMA kaK A, bopeupyA npoyecc, ¢ ycunmem Nbiranca BcTa- BuTb Ayry 8 Nas Opexera, cunosoe Bospelicrsne OkaSbIBANOCS HACTOMKO SHAYUTEMHBIM, ETO CMy- Yanoce nalWeHTe, B pesyNbTaTe MoMX MaHAnyn- unit, Ha4MHanW Bronce KPMYaTS. I oTHIOAb He {Kenan NpoBecTM OCTATOK Moei xnIHM NPMUNHAR TIOBAM NOACEHbIe crpagaHA. MpuaA K KCHUE KOH oe K MbicsM, 4TO Oonee neriae cunsi NpUBeAYT K MeHbILEMY ANCKOMEpODTY, A ONeHb ckopo Noce Ha- Yana TpyAosoil AeATenbHoctu cMeHinn .022 nas Gpexeroa Ha .018 VisHayanbHo MeHA yYnnu, UTO B LenAx coxpaHeHun yoToiisoro NoNoxKeHMA MONApOS, HAuMHaT Neve Hue cnenyer ¢ yoraHoBk™ annapatypbt Ha HiDKHOIO YenlocTb, M, TOMbKO MO MCTe4eHAM HeKoTOpOrO cpoxa, BNNOTHy!O 3aHATECA BepxHeli YenocTBIO. A NoKopHO cnefOBAN STOMY COBeTY B TeeHHe MONK Nepsbix NATH NeT NpakTKK. NoToM, ouleHMa HeKOTO- pbie MOM pesynbTaTbi, A OSHApyxn 4TO KOHeMHAR hyra ycratasnusanact Ha HIDHIOW Ayry NPMMEpHO No McTe¥eHMM WeoTH MecrUes nocne HaYama re4e- Hina, JleveHme xe Ha BepxHeli YenlocTu nocne sToro TpoponManocb euje NO MeHBUeH Mepe ron. Takan PaHHAA ycTaHOBKa annapatypbl Ha HWKHIOIO 4e- MocTs M ee HeMOTMBNpORaHHoe npeObiBaHvie 8 o- oct pTa Ha MNOTAKeHWN BCerO cpoKa NeveHiNA Nosbiulana BEPOATHECT AeKanbycKaLynN, NOTE pit Kone, NoapeNeHWA ir i Apyrax HenpusTioc~ . UieGei Kak To VchipaBUTe NoNOxctine, A YiMbILINCHO saneprvBaib HEMALO J: ¥en xHe Yenoctn B Tonksy Goree paved ye annapatypbi Ha BepxHioio YemiocTs, rae Npenemb! oGbiMHo Obinn Gonee Bbipamenti (puc. 1.1). Ppa non- Holl cxOMECTH KOHENHbIx PesynibTATOR AO NpMMeKE- Huw TaKoro nopxopa # nocne, oBules BpeMA Nese- Hu Obino yMenbUIeHO. Takum oGpasoM, 6bina AoKa- Java HecocTORTeHOCTS KOHLENUWM yCTAHOBKA an- Napatypbi Ha HiwmiioIo YemiocTb & palihne NepHozbi neveHAn sINa coxpaHerinn ycTOMMMBOTO NOMOKeHAA Monsipoa — 3a ucKmIoYeHneM cry'4aes YpesMepHolt 6nmaKcunnApHoA npoTpycun, wn NeYeHMA Apyrux, oveHe cheyncbuuecknx naTonornil, Nocne Toro KaK TpeMonspbt yAaneHbi, sy6aM HKHEM YemocTM no3s- BOneHo NepeMeU\aTECR CAMOCTORTeNbHO B Te4eHKe HecKONBKHX MecAyeB 20 Toro, Kak GyaeT yoTaHoB- feta annapatypa Ha HMKHIOIO YeniocTe. SanHAR Tpynna syGop nepemeutaetcn nM STOM Fil B He- aHawwTenbHod crenesn Sta Npakraa, HasbiBaenan ApwbTopotitneli, onvipaeren Ha TOT chakr uo nacne yaanenna, Ha HMKHeHenlocTHoA zyre, caMonpous- BonsHoe AauxeHNe nepentnx syGoB pMCTaNLHO Suipageko B SHAATesTBHO SOMBER CTeNeHM, Yex BCTpeYHOe RepemeuicHie seaHek tpynnei syGos. | wanpoTue, Ha BepxHeyeniocTHol Ayre, 8 nopasnto- | wen GonsumcTee cnyyaes umeeT MecTO npaMo TpaTHBononoxHbil ocbcbexr: sanHAA rpynna sy6oe BeDXHeM NeMMOCTU NPCABNAET SonbiLlyio TeHAeHUAIO AeNraTbCA MesNaNSHO, 8 OTCYTCTBME CKO nuGo akavalero AeWKeHMs NepesHeH rpynnit 3y60B AMC~ TanbHe. Oana ma KonYenuAA Tanna, KOTOpOH A cneAyIo 8 GonbuMicTae cnyyaea, so passopoT HiaKHEYenioc- THbix NepabX wonAPOS. TeopeTMuECKH, COMnacHo opurntansHor cbunocodin Tsaa, OpexeTb! Ha Hi- HWE NepAbIe MONAPEI YCTAHABNUBAIOTCA c aHryNA- weit 0°, m AoKTop HaHocHT Ha ANCTaNbHYIO YacTS Tposonokn OTknoHAIOUWKA arMG. A pewan, uTc Gyner nyviwe BMecTO aToro pacnonoxMT’ Gpexet HwxHero nepsoro MonApa nop yrnom —6°. Taxi nyTem woryT GbiT AocTurHyTbi Gonee npeAcKasye- Mbie: pesyMhTaTbI, MB TO Me BpeNA NponaseT NOT: HOCTS B HSrMGaHinN MpoBoNOKN, Apyroti acnext cbunocochan Tawa, xorepbi npo: AOIKACT Shite sdaberrnaHbim MNO Celt AEH’, — BLIcDAMNeHi fnetax pearcn a Basan Hol KocTit Ckyyny ies: 2 6.06, CAMOCi TenbHoa A Sepnacann, vromy 1 Guay & TenbHoen nonbayeToR @ Te ATM MHBIE NepnOALI Spe Pwo.1.2. Perpaxrop wer Meni no xpalirie”l mepe y 75% Bcex raywerTos Vari-Simpiex nonyuan upesmepHoe ASbINHOe OTINOHEHME pes- Woe. Mlostomy, cTenee auinpamnena B Vari-Simp- lex Discipline HemHoro yeHbweHta, @ oTMMMe OT opurmvamHow Teopun Tenge. Kax Gyaet oGcyx- AaTecA B AeTANsK NosxKe, TOPK B MMHYC NATe pany COB SaKnagbIGAeTCA B KOHCTPYKLWNO HIOKHEYeMIOCT- HbIX nepeghux GpekeTos ANA npeAOTRpAUleHKn ux secTn6ynapHoro OTKNOHEHMA, HexoTopple y¥eHuKn Tava npugepxusaictca munich uo welivaa muyenan pyra He ABNAeTA acb- cbextueHiim annaparom. OpHaxo koraa A cnywan kype Tanga 8 1965, goxrop Tawa mM AeMoHeT- piposan ycheulbie pesysibTaTbl NeveHMA naywer- Ta npw noMOUIM WerHOA NMLeBOr ayrn. Ota NpeseH~ Tauun nopsurna MeHA Ha Ha¥ano WcrlonbsoBaHiA seporosoli Tar. Mo npowecTaHn HeCKONbKMx NeT AB sHauMTeNbHOR CreneHM paciumpin oONACTS Mc- FonbaoeaHMa sToro annapata ut Gei| 8 OGuyeM Ao- Bones pesynbTatamm. CeroaHA peTpakrop (sHepo~ ToBaA Tara) ABNAETCA BAXHbIM aNeMeHTOM 8 Vari Simplex Discipline. A Hawen, sro cnogo "peTpaKrop” — Gonee onmcatenbHbit Tepmnt, vem wren (head~ gear (aHrn.) — WNeM; TepMi WenonbayeMbi 8 OpTopOHTn gna oGosHa4eHiMA BHepoToEGH TAM). Lnem umeer AonoNMMTeNbHOE sHaYeHWe 8 aMepH- kabickom chyT6one un Goxce, B TO EpeMA Kak cnoBO peTpaxrop onicbigaeT BHepOTOROA anniapar ¢ TONKA apeHns cyHKuKn KOTOPAR MM BbifonHsieTcA. PeT- paxrop ucnonbayeTca 6 Te UNM MHBIe epMoAbI spe- Menu no KpatiHel’ Mepe y 75% acex nalweHtos Vari-Simplex (puc. 1.2) C Tevennem spemenn , KonmecTBo cryyaes ¢ yna~ AeHVeM B Mei NpaKTuke 8 aHauMTeNbHOM cTeneHH, yMeHbuuanocs. NorBnerie KOMNOSITHBIX MaTepHa- NOB, KAK ANbTepHATMab! OPTOAOHTMYECKAM KON- lam, ano BO3MOXHOCTS cnlepypoRate fononHA- TenbeuIM NpecTpaHcT som 8 3 iwanswMeTpa, KOTOPLS paves sannMana cyMMapHan Tonuijiia Kone, Mpa MepHo cTONbMO xe MecTa A CTAN NOMY'ATE, TMH Ha Boopy:Kerive MeTOR MEXMpOKCMMONbHOK cena | peywn pesyoa, Taki o6pas0Mm,.ciivOK03.K/iA6 Sacked KOHUCH IN Teo © scr eHyemm opro- Ve HOC OW bic. A CETOR HA HOSBONASI Me NOCTHMD KaECTBEHHLIX PesyNbTATOB, 6 TO Ke BpeMs cHnaMB KoNMUeCTAO SKCTPAKUM NpeMoNspOB ‘0 25% of oGuiero wicna MoMK nayeHTOB. Onnanbetil pyTauecknit sneMeHT — BHeApeHHe 8 aucuunniy GpexeTos WMeIOUAX ONpeseneHHEle Yrnoable xapaKrepucTaMn (TOPK, AHTYNAYMA M 7.2) — ein mierpmposat 8 Vari-Simplex Discipline 4977. BonbumnicTso warnGos zyr Gino muKenaMpo- Bako, NosBONAR Nony4aTe Gonee npeAckasyembie pesynbrarsi np sHaYMTenLHo oKOHOMMMA BPeEMe- wn. @UNOCO@CKOE OBOCHOBAHME VARI-SIMPLEX DISCIPLINE OprogonTuyeckan chunocodin, Takan kak Veri-Sim- plex Discipline, no cyra ABsineToA vacTbIo cbusoco- chan xcusHn. OGwar cbanocodbina, B KOTOpY'O Opra~ hunveck anupaetca Vari-Simplex Oasnpyetor Ha ABYX KmOYeRbIX MPMHUMMAX. Nepebit npmkusin moxeT Gbirs onvicaH ypaBHeHviem E=R. 3To MaTemaTmyeckan MHTepnpeTayuA UMTa~ ‘roi va mura fpkeinca AnneHa nop HasbaHvem "Kak uenogex pymaer’ (puc.1.3). OH yrsepxaaer, "B sioGo oGnacTn xwsHM cywecTeyIoT yoHNMA M cy uecteyioT pesynbtaral. FpunoxeHHoe younve AB- mercn mepuniom peayribTata". Henban Opa 8 pac- Uer enyualiHocTh M 80 BCeM HaBeATSCA TONbKO Ha yoayy. Boe ero Mbt HOCTUTTIA B 2KNSHM B KOHEYHOM wrore AENAeTCA peaynbTaTOM BNOKeHHOTO TPYAA. Konuyenuna E = Ra npotaxeHnu sceit kann GyzeT ANATSCR CBOeOOPASHbIM pecbpel CHMBONOM, Bropoi npwuyun GasmpyeTcr Ha pasmbiuineHnax nokropa Hans Selye (pyc. 1.4), KoTopbilt nanaerca aBTOPOM Ha fepBbli B3NIAD CTPAaHHOTO, NPOTABOPe- Uaujero camomy cee BbIpaKeHMA "ANbTPYMCTHYES- ni sronant". Wger poktopa Selye cocTour 8 TOM, \ro yyuiee UTO YenoBek MOXET ANA ce6A nome- arb, 3T0 BOSMOXHOCTS CaMopearnsalinn Ha HABE Prg.4.3. Bevo 0 4 Puc.1.4. Hans Selye cnykeHun Yenopevectey. NpumenmTenbio opto} AOHTHM 9TOT NPMHYMN BbIPAKAeTCA B TOM, YTO OPT AOHT GyaeT NpencTaBNATe Neverne, KoTOpCE Bb: FoaHo ANA NayvekTa, u cTopuyeli BosHarpannT go. ropa. OcHosnan Yenb Vari-Simplex Discipline — sto ner- koe W acbcbexrusHoe AocTMKeHWe KayecTBeHHOrO PeaynbTata opTomoHTMMecKoro neveHMA. Cneun- SPrveckve yer npn 2TOM NoApasmenricTcA Ha fO- DTOBPEMEHHbIe M KpaTKOBpeMeHHbie, Eon aucun Smita ekpynynesHo cnepyer sbinonHeHMio kaxgoro npomexyTovHora stana neveHuA, To, 3a penknm WCKTIONeHKeM, BbiNonHeHMe Bcex ana BnucbiBa- JoTCA B AOcTaTOYHOM Mepe Npegckasyembie spe- MeHHbie pamxn, Peanbibiii kniow k yonewiHol npakrake — oto yme- Hive sacTaBnATs NauMeHTa Koonepyponats c OpTo- AOKTOM nyTeM coanaHMA cooTBETCTBYIOUIMX MOTH Balin, W NoAbeMa "sro" NayneHTa, Hoxropy cnepy- eT YCTAHOBMTe KpaTKCCpOMHBIe Yenu ANA NayMeHTa, W Take MucopsnpowaTs efo 06 ux focTIDKEHINN NO Mepe NponBHXeHMA K NeANaraemoMy KOHeYHOMY pesynstary. Koraa neveHie saBepueHo M Wen 20- CTurHyTbl, opTOmOHTy cnepyeT cooTseTCTByIOWIMM 06pa20m oTuMTaTEA © Nponenarinoil paGoTe nati eHTy wero popWTenaM. Sto ABNReTCA ORHKM M3 NpMMeHeHMii Ha npakTinke Teopwu anbtpywcraec- xoro srouaMa. B genosbix Kpyrax rosopuTca uTO "xopowan caenka" Ta, KoTOpaR kOpola OSA KeaKgO- To ee yuacTHnka, B HalueM cny¥ae, ecnn nonyueH ka4ecTseHHbill pesyNbTaT OpTcAOHTMYeCKorO neYe- HMA, CTaBLUMA QnA NauMeHTa Yem-To u3 oG6nacTu chaltTactuen, To AOKTOp Tacxe 8 NonHoli mepe cmo- 2ST HACagMTCA MNofaMK XOpOUWIO NpoperaHHon pa6orni A : B To spema kak nonxon Vati-Simplex x neveHnio MavoumwerayeT BeposTHOCTh KatizeTHel:oro pe aynbraya, coBeplielHiie peaynutaTel Gyayt ace PaeHO Hen! cAraemb! Nps MenoMLan* AKAN KaK aTOrO, Tak M 1060:0 Apyroro MeToRa. DniTenubie nloncKK a6conioTHoro copepwieHeTea Moryr co BooMENen GMAIL. NOMOBL A 4 AE IPECCMIO, Bio He OstiaNae, "70 Mbt Meet) yuh. 371 (BOPMTL-GR aepentcTReHH- 1M pesysy rath, 72) /MeeTes, NOTOHA 23 WLAN HbIM Ka4eCTEOM ABNAeTCA B BbICWIEH cTeneHN Gr Topogibim, XOTA M GecnepcnexTHBHbIM saHATHe Topasgo nye crasuts nepeg cool Gonee p @MbHble 3aqa4n, 2 MMeHHO CTpemuTbcA nonyua Haunyuume pesynsTaTel OpTOmOHTHMYECKOrO New HWA 8 Npegenax, orpakneHHLX YeroBevecku BOsMOMHOCTANM, TEKYLUAA AUCUMTIMHA Aityansuan Vari-Simplex Discipline cnoxunace 1978. Bo MHorux OTHOLeHUAX OHa ABNAeTCA YH fanbHoll. flo nonenekns Vari-Simplex, 8 Texiink Tpamoii ayru He Obino npeyegexta, UTOGbI KOHC PYKUMA OPTOMOHTYeCKOrO annapata cocTosaNa + Spexeros pasnusibix Tunoa (qEOiHEIe GpexeTe Spexersi Slanra u Motonca). B Vari-Simplex Discipi ne NosoGHbIe KOMGMHaYNA ACONbayIoTGA B coo: BeTCTBMM © TeM, KaKOM THN Hanones acbcbextuse ANA KOHKpeTHOFO syGa (peseli, Knbik, pemonAT Monap — pnc. 1.5). Topkn acrpoeHiHle 8 ata Gpexe Tel Tak XE ABMAIOTCA yHinKaNbHbIMM, OCOGEHHO enyyae HKHUX pesos. JoctaToUHo cKasaTb, 4T Top B -5°y Gpexetoa HMDKHIX peatios He caolictset Hel Hu JANA OnHOM suns apynAx MeTORUK NeueHnE Apyroli yruxansibiti acnexr Vari-Simplex — sto ue RombaoBakne HeGonbioro KommecTea npogonoK Yacto TonbKo Be Mnu TPM pasnKHbie NPOBONOY Hole AYTA vcnonbayioTcA Ha KaxKQoN va syCHbIK Ay 3a Bech NepvoR Nevexma, Konuuectao qononiu TeNbHbIX MSMeHeHMit NofuepxnBaetcA Ha MUHMMy hie : Xora Vari-Simplex Discipline m npenycmatpueac: onpegenennyio nocnenonarensHocTb BLINONHeHiAs TeX WNW MHBIX STANOB NeveHMs, KOHCTPYKUWA Mc NOMbsyeMoro OpTonoHTHMEcKOro annapata Gpexe- Tos He BCera ecTKO AVKTYET TexXHNKY NeYEHIA ‘OGwexruato Vari-Simplex Discipline Gina paspa6c- Tala ANA McnonbsoBaHMA cneuncvecinx Bpexe- TOB, HO, ECA KNMHMUMCT NpegnouuTaeT ucnonbso- BaTs, HanpAMep, GuonporpeccuBHylo Tepanito, o MOMeT ¢ YCNexoM vcnonbsoBaT> cermeHTMpoBaH- Hble AYTM ycTaHasnuBan Mx Ha Bce Te xe GpeKeTbi. Equictsennoe ornmue GygeT B ycTaHOBKe ABO‘ HoIK W TPOMHbIX WeNHEIX TPyGOK Ha MonApBI. Bpexe- Toi AusaiiHa Vari-Simplex nuit nomoraioT ayoam AOCTHMS Wx WAeANbHOl NonoKeHuA, ANA sasepuie- Haus aToro npouecca MOryT HenionssoBaTEGA miobbIe Apyrne chopmit Mexaninen. Hauntian c 1978, Guino nposegeHo oxdho 400 npe- 3eHTaynii no Vari-Simplex Discipline ana Gonee vem 10,000 yokropos. TbicaYM npaxTuKytoux oprogoH- ToB UcnonbsoBasM STY AMCUMNMUHY, TO pesyneTA POBaNCCh B KOHEYHOM MToOre B ¥306MNue Anarioc- TwHeckix sanucei fo w noche neveHn. Nonyuenan wtbopmaumA nossonmna nnwHn pas npoaepums RelicTReHHOCTS pasnu4HbIX KOKYeNuWA Vari-Simp= lex. KushecnocoGHocTs sto meTogonoran newe~ Hi Obina AoKasaHHa ete camum chakTOM Toro, uTo o#a MpeTepnena nib HesHaMMTeNbHBie MameHe- Hw HE4MHaA CO BpeMeny ee coagaHun. HawGonee shaynrenbHoe HoBoBaeneHMe caRZaKO c AORBNEHVEM NPAMOYTONBHIX, MNETEHLX NPOEO- TONHUIR AYE. STi TMOKHe NpoBO OKA HOsBONMTA KRM HMUMCTAM ROBASPXMBAT’ KOHTPOM 3a TOPKOM y TPYNNI NEE AHIK HiDKHUK 3y6OR, Ha4uHaA c caMoli nepsoii ayn. Byay'n Ha CeroaHAWHitit geHb npexpactoli TexHu- kow neyenus, Vari-Simplex Discipline, 8 To xe BPeMA, ABNACTCA 32KOHOMepHEIM NPOAYKTOM MHO- ronetHel sBomouynu optogoHTuu. PasMbiUINRA Hag AanbHeliuMM passuThem opToqoHTaM, HETpyAHO APEANONOKMT’, 4TO B CBASM G NpOrpeccom Haykus, 4TO-HuGyAb HoBOe ONpef|eNneHHo samen Vari-Sim- plex m Gyfet HamHoro Gonee acbbextvaHo, Mat MoxeM NpeABUAeT, 4TO GpekeTbl yMeHbLaTECA B paswepax 4 GyAyT nuuwerbi nuratyp. B 6yzyujem MoryT npomsolin# GonbulKe RoCTIMKeHKEA B oneKTpO- MariuTHOM fepemeuleHin ayGo8. OntiaKo, cogpe- MeHHeR OpTofOHTHR HacTonbKo Gnmska « copep- weneTBy, 4TO NDeACTaByTE se euie Bonee Gtictpon, scbcbexrisholi 4 npencKasyewoli Vem celiuac Rens eTCR ganayedl He M3 NerKnx. A, ofHaKo, oTZaI0 cebe OTYeT, 4TO B KAKOU-TO Les Cepbesnbiii KavecTBeH- Hii Cka4OK BCe 2Ke NPOMSONAeT. ERY TATEI JIEVEHUS VARI-SIMPLEX Uenogek socnpunumaet xpacoty, nponycran ee uepes chunerp coScTBeHHeix crepeoTinos. Sto o4e- BURHO “TO AOKTOp GygeT NeUKTs coo6pasHo ero NPSLEIATHIM NOUATHANM O TOM, YTO ABRAETCA npM- enexatenstbim. B Coeamventbix Ulratax cyusect- BYIOT HEKOTOPLIE YCpesHEHHBIe cTaHigapTel KOTO Pbie Mbi NpMHUMaeM 3a coBepWeHCTBO. KoHeuKo 3TO CBOANT JO MUHNMYMa pasHMUy BO MHEHMAX, 4, XOTA pacnonoxeHne sy608 Ece elle 8 KAKON-T0 cre- NeHw SBNFeTCA UCKyCCTEOM, F MMUHO Nonaralo, “To, C ScTETHYECKON TOUKM apeHNA, Mbl HE MOXeM na6e- aT, ONPERENeHHbIX LTAMNOB. KcHeLHO, Moxtio NpeANONO:iT!,, UT cyiyecrayer onpegenenvan Koppennuna mexsly KoacuTOR n pe aymstaTamn YechanomerpHuccKnx vaMeperlall, Ho 9TC CooTHeieHne He BCerja O/H KOptiomy. [edi TOMeT} w4CCKHe WSy'YE: "na NOUERATesIesi KOKKypcos kpacoTs! noKasann 4To MOxHO HeKOTOpbIe YepTbl kpaeMBoro nuyja conoctasiTh ¢ OnuaKunn K HONE Pio.1.6. Lledanomerpyvecite uamepeHin He RanHoTCA onpe- ‘enmiouin Ha oNKypCax KpacoTet sHaveHMAMN YedpanomeTpun. OgHaKo, HeKoTopEie foSeavrenn KOHKypcos KpacoTel, OGnaaaR BeniiKo- AeNHbIMA BHELUHMM DaHHbivA, B TO Ke BpeMA wmeloT YecbanomMeTpHuecKne MaMepeHHA BeCoMa Aanexne oT HopManbHbix (pnc.1.6). Anbrpynctasecknli sroneT 6yneT newuTe Karger NayweHTa, xaK GyATO STO ero coBcTBeHHbI DeGe- HOK, weHa Mnu Gpar. HeVicreuTenbio, ecnk m Gyay Hews “neHa coGcTBeHHOH ceMbH, Moe! _LeMbI0 6yner qocTuxeHie NpKeMNeMoro BHELIMETO Bl4aa C HaWMeHWMMM noTepAMM. ScTeTHMKa AANAeTCA ‘Moeli Yenbio HoMep OAMH 8 OpToROHTUN. Flo Moemy NHeHWIO, KavecTaeHHbih OpToaOHTHYECKH peaynk- Tal SIIKMETCA He TOMbKO Ha AOcTIEKEHMM rapMoHI HbIK NUeSBIX MpitsHakes m CGanaHcnpoBaHHon eSyHKUMCHAMSHOH oKKniosuin, Cywiectayer gonen- HITENbHbI ANAHEHHBIA SneMenT NPY OUleHKe pe- aynbTaToa OpToAOHTAYeckorG NeveHuA. B mequ- UMHGXOM YHMBepeuTeTe “Hora rpewaT HecKonsKo MEX@HUCTHYECKMM NOAXCROM K NOHRTMIO “2QC- poate", He akuleHTmpys 8 focTaTouKol creneHn BHMMaHMe CTYAeHTOB Ha TOM, 4To OGuee so0poBbe fauveHTa OBbI4HO He OrpaHMuBaeToR TonEKO ero usuvecko’ cropoHos. OprogoxT aonmxen Guim. 3HaKOM ¢ BMOWMOHANGHbIMM VSMEKEHVAMM, KOTO- Pbie MoryT npowcxogMTb B pesynbTaTe opTopoHTit- YecKore neveHur. Mononas aeBouKa, KoTopan B Havane neveHna Ws va-sa caoero MpMKyca Hanomin Haer "MYMbTAUIHOTO" SoGperika, HaxoguTes B CoCTO- HMM CTpecca, Tak KaK @@ NOCTORHHO APAsHAT of- HoxnaccHinkm, Tlocne aayx net ycnewHoro nevewuA MOrYT MPOWCXOAMTS SHAUMTENbHBIe MaMeHeHHA. Ona Hauntaer nonissoBaTbcA KocMeTHMKOl, okenepn- HSHTAPCAATE. CO eBONMIA BONOCAMN | BOCeMA ODI TiHansHo ones: qpyalio Gino oF Hee oxnaaT erie | spema Hasay. MoxHO BuneTe WTO e8 nou agoposbe yny4usmnoce. C 4ero 611 970? Re, ClBeHHOE Yio Mbi cRenanM ora HcnpaBeaM oi MEA nyc. Ho 8 nelicraurenstiocTn xe, noGopoa ToT KOM- ANeKe, Oa HatintiaeT noHeMMory crpaBnaTseR M1 co SceMm OcTanbHeimn. Ouexnean nponcxonaune ¢ Heli WOMeHeHMA, OHA HaunHAeT Gonbule moGuTL ce6n, n 370 npusiaer ed yeepentoctn, BIMSHME VARI-SIMPLEX DISCIPLINE HA YNPABIIEHME NPAKTAKOM Raison d'éte (npaso Ha cywecrsowanne — dypanu,.) OPTOROMTHMECKOK NpakTuxKN — coagaHne anoponoA W Kacuaoll ynbIGKH, HO Np STOM cnepyeT como AaTe cooTseToTByioUMe BpemeHiHiie pamKn Ecnu wm Havane Mb yTBepxAaeM, STo Ana 2aBepulennn ne. NeHMA NoTpeGyercA fea rona, BANC VTOGur aul cHenann ace OF Hac saBncAlijee 4To6s! ato npen- Ckasaiine CObinoce. KOHeNHO, cyuiecTayIoT pastor ona nomex, KoTOpele NpenaTcrayIot opronomty Seite cronpoueHTHo nynKtyanbHbim (sanepmta & NPopesbiBanin 3yGoB, nnoxan KoonepauMs naLinen. Taw T.2.). OnHaKo, npw HOpManbHbix OBcTORTeNbCT- 5ax, NpM ycroaMn KoonepayMn nauueHTa, oven BaxHo vTOGb) AeveHne Geino aaKoHVeHO BCBpeMA, Tem Gonee uo Vari-Simplex Discipline nossonner ¢ yenexom ato crenare, rar ocbuca urpaer OpwHuunvansHyio pon B A0- CTukeHM kenaeMoro pesynbTaTa NeuelinA. Ouere BAXHO CosMaTs aTMocthepy NOSMTHBHYIO HacTpOR Ha BbINOMHeHVe HAUINX eXeRHESHBIX OBASAHHOC. Tel. OpTonoHTMA ABnmeTcA B OOU\eM K YenoM 20- CTATOSHO NPAATHOA OBNAcTHIO MEAMLIMHEI, TAK Kak Hau KOHTUHTeHT — 9To OGsI4HO MonOAbIE W agopo- Bble moau. F npegnowmTato oxpyxaTe ceGa npenan- HbiMM i KOMNETeHTHBIMM CRY xaLUAMH, Ans KoTOPLIX BOSMOMHOCTb NPMHOCHTe Nonbay OkpYMAIOLIMM yne RANAeTCA NaCTHMhbiM BosHarpaxneHieM HX Tyna, Moa oTBercTseHHocTs kak pykosoamTena npakriana, COCTOMT B TOM, HTOGbI Zab NoYyBCTBOBATE KAKO” My 4eHy nepeonana 8 oTZeNSHOCTH BAKHOCTS jo- SpocosecrHoro abinonteHus ero Kpyra oGRaaNHOG. Tel. UyscTB0 BbinonHeHHoro gonra AanneTcA He MeHee BaxKHbIM cbaKTopom ana noanepmanna Mo. PanbHoro yxa 8 konnekruse, Yem marepnansHoe Bosvarpamaenwe. Haewibim chymaLuno Taloke He. OOKoRHMO B CBOE xNSHN pyKoBOACTBOBATECA Nom. Huuinaw ansTpynctaveckoro sromanta. Vari-Simplex Discipline ymenuwaer sarpyxennocti AokTopa u nepcoHana nytem noBuiLeHns achcbex. TMBHOCTH KOHTPONA Han npakruKoii. YnpoueHHan OpToROHTMMeCKAR MexaHinka nosBonaeT AOKTopy yaensT. Gonbuie spemenn gnsi neveuna Gonee TPYAHbIX ChyYaes MW ANA JaHATHA “NapaMenuynec- kow" geRTenbHocTLIO: BHYTpeHHMM ynpaBnenner NPAKTUKOH W HaeMHbiMK chymaLinM, perynnpopa- Hilem agMnHincrpaTMBHisx oTHOWeHMi, Bpema or spemetin # nmeio yqoponsetaue non- YWaTe OT MOMX NayMeHTOR NoUTOABIe OTKPLITK nn Shororpacnu nalyweHTos, KoTopuie conposoxaaicr- cA ganuckamn, OfHo Takoe nuckMo. nocnyxKuno cBo- €fo poga BQOXHOBeHneEM ANA Npugaxur Moum pas3- POSHEHHbIM MbicnAM HeKOTOporo noAEBuA chino. Codscxoli xouuenynn. A npownTan cnenyiousee: "Zo- oro’ oKTop A. Bonbuoe cnacv60o 3a Bce, “TO Boi ‘Ana meHA chenanu. B 7OGasneHih K TOMy, STO Bb Aan MHe npsiMbie 3y6bI Spi NOMOTNM MHE ChoxMTE- (68 Kak nuHocTe”. Kniovesan chpasa Guia "s. no6ae- Retin: Hala ockoetan sanava 6eina auinpAMTs | 28 3Ob1, HO, MOXeT Obie, ecrit Out mit aTOrO He | cnenani, moi Obi He anu cBepumTsca TOR camol | ManocTH, KoTOpaA B KOHeNHoM uTore CTana AA Hee) ogopoTHeIM yHETOM K Ha¥arty onHoueHHOro BoC! MpusTun ust, / 3a ronbi Moedi npakrinkn, A coTHn pas yGexnanca 6 APABUNHOCTH Tako @unocodytn. Sto npasaUBLui ApwMep aneTpyuctuyeckoro aronama npumenn- TenbHo k optonoHTin, Vari-Simplex Discipline s10 | Sonbwe vem acteTuka, @yHKUMA MW CTaBuNbHOCTs. } STO oAMH v3 MeTOAOB ynYYWeEHIA KaYeCTEa xuaHI | BO acex ee nponsneHunx. Tnapa 2 OPFAHV3ALMA PABOTbI C NALIMEHTAMI BBEQEHME SchcberrmsHan opraHHzauinn paboTei c naunerrasn — kmi04 K yenewHoR opTogoHTHuecKol: npaxture. Xopowaa paSota 6 kaOMHeTe HECOMHeHHO BaxHa, Ho HenpaBunbHbili NoaXoR K paBoTe c nayweHToM MOET BbISBATS Y Hef HeraTUBHoe CTHOLEHNE K neveHuio, a Ges AomKHou koonepaunu c NalyMeHTOM: HeBOsMOXHO AOCTIMe XOpOWerO pesynbTaTa, MaumerT, xoToporo oSou BHNMakneM, 6yzeT MPOTMBMTECA BCEM NONOMATENSHbIM HaunHaHHTtA AoKtopa. Nostomy K kaxgomy naumeHTy HyKeH oT- AenbHbii MopxXon. KoHcynsTakT no ynpasneHiio Tom floypeve npeanaran npenctasnsrs ceGe Kax- Foro NaUMeHTa MMEIOUIMM TaGMMYKy Ha Wee, Ha koTopoii Harimcaxo: faite mie NowyBcTBOBaTE ceo Baxkhbim, Kora NalvexT BXOQUT B ocuc Bce pelicT- Simi PencTpaTopa AOMXHE! GbiTe Hanpasnenbt Ha To, 4TOGbI OH UyBCTBOBaN CeGA KOMMbOPTHO, uM rae Hoe —uTo emy anece pani, Coagarine Tennoi amoccbepsi B ocbuce OUeHL Bax Holi MomeHT 8 paGoTe c nayneHTamm. Hepemun SnMaoAbi, KOA NAUMeHTEI, NpMAR KO MHe, YTOObI SbICRYLWaT» MHeHMe apyroro AoKTOpa No ux cnyyalo, HaunHann neveHne B MoeM OcbiCe TonEKo No npH MMMHe BHIMaTerbHOFO K HIM OTHOWIEHAA. Yonex npegnpnaTa saBMcHT OT Toro, HacKOnibKo Bb Tepnenmeb! no OTHOWeHMIO K NayAeHTaM, Bonu TBO MX — AETH HM NogpocTKH C AOBONHO HUZKOA camoavcunnnunod, MayneHtei HaxogATcA 8 TOM BOSPaCTHOM Nepwoge, KOTAa MM CNO%KHO BO BCeM CNefOBaTb bMM-TO ykasAHMAM, M AOKTOP foMKeH HaXOAT> NONOAMTENbHbIe MOTHBAYIAN M BCAYECKK NoollpATe nayeHTa, Aaxke ecnin 910 .cTaHoautEcA cnoxKHbIM, C apyrofi cropohsi HemanoBaxno, HackonbKo Tep- Tenwe cam nave. OpToAoHT He onKeH ccraHaB- nweatecn Ha AocTurHyToM, MHorga Korfa nayneHTet He BunaT nporpecca, om cTaHOBATCA HeTepnenn- seimn. Dont oproforra nepen nayveHtom — npa- TORT BCe CBOe YMEHKeE ANA AOCTWKEHMA sanna- HupobaltHoro pesynbtata, OAHaKO OH He MoxeT non- HocTbio OTBeYaTS 3a nalMeHTa. TayKeHT fonKeH OcosHaBATE, #TO BO MHOTOM yonex NeYeHiA sasucHT oT Hero camoro. Onpepene se sapi-1— coc-aaiiaa uae paSorue faunetirakn. Yari-Simplex Discipline ::oanonner NeTKO ONPEAE MTs BO BpEMeHti NPOMEXyTOUHLIE Yenw 4 sanaun neveHun, Mexainka Vari-Simplex TANOBP, HTO AOKTOP TOYHO aHUeT cKON: Onky M Ty Xe LlepKoBb, 4 Tak Janee. Permctpatop cbikevpyer aro cooBierie, nocne Yero 8 mypHane ueHiNl HOMeMAET War aBCHMBIVEr "anesgU4 KOif4@ dint NEKO, WaT Ha pMem, 2a uit chopmauna tia nucre Gyiarn sknapbisaetca 8 Kap- PLEASE PRINT TIAL EXAM [REFERRING YOU TO OUR OFFICE?. & Pwe.2.2. Kaprowra noBore naypenTa Touny mauveHta. Sto nosaonseT oprononty ye BO Spemsa KOHCYNbTayMM AOMDKHbIM OSpasom O|eHuTE TakoTo pofa BsaMMOOTHOWEHMA NalMeHTa u ero ay6Horo epava. NEPBbIM OCMOTP Hobbili naynent yrxe nogoSaiouynn oGpasom acTpe- eH peructpatopom, Ho Gynet Hennoxo, ecnn ero NOMPMBETCTEYIOT TAKKE CeKpeTape wn ynpasna- unit. Cnepsa poputenet npocar sanoniits Kap- TouKy HoBoro NauiMeHTa (Puc.2.2). Vidopmaynn, HeoGxoquman ana storo, akmiouaeT “ma, anpec B03- Pact, MecTo paSoTsi poamTenel, npHuKH! no KoTO- PIM OHM OOpaTinwct K OPTOACHTY, WTO MMEHHO 4x Gecnoxour Goriie acero, neyncs nu xro nuGo us POACTBEHHMKOB 8 9TOM ochtbice, a Tak Xe HEKOTO- Pble AHHIe O sf0poBbe NayneHTa. fins sapocniix NauneHToe sta KapTouka BbITnAAMT HecKonLKo wnave: "nHcbopwaunn o nauneHTe " sameuseTcR Ha withopmaunio 0 nayneHTe u ero (ee) cynpyre. 2Npaansiouinii npurnawaer nayncxTa 4 ero popn- TeNelt 8 KOHCYNbTalOHHylo KOMHaTY, I; OHM Noy “al NaMSITKY, 8 KOTOPOR CoAepAUTCR HHcbopmaUA © YEPAX Nepsoro oeMOT}!3, HAY eH Ruerucens CK a0yikoel a TAK Ike Gt! YAM NOPAROK HusHee- Hii Ha NpweM B Npotecce opiopoHTiuecKoro neUe- pate Pantene MALE. FOMALe © nae suntnonre = Prone =. aaa a ¥ See ee eee a “PARENTS or GUARDIAN 2 manaeo wa. 08 8 Serinaren rst. 5 Bones ranwers Fir nae, eucoreo a, Susness rosmon, Joona = orien na nae eunoreo ay uses ros toon = mes 27 as te et ie SS CT erin CT) tm FE) ant tn Pro "HRT [ woven] semen Suan in aa ee & roms — mene [—] meson seen rere A taki MIB = Fs aoenoe—mamomr [—] mown [=] fy | tmacto romeo ores ‘ver MASON YOU ARE SEEK THEATWENTY anes Sexier om. searves rear tne ‘Hod MAY WET FoR Hus (Puc.2.3). Ynpasnaiouni oGvachneT went NipegcTonuyero OcmoTpa Gonee peTanbHo. Oxngan Npwxona Bpava, NALIMEHT MoxeT OSHAKOMUTBCA c SpowicpoiA " Hopora x cynep ynbi6xe" Ynpaansiouni octasnner naynettTa u poantenei a KOHCYsIsTALIMOHHOM KoMHaTe, NocrIe Yero NoMeyaeT ‘TO HMeHHO — oTey KNM MaTe — npuBen peGeHKa Ha KoHcyribTauimio, Sto NoMoxer AOKTOpy npu Gyny- Wei BcTpe¥e BCNOMHNT» Koro ns poANTeNeli oH yKe Bygen. KaprouKa Hosoro nalyveHTa paameuaetca Ha nop- craake 8 neveGHom KaGuneTe c Tem 4TOGs| ZoKTOD Goin ocBegOMNeH, TO HOBLIA nalyenT xDeT KOH ‘cyNbTalMn B COCeAHeN KOMHaTe. Tlepaoe noceujenne sakvMaeT OGbI4HO 15 MMHyr. Bofign B komnaTy, NoKTOp npegcTaBnneTca poauTe- ‘SAN, 3ROPOBABTCA C HUMIN 3a Pyky NOCNe Yero NOBO- paynsaetca K NaLIMeHTy M roBOpHT “Hy, 2. 3TO KTO K Ha rowuen?" 2a npouenyoa nomoxer nannenty 4yBcraoBaTs ce6a Gonee KoxcpopTHu Npin pasroBu- Pe ¢ apartom — ocoGern0 910 KacueTe” cvacem 1OHbIK NayMeHToB. B TeveHNe Acero BpeMeHr KOH- ey NbT aut YNPAnARIO AA Ci/MT 8 yrny KOM. tet chaxcapyer nony4enHy1o nip pasiopope nucpopma- Unio Ha OGpaTHol cTopone KaprouKa Pucd.3. Nawarea Nepsbiii YCTHBIi KOHTAKT ¢ NayMeHTOM M ero PopH- TEMAMM MOXHO CHMTAT HaN@KeHHbIM, M HOKTOP, BO BPEMA MBITbA PYK, MepsO-Hanepso cnpawmseeT "NPVXOAMNOCE NM BAM YK MMeTb C OpTOROHTaMu"” Uens storo sonpoca —onpenenirs "koochcuunenT yMcTBeHHoro pasBuTMs" AakHoll ceMbiA B MINaHe op- TogoHTMn. Uacto oTBeT GbibaeT oTpuLaTeNbHbIM. Vikorga MOxHO yenbiwaTs, 4To crapuunii Gpat wnn cectpa un axe camn poguTenn yxe npoxonKnn optogoHTuyeckoe neveHwe. Mpeabiayuini onstr woxeT GbiTb Kak MpekPaCHbIM TAK M YXACHBIM, 4 B VHTepecax AOKTOPA BLIACHIITS STO KaK MOXHO CKO- pee, Sto MoxeT GuiTb BuauT nocne ye uMesWwer MecTO KOHCyNbTauM y Apyroro opTopoHTa, PoguTe- 5M MoryT B 9TOM M4 He NpisHaTecA. Ecnn xe OHM cooGuyinw Bam 06 stom, To HeoGxogume onpepe- JWT, 4TO UMeHHO VM NOHPABKNOCh a 4TO HET B Npepbiayuiel KoHcyNbTalinn. Crepyiouyii sonpoc kacaeTcA yHacTKoRoro cToMa- Tonora. MoxHo cnpocuTe Tak: "4To AOKTOp Aywaet oTHocuTenbHo Bawel npoGnembI?" ObisHo MOXHO ycribiuaTe AB oTBeTa — nnGo (1) "OH Hi Nero He ckagan no STomy nosogy, OH ToMsKO Noco- BeToRan OBparuTLeA K opTopOHTy", nu6o (2) — O¥elib YacToe yTBepxneHme: "OH CKasa, Uro Bn3- MOXHO, NpIETER YANMTs YeTHIpe sAopestIx ay6a". Ecni yaaneime yoke Nnenmpopanocs a1 caenaet npoueaypy ocmorpa HeckonibKO nerve. Emm xe Ha Balll BSI YaunCIMA He ipeOys,.a, .2 Monta ckagaTe naleHty Tak: "3yGbi Ha caMoM fene BLI- FNAQAT HepOBHbIMM, HO eCNv Thi Gyfeulb BLINONHATS Ce Mow TpeGoBAHnA M ClapaTeeA NoMoraTl: MHe, TO BOSMOXHO Mbi CMOKEM 3TO ronpaBuTe M Ges ynane- Hua ay608 ". [ocne Taxoro yreepxneHun Bb! GyneTe BBITTIAVeTS repoem B rnasaXx nal\MeHTa ero poguTe- nei. Nepeg Tem, kak Bbi HenocpegcTBeHHO NpucTynuTe K OcMOTpy nalweHTa NonesHo Ha4aTS C KaKOM- Hi- Gyg> WyTKW Tuna “A AOMKeH NOCcMOTpeTb, 4TO y¥ TeGA c TaouMM syGamu uM OGeUiaIO TO He yRyWy Te6A, ecnu Tei NooGeuIaelb MHe, YTO He yKyCuLe wenn", OGctaHoaka craHoBHTEcA Gonee HenpHHyx- AeHHOA, y NayeHTa vero poguTenei NoBbiWAeTcCR HacTpoeHne. Npemne, 4em sarnakyTb nayveHty 8 por, HyXKHO Nponanbnvposat BYCOYHO-HMKHEYEMIOCTHON cyc- tae (BHC). ¥ nayywexTa Hago cnpocuTs, oulywian nia OH Korna-HuByo> lym, Gone, un AVCcKOMcbopT B To oGnactw.( Puc.2.4) fanee, nonpocuT naynen- Ta oTkpbiTs pot oBcnenoBaTe H ONMCaTS cocToRHKe TwaHed AeceH. Naynerty npegnaraiot npornotuTe CMoHy, 4TOGbI OYeHUTE MMOcYHKUMOHAFbHOe CO- cTosHme. HakoHeu, OcMaTpmpaloT syGHble pyr (Puc.2.5). Ormevalorcr NOcTORHHbIe, MoNoWHbIe, yaanevnbie sy6x1. Onucbisaetca chopma Ht cocToR Hae syGHbIx Ayr (yakMe, LuMpOKHe, CKyYeHHOOTS). Mauwerta npocrT HakycvTs, npowssonsT Knaccl- cbuwayuio no SHrnio. CtmeuaioTer nepexpecTHbili NpwKyc M cMeUleHMe YeHTpanbHO MuHun. Danee WAYT MaHMnYNALWAM G HWKHE YeniocTIO, YTOOb! CpasHNTb YeHTpaNbHoe COOTHOWWeHKe YenlocTeH c UeHTpanbHof oKKniosnes. MamepreTca wens no ca- rurtana 4 no BepTiKanu. OcmaTpnBaetca i onMcbi- BaeTCA NpodNs ayneHTa (BbINyKNbIA, BOrHyTEIM, GumaxcunapHtiaa npotpycua, Knacc Il, u. T. .). Tenepe, oGpauyjanct K naliweHTy, MOXHO oKagaTb: “Hy gor, Ha cerogHs Boe. Beab 2To Stino He o4eHE crpawino, He Tax nn?" Korga npnxoant spema oBcyxneHuA npegsapn- TeMbHoro AMarHo3a C Nal\MeHTOM M ero ponuTeNa- ‘wi, HeoGXOAMMO NOATOTOBMTbCA k peuleHinio cnezy- joux Bonpocos: 1) Slevenne GyaeT npoxopuTe c yaanexuem syGos win Ges? Ecru 20 norpakuHbili cayyai, To sty WHcPopMayMio TaKKe HEOOxoAMMO YnoMAHyTe. 2) Oxngaeman npofomxvtensHocts neyenua. 3) MpwmepHan cymma roHopapa. TaioKe Pvo.2.4, Manbnalan 8AcoNO--aeKieNeniocThoro cycrasa. Pes Puc.2.5. Ocmotp 3ySHinx 2} nayneHTTy cooGuyaetca uTo yxxe cnezyloujee noce- ueHive ByneT nocBRALeHO NonyyeHMo quarHocTA YeCKNX sanvicel (KoKTpONLHbIe MogenM, choTorpa- chau, w7.2). Ha som atane nayneHT MomeT oTkagaTbCA OT cne- AYOUeTO NOCELUEHMA 4 BOOGIE OT AaNbHeiWero Jleyeniaa. Ecnn xe NauWeHT Mero popwTenn npuHi- MaloT BCE YCTOBMA TO AOMKHbI GbITe cHaOKEHEI BCE HeoGxoqMMoii nevaTHolt mHchopmaynel Kacarouledi- Ca UX fanbHeMwero never Kora nauvert aan cornacue npopormuts sHaKoM- TBO ¢ ocicom, perucTpaTop NopBOAMT BCI CeMBio K cBoen cTodiKe, YTOGbI CReNaTe sanucy u sce HeO6- XonMibie HasHavenua. Bawmaetcn Taoke nara 22 Konoymsrayyo. Ecnu naumext Syner Hanpasnex kK Apyromy foxKTo- PY, KOTOPLili AOMKeH BygeT NpoRENats ¢ HAM onpe- AenexHy.o paGoTy, nauneHT omKeH nonyuute co- OTBeTCTBYIONIyI HiXcbopmaYiNO. KapTouKa Hosoro nalneHTa cTnpasnrerca x ceKpe- Tapio, KoTOpbIii OcPopMNReT NeYeSHylO KApTOUKy, a TaloKe COCTABNAET NMcLMO cToMaTONOTy OGujel TpakTaxi naynena. KaptouKe Hoeore naynerTa pe- fucTpépyeTca B KapToTeke. 3a AeHb AO NpMeMa Lina MONyYeHUR QuarHOCTHMMeCKMX sanvcel KaprouKa BoccTanabnuBaeTca M WcnonsayeTcr ANA sanonie- Hus GyxranTepcKnx KHUT M APYTMx HEOOXOMMIx okymertros. Muorve opronorTsl HasHavalor naymeHTa Ha npnem NA NoNy4eHNKA AKArHOCTHMecKHX sanncel yxe B ets ux NpHxona Ha KoHCynbTaUMio. Bo MHOrMx ‘ocbucax ¢ STMM He CornacHbi, Tak Kak onpegeneH- Holl npoueHT auneHTOB sto NoceuleHMe NponycKa- eT, ocTaBnian 8 TeveHinu paBovero AHA MHOTO Hesa- HaTOro BROMO", NONYYEHWE AVATHOCTAYECKUX 3ANMCER (Puc.2.6) 3a j.eH JO Npwxona HatwelTa nones:s cael. & Koe-KakMe npvroToBneHua: sanonHurs GMpKA srs PeHTTeHOBCIMX CHHMKOB M KOHTPONBHBIX Moenea, NOArOTOBMTS KHAMBMAYaNbHbIA HAGOp ANA rurmeHis Nonoctu pra. B aro nocewerine perncrparop actpevaer nayweH- Ta w ero pogureneli y cTomKN HW NpoBOXxAeT Mx B KOHCYMbTAUMOHHYIO KOMHaTy. MaymeHTy BbigaloTcn cpeactea rurmensi. Cpasy xe nonesHo HanoMHMTe TO @ Gpowniope "Fopora..." mmeeTcR cooTseTCTAYIO- \Wan Maga NocaAUeHHaR NpaBuNbHomy yxony 3a nonoctbio pra. Tak-me cnegyeT oOpatuts exnma- ne nayjeHTa Ha cneyvantHulli pasaen B Opousiope NOCARLYeHHBI BuTaMUHy C. Jane nayneHTy noKa- SbisaioT BusAeORaNWCL YpoKA NO rurMeHe NonocTH PTa (cM. COoTBeTCTByIOWIMH pagyen Aanee B STO; fnage). To okoH4aHMM npocMoTpa accncTeHT oTBe~ ae Ha BOSMOXHbIe BONPOCKI OTHOCMTENSHO rurne- Hpi. HaxoHey NalMeHT npoxognT @ KaGMHeT, a ponu- Teneli npocaT nogoxgate 8 xonne. Npoyenypa nonyyertna qMarHoctMueckHx sanuceli BKmOH2eT B Ces NonyveHNe peHTreHOBCKHX CHiN kOB — TenepertreHorpammal “ optonaHTomerpam- Mbl, NuMjeBLYX U BHYTPApOTOBLIK oTorpacbill, sro TOBNeHME KOHTPONbHBIX Monened. To oKoHaHiM BbIUIEHASBAHHEIX NPOYeAYp, NayweHT BoaspalijaeT- AK cTomiKe peruetpatopa. Ponwrenn nony4nnn Hasaq cBoero peGeHKa W Teneps MOxHO C HMMM ACrOBOpINTECR 0 BPEMeHM cregyIOWIeN KOHCyNBTa- uni, BsnMaeTcR nnaTa sa quarHocriueckne sanncu. Ponwreneli npocat sanomnt HoMep ux KapToUKn i V3BEUIAIOT O TOM, HTO Mane BCE AeHeNLIe pec YeToi Hao Byer NpoMsBO MNT cornacio STOMy HO Mepy. Koraa nayvent yxogur, peructpatop sosepatuaer efo fanky cexpeTapio, a ZoKyMeHTbI 6 onnare ne- penser cbutaconomy cexpeTapio unu Gyxranrepy. To oxotvatnn sToro noceleHine cekpeTape cocras- RET BTOpOE NMcbMo CTOMaTONOTy OBULeA npAKTHKA alMenta. Cexpetapb Taioxe orseyaer 3a sanonHe- HWE MM AKKypaTHoe BEneHHe KapTOUKM nayneHTa. Mlanka nayevta nomewaetcs Ha creuKansHyio nonky. Pertrerosckve cHumu, choTorpacbum, KoHT- PONbHbIe MORENK B CTaAMK NopTOTOBKK. KOHCYNbTAUNA Koraa AnarHoctn4eckne sanitcn roToBbi, qoKrop uaysaeT Wx W fenaeT cuoe sakmoveHine. Henocpeg- CTBeHHO Nepen KoHCynbTayMeM CeKpeTaps nocTaB- RET AMArHOCTHMECKHe MaTepKanbl B KOHCyNsTaLN O#Hy!0 KoMHaTy. Ynpasnaioumii nposoxaer nayeHra vi ero ponure- nei B KOHcynbTauMOHHyIO KoMHaTy. CHavana oH AeMOHCTpHpyeT BHO cbiuniM, re B OSuyAX YepTax PacckaabieaeTcR 06 opTosoHTuvecKom neweHKN, B eTanax oGcyxnaerca pacnopagoK ocuca, vacbi ero pa6oTsi, npoeaypa sanvicu Ha npvem, npasuna BaaMMOOTHOWeHAi; C APYTAMM nauMeHTaMn, nopA- AK BbisoBa B e4eGHbI KaGuHer. Snece xe pewiaioTca ace chMHaHcoabie Mu opugnuec- kne Bonpocst. A npepnosntaio ¥TO6bI K Tomy MomeH- Ty Kak # BOWEN B KOMHATy BCe 3TH BONpOcEI Goin yxe pelenbi, a uHave ect yrposa, “TO Hiro He Gyner cnywaTs Hier M3 Toro, 4TO Ai CKay, NoKA Wim He CTaHeT WaBecTHa cymMa roHopapa. )Kena- TeMbHO YTOGbI ynpaBNmOUWK oc>mcoM nepepan Bci0 sty "HecuMnaTuNHyio" WxcbopMaLimo nnaTens- UYMKY, @ Tak xe HaYaNO M CnOCOGsI BbINNaTE roHO- papa. Mo oKOHNaHMM OH acTaBnReT copy “Corna- wenn..." (Puc.2.7) ana npouTeHinn nauneHTy u ero pognrensi. TaxnM o6pasom Kora A BXOKy B Ka HeT Bce HeMeAMUMHCKKe MPOBNeMbI )rKe pewerbl, a NayneHT 4 ero PoAMTeNH MoryT CKOHYeHTpUpOBAT BHUMaHHe Ha MONX AuarHocTHMeCKHx BLIKNaAKaX. Tepsoe, 4T0 # aenaio — sto chororpacupyio acio Cembio NPM nomoWM "Monsiponga". PoTorpacbin 1s Pwc.2.7. opma “Comawenus" oaxke npikpennnetoR Ha sanHIoI0 CTOPOHy KapTow ‘et, YTO NlosBOnMT AOKTOPy 4 NepcoHaTy NOMHNT®, X70 MMeHHO wa ponCTBeHHnKOR npHBOANT nauMeHTa Ha npven, a npi TenecboHHoM pasrorope cpoToKap- Touka NOMOMeT NpescTABUTs ¢ KeM cobcTEeHHO wMeeWUb AENO. Hanee oGcyxnaercr chopma "Cornawenun...", CNM ecTb Kakue HYGyfb BONpOCHI To Hano Ha Hux oTseTuTb. NawelTa n poawTeneli npocar nopnua- cate TeKcT cornawenms, Ero nognMcipaeT Tak xe AoKTOp, HO yxe Kak caMgeTenb. Sa aTuM cnenyeT NOAPOGHEIA paccKas o Tom Kak 6yneT npoTeKaTe neveHne. Hike Npegnaraetca TunnuHaa copma no KoTOOli HOKTOp ManaraeT COM MbICMM OTHOCHTENb= Ho NPeAcTORUNero neverna, "Yepes Abe HegeNA Nocne Toro, KaK Mbl NOMeCTHM cenapatopil Ha aySbl, Gynyt ycTaHOBNeHbl GpeKeTa! Ha BePXHiGiO YeNOCTb (MOXHO NOKasaTb KAaK 3TO BbIPMAgUT Ha TMnogoHTe). Yoxe B cnenyloulee noce- jeHite Mbl ycTaHOBMM nALeByIO Ayry wnu peTpaKtop (aT npucnocoBnexve Toxe MOxKHO NpoAemMoHCTpU- posatb. OveHb 8axHo, “TO6bi Bbi HocMNM perpaKTop To YeTeIpHantaT’ Yacos B AeHb Bech HEOOXOAMMbIii Repvog Bpemetin. Sto GyneT cTaMysmMpoBate POC HWKHEM YeniocTM BNepen M BHM3, B TO BPeMA Kak BepXHRA YeMOCTb YACPKUBATECR B CYILIECTAYIO\LIOM nonomekni, Sto NoasoMMT HaM AOCTHUb Takora pe- aymbtata, K KOTOPOMy Mbi CTpemmmes. LWecte — ASAT MecALeB CnyCTA Mbi ycTaHoBuM Gpexerbi Ha HrxHiolo 4emocTs. B TeyeHnn NocnepHero ropa ne- YeHinn HyakHO ByHeT HOCHTS TakoKe peamHoBbie Konb~ ua uni snacrukn’. “Tesexne GyneT AnMTecA ONTAK aba rona, Ho NpugeT HakoHeL TOT CuaCTNUBbIA AeHb, korga 6pexeTe! SyayT cHsTBI. Satem Sypyt zroToB- Heli peTeiHepel. Bepxtii pereliep SyneT chem- HbIM, HO BOT HIXKHiNiA Byer sacbukcnpoBaH BO pTy Ha focTaToUHo ARMTenbHell nepuoA BpeMeHn" "OTo To, 4TO MbI HasbiIBaeM OpTonalToMorpaMMoi (goxrop yrasbisaer Ha HeraTocKon c peHTreHOBCKiM CHmxom). Noka abi GyneTe HOCMT» peTeiHepst, Mbi Gylem cneaurs 3a syGamu MyApocTu, KOTOpbIe BEI BupuTe Ha sTOM cHumke. Korma BaM ucnonHuToR WecTHaguaTs — cemHaguaTs fet, Moi 6yAeM BbI- HyXkeHbI UX yAaNMT, ECNH He NOABMTECA AocTa- TowHoro npocTpalcTEa ANA Toro, 4TOGbI OHM Npope- sanucb. Yepes rom nocne aToro Mbi CHUMeM HinKHIA pereiiHep, n ewe Yepes rom ecnu ace Gyer xopowo To mbi Hascerna waaBMM Bac OT Halero ObuyecTEA. Ec mm y Bac Kakne-HuOyab sonpoce!?" OueHb 8@KHO, YTOGb! MaLMeHT vero poAuTenn Spin K Tomy BpemeHA GocTaTO¥HO paccnaBneHHsiMu, YTOGbI MET BOSMOXHOCTS Y3HaTb Bce 4TO OHM xoTar. HexoTopbie moa HaunrsioT sananaTh BO- NPOGI!, TONbKO NMLWb A NORBAMIOCk B ABepnx Kab: Neva . Bronie pez0HHo oTBerMTe Ha HeKOTUPbIE ns Hix, Yo Nocne JToro Gyner ny we ecrM Bhi CKaKeTe: “Plo Tore Kak eh! sananuTe AononWMT:nbHbIe sONpO~ chi NOvEMy Sti BAM “2 Nath Cke3aTS MH TO “iO # cuntaio BaxHbim, Aymato, 4To- Ccatbim 1 Nos HOCTbIO YAOBNETBOPIO BAL VHTepec No 3TOA npo- Pc.2.8. 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Ques pexomerzyio, 4TO6bi Ha Geceny c ackTopom oGAgaTensHo nomen oTely: pe6eHKa 80-lepabix, HenvUe NocMOTpeTB Ha YenoBexa KoTOpbil ByneT exemecuHo OToBINaTE B Bau! otic AeHSTH, a BO-BTOPLIX, OTe NOMKeH WIMeTb NPeAcTaBneHne 0 ToM, 3a 4TO MMeHHO OM OTAACT sHa4unTenbHylo YacTe CeMelitiore Glogxera. acto naynent, Korna emy GbiBaeT TpyaHo noMo- Fats AOKTOpy OGuTECR xopowMx pesynbtatoR ne- eH, OcOBeHHO HyMnaeTCA B OTYOBCKHX HacTaa- NeHnax m8 Gonee aelicTBeHHbix cnocoGax noanep- 2kaHMA AMCUNNNULI, CGiyee epema, KoTopoe CeMbA HaxoauTcA B ocbyce B TO NoceleHne, OT CopoKa NFTH MAHYT Zo Maca, B SaBhenMocTH cnoxHocTA cny4as, HenocpencraeH- Ho woe Bpema KoneOneTer of NaTHAALaTH MMKYT 70 nonyyaca. KoHcynbTayn HasHayaioTes B 11,00 ns 16.00, To ecT» nepen oGefoM h Nepean KOHYOM pa- Govero AHA, v ecru A Nepepacxopyio Bpema, HeO6- XOAMMoe ANA KOHCYNbTayMn ApyTMe NalMeHTEI HE nocrpagaior, No oxcH4anmu Geceabt POKTGD Fi AMT CEMbIO K CTofike peructparopa, rae coBctaelo W saKalun- Baerea oncyntirayun. 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CTPAXOBAHME MALMEHTOR: Kowmtet no TuuHol OreercrsesHoctu asnaetca cocTaBHoi uacTbio Accounaynn CTomaTonoros urata Texac. 31a crpyxrypa HacTOATeNHO peKo- MenpyeT cromaTonoram — lB 3TOM Ales NONHOCTBIO NOAHEpNNBAIO— He NPMHMMaTE NPAMBIX BbITUIAT OT CTpaXOBbIX KOMNAaHMii, ToT ,kTO pacnopaKaeTcr MOMMM f@HbraMu, TOT ABNACTCA MOMM XO3AVMHOM. Ecnn naragecnt urn wecrbsecaT npoyeHToB AOx0- a oproporta GyayT NocTynaTe OT CTPaXOBLIx KOM- TaHiti, TO MBI BCe aHaeM, Hem ato Bce saKOHMMTCA — 27H opranusaunn HauHyT Onpenesats nonuTAKy, Ocpiica, To ecTb, HEM e4MTe, KAK NEMINTE, M CKONLKO 3a. 970 Gpate nener. B moem o¢puce 6ynyt akkyparHo sanonisTs cTpaxo- Bole Grav, ecn 3TO NpMHeceT KaKyIo-TO NoNbay TayneriTy. Ho Np STOM MHe He MHTepecHb! MOTUBLI NayneHTa, TaK KaK A He Kay HiKAKMX NocTyNNeHNi B 50! Sioypxer oF Lrpacus0l KOMIK, Abepy Aesia TOfbKO C NaleHTOM Wnw ero poguTerWiMa. [ayaeHT UinatHT rMdHo Mie, MnO aTOMy Moa paBoropaTen nayMeur, = He eT -xonam KOMNAHHA. GCE AORYMUTLL NO Ciparssavinia SuNOLMRIOTCA B ‘otbuce Ao Havana akrvskcro neyeHmn, M xpaHATCA Banke naynenta, B npoyecce xoHcynb Tatum naynexTa anu ero popy- Tenefi NpepynpexgaioT, 4TO AONKHb! GbITe sanon- HeHBI M NOANMCAHBI COOTBETCTRYIOUIN AOKYMeHTEI, roe GyaeT ykasaHo 4TO BCe BbiINNaTs! NocTynaioT HenoopeneTaeHHo oT NayweHTa. CexpeTapb. KoTO- bili saHMMaeTon atu, ocpopunneT cTpaxoBoe npH- TOXKeHve, peKOMeHAOBaHHOe AmepukalicKoii Acco- uvauned OpTopoxTos (AAO). Vincbopmalinn aKmio- ‘eHHan B aTY CbopMy BKMHOUAeT KpATKOe MSNOXEHIE Tiga NeveHMA, omugaeman ero NpopoNMKUTeNb- HocTb, Havamo NeveHMA wero cToMMocTS. Fpacba "eTOMMOCTE" Taloke pas6uBaeTCA Ha HECKONBKO nyH- KTOB: cyMMa Nony4eHHaa 3a NepBMMHbI OCMOTp, 2a AwarHocTwueckue sanmcy, BCTYNMTeNbHbili B3HOC HM NaH BbinnaTel OcTaBLUeVicA CyMMEI. Konun scex ctpaxoabix matepnanos xpaHaTca BMeCTe C OCTANbHbIMM AOKYMeHTAaMH NayMeHta, a OpiarvHanti OTCbiNaloTCA B CTPAXoByIO KOMNaHMO, Vitcbopmayna 060 acex npowsaeneHHbix B ocbice CTpaxoBbix NpoleAypax AOMKHbIM O6pas0m AoKy- MexTupyercn. Ecnu nocne sanonveHun Toro MMKKMambHOro Konu- ecTBa CTPaXOBbIX AOKYMEHTOS, NPMHATBIX B HallieM yupexaennn, NayWeHT BCe eUye MMeeT BONPOCEI NO NoBoAy cTpaxoBKN Mn NpocHT 3aNONHitTb KakMe TO AononhurenbHbie GnaHku, Mbi npeanaraem emy 06- PaTwreca HenocpepcTBeHHo 8 CTpaxoByi0 Komna- Hino. AOPOTA K CYMEP YIbIBKE Kaxapii saaTeili Ha neveHne nayneHT oGecnesnsa- eTCA KHMXEMKOM, KOTOpaR HasbiBaeTcA “flopora K cynep ynbiGke”. Tpuquate ctpaHnu storo UBeTHOrO Gyknera, wcnonbsya MeTadopy fonroro astomo- GunbHoro nyTewectanA, HecyT 8 cee uncbopma- Uwio 06 OcHOBHIX sneMeHTax opToBOHTHYecKoro neveHine. Npoxenas Takum oGpasaM sech nyt oT Havana O KOHYa, NauMeXxT cMOxeT 8 AOCTYNHON ‘ana ce6n cbopme novepnityts cBeneHinA 06 ocHoB- Hbix COBLITUAX, KOTOpbIe NpoUsOAAYT ¢ HMM B ROPpO- re. KpacHoa nine Yepes sect TexcT NPoXo”HT waea Koonepaun nauveHTa ¢ AoKTopoM. Meponpustua B ocbuce npoxopaT Gonee rnapKo, epeMa neveHMs coKpaujaerca, Kora KaxabIl y4ac~ THMK STOFO NpoUecca, BKMOYaN NayeHTa, XOPOWO npepctasnser ceGe, YTo nponcxogur. "Hopora...", kak chopma NpopommKuTeNbHOw CBAIM C Na4MeHTOM, oTseyaeT Ha ero BoNpoob! Ha NOHATHOM ANA Hero abike, 4 Takiam oGpasom crocoGcrayer nporpeccy B neveHMM, Ao Toro, kax mei paspaGorann sty Gpowtopy, Gont- twyto npoGnemy paGoTHnKam Moero ocbuca npHHO- CPM FOGXOAMMOL »MOETORIT. AeRMATs NCI KOH TPONeM KaXKUYIO MESON, BUSHHKAIOLIYIO Mp4 Pao Te chaunelTom, Ecrin palbule, Bpenlbie NPMELINKH, JaKwe ¥>« NapacbyHKIHs: AgbiKa Ln cocaHWe Bonk WOFO NaMbU:, MPOCTO He JameUaNuce, TO cer ac NAYPEHTE! Cu.2it AKYEHTUPYIOT BHAMAKME ZOKTOpA Ma HX, MPO» CP-ITBETCTEYIOU\AA paanen KHMTH Takxe 8 KHure MMeIOTCR pasgenbi paccKasbiBalo~ ume 0 npaaKnsHok “ncTKe ay60B, 0 Koonepayn RauweHTa c JOKTOpOM, o npepynpexaeHnn notepn Gpekera. Kiwra conepxut caeneHus o npacnoco6- NeHUAX, KOTOpbie BCTPeYalOTCR B OPTOAOHTMYeCKOI NpaKrike, w ux KOMNOHEHTAX. Ecre euye ofHa npwuniia, no xoTopoli BaxKHO YTO6bI NauMeHT Nonyynn sty MHchopmaymio Ao Ha¥ana Ne- \eHMA: MHOrve MonoAbIe MoAM HaxopATCA Nog Bne- YaTneHvem "crpaumnok” npo oprogoHTHYeckoe ne- YeHMe, KOTOpbie 4acTO paccKasbiBaloT MM CBEpCTHM- kn. YTO6bI YCNOKOMTS NaLIMeHTa, MOXKHO CkasaTb eMy cnenyioujee: "3Ta KHMra CoMepxMT ace chakTbI Kaca- fouymeca Teoero neveHMA, K ecru KTO-TO M3 TBOMX Apyseli ckaxer TeGe UTO-HYGynb HeOGEIMHOe un ‘OTMMYHOe OT Toro, YTO HaNMcaHO speck, sa6yab 370", OfHako @ npoyecce neveHMA Kaka TO YacTb. NONy¥eHHOR WHtopMaLnn saObIBaeTCA, UW NosTOMy BPeMs OT BpeMeHA HEOOXODMMO HanoMMHaTE Nayn- ely ewe pas nepeuwTarb Te unin MHbIe CTPAHMLbI B 3aBUCMMOCTH OT TeKyUero sTana eYeHiA. Hanpi- Mep, NepeA yCTaHOBKOM cenapaTopos nayneHTa Mpocat ele pas o6patuTb BHIMAHMe Ha COOTBETCT- Byloulyio rhaay, nuGo AONOAHMTeNbHO BLIZaIcT eMy CTpaHinye! Gpowiopsl, NOcBRLEHHBIE eTOK Teme. Vinw, nepen ycraHoBKow nayesoi ayru, naymeHT Ronyyaer cTpaHnuy rae pacckasbiBaeTcA OG 3TOM npwcneco6nexuu. EKEQHEBHbIM NPVEM MALMEHTOB: CywectayeT ctapsili achopwam, KoTOpEi say4nT npumepHo Tak: "KoHTponupyiie Begenue Kur 32- McK Ha MpMeM, a MHaNe OHa HaYHeT KOHTPONMpO- BaTb Bac”. Coctasnar pacnmcaHve, Hano onpese- IUTECA HACHeT HEKOTOPbIX BAXHIX MOMeHTOB. Jo- KTop AOMMKeH cnpocuTs ce6a (1) xOUeT Nt OH pado- TaTb No BeYepam? (2) ROMKeH Mu OcpUc GbiT OTKpBIT no cy660Tam? w (3) Hago mu HasHauaTe nalWeHTOR 8 yTPeHHMe 4aceI? asnveckn TpyaHo Kanpbii AEH’ paGoTaTs c pake- To ytpa Qo Mo3aHero BeYepa W MIpv TOM MMeTS TONbKO OAMMH BbIXOAHOA. MosTOMy PewWeHHe NO BbI- WenepeducneHHtiM BonpocaM AOKTOP AOIKeH Bbi- HeGTH cam, WeXOAA M3 COGCTBeHHOA MHAMBMAyanb- HOCTH, CTANA XM3HIA, W SKOHOMMYECKHX 3anay. 3a- MeYy TONbKO, TO Caenate sto nonyac Gpisaer cnoxHo. Mano omy 13 AOKTOpoB xoueTCA pa6oTaT No BeYepam no cyGGoTaM, Ho ecnu Bala npakraKa 8 CTAAMK CTaHOENeHIMA, noveMy Gb He noViTM HaBCT- pevy naueHTam, KOTOpBIX B OonbUIMHCTSe CBOeM 3T0 BpeMA OMeHb ycTpauaaer. OnHako, Kora uMen yxe ycTonaluyioca npaKTuKy, RokTopy HagoecT pa- Borate B OTH Yacbl, NPEORONeT MHEPYMIO KHATA HarHadeHnn By Net OMeHE CnOMHO. Ploxrop aormxer Takxxe onpenennt ok. bKO AHEM 8 Henemo on Gy;eT paSorars, QanH wa cnoco6or Bho: oT HEOGXO AMY KONW E6730 {HER Noone HOBULLIHO ANOMHTe ANWITY, TO ECTS HE sar Bate NayMeHToR Ha BropHikk, noka NonHecTbiO He ykomnnextosaH MoxenenbHak. BropHuK AomKeH 6biTb sanonleH nonHocTbio, npexae Hem Bb BygeTe npogonxats sanuctisate Ha Cpezy. C Gonbumncr- BOM NayMEHTOB MOKHO AOTOBOPHTECR, 4TOOL! OHA np4xogunu Ha npvem 8 6ypHnd ZeHe c ytpa. U Tora CoBepUleHHO Cnpageaniao, TO nepabiM 8 oTOM pany CTaHer NcHepenbHitk, a He KaKoli-Hu6yae apy- Toi Aeke, Ecnw naywent cam Gyner abiGupare jens W Yac cBoero Cnepyrowero NOCeLeHMA, Bb Ha4uHeTe TepAT> KOHTPONs Ha NpaKTMKoli, Ecnin xe Bil Gonb- We CKNOHHD! K TOM 4TOBbI MakchmantHo ynnoTHMTs kaxkablii eH» cB0e!i paGorei 8 ocuce, BMECTO Toro, “TOGbI pasHoMepHo pacnpegenaT> naumerTos no AKAM KeAeNM, —okOHOMMYECKOe UyTbe Bac He Nop- BogMT. Bbl CMOXeTe perynkponats ancnenviocTs NepcoHana sageiicTaanHoro Ha KaxabIl DEH — ot NPeAeNbHo BOSMOKHOTO AO MKHMMANbHOTO B Hesa- NoneHHbie AHA Hekoropbie nayverTel uMelcT BosMoxHocTs noce- ujaT& OpToAoHTa Tonbko 8 ONpegeneHHoe spema, cnenorarenbio, Kaka — TO raGKocTe rpachiiKa pa- Gotb! AOMKHa VMeTb MeCTO, OfHaKO, B uerom, fo- KTOp He AOsDKeH NOSBONATE NaliveHTam NoNHOCTBIO NoasnHWiTs ceGe pacnicakne. Ecnm npaktiKa Torb- KO 4TO OTKPbINIACb M ellie AOCTATOMHO Mana, NoveMy 6bi He paGotaTs HenocpeactseHo B KaGuHere TombKo Ba UN TPM AHAB HeAeMo, a ocTansHoe BPEMA NOCBRTUTS PeLIEHWIO OPraHnsayMOHHEx Bo Npocos? MoxHo nepesHaKoMuTcA Co BCeMM cTO- MaTonoraMi, OkyHyTeCR B OOUeCTBEHHYIO 2KnaHb ropona, HakOHel yAenuTs AOMKHCe BREMA ceNMie, Cugeine xe 8 ocbcbice no copok uacoa 8 Hegento, He 3HaA eM CeO 3aHATb Koro yrogHO BroHNT B penpeccmo, Tako MeTon NonHoro sanonHeHMA pacnucaHun Ha kaxAbii AHL Hegenn TaKKe OGecne4uT KOHTpON Hag Konu4ecTBOM naliMeHTOB, ccMaTpABaeMLIX B Te4eHinn Kaxgoro Yaca. CeTKa KHMTY 3anncu Ha npvem pmewiaer B cea MakcnManbHoe KonuyecTao WMeH NauMeHTOB KOTOPHIX JOKTOP cnocoGeH npm- HATS 3a onpeneNeHHbili npomexyTOK BpemeHit, Cu- TyauWii, Kora OAMH AeHb nalneHTe! GykBanbHo “cmaar apyr Ha ”pyre", a Ha Apyrov pete npnem NloutH He sanonHeH, He AONKHO BoaHUKATE (Puc.2,9). Herb, xoraa AoKTop BeiweN Ha paGory, AOMKEH Gore YKOMMNEKTOBAH HACTONbKO, HACKONb- ko 3T0 HeoGxoquMo Ana schcbeKxtusHod paGoTul. Creayroujee npaauno, KoTopoe tpe6yer co6mione- HWA — Bbi|eneHme agexBaTHOrO KOsMYeCTBa Bpe- MEH Ans BeINONHeHHA Toro MM MHOFO Bua pabo- Tel. PaccMoTPMM NPOAONAUTENSHOCTE KaXROA NpO- Uenypb! 8 oTAeNbHOcTH (aonpoc BpeMeHHbIx saTpaT NW NPOBEAEHMH KOHCYNBTAYWN HAMA yxe OBcyXx- ancs). Hob nayweHT HasHaaeTcA Ha OcMOTp B caMoe HesanonHeHHoe epemsi npnema (oGbI4HO ato Cc 9:30 0 10:30, wn B 13:30). EnuncrseriHol cbyxyned opHoro m3 cnyxauynx AB RaIOTCA NPOL\eAYpbI, CARIAHHbIE ¢ ANATHOCTHNECKA- Mn sanwcamn. Takomy yskomy cneumanncty eT cMbicria HaxoqMTECR B Ocbice Yenbi deHb. Bynet Aye, ecnv BpemaA ANA nonyyeHMA AvarKocTMYeC- ven sarncel GyaeT ¥eTKo CnpeNeNeKO, M MeHHO Ha 97M Yace! GypeT HasHateH nayneHT. KTo-HnOynb M3 accuCTeHTOB Bpava, OCTaBNAeT Ha BpeMs CBOM NpA- Mble oOfsaHHocTm, Mt y4acTEyeT 8 npouegype nos yeeuns anarHocTu4eckux aanvcell 8 KavecTBe no- MouyHNiKa Yeravoska xonely w Hakneiika Spexeros — sanaTue AocTaTOUHO ANMTeNbHOe, H nosTomy GyaeT npa- BUNLHO, ecm Ha Henene 6yfeT BigeneH OcoObIh AeHb, Ha KOTOPSIM HAZHANAIOTCA ToNbKO NaUMeHTEI, Tpebyioune BbiweyKasaHHbix npoulenyp (PucyHoK 2.10). Tak Kak 3a Becs eH» npugetca npnHATS BCerO HECKONbKO NAuWeHTOR (8 SABMCUMOCTA OT Paamepos NpakTHKu ux MOxeT Seite oT 6 10 12), To W KonmuecTao nepcoHana MOXHO CoKpaTUTh 20 Mi- HiaManbHo HeoGxopumoro. KaK npasuno, 8 TeveHin Puc.2.9. Curyaiil, Kora OAM AeMr NaynenTo! EyKsansHo “cHAST Ayr Ha Apyre’, a tia ADyTOM REKw NpiieM NOTH He sanONKeH, HE orm BosHnKaTS “4 a as empl Tau Toro noceujenna annapatypa chukcupyerca TonbKo Ha ofky YemiocTe, n Bpema, HeoGxonumoe ana Toro, — of opHOrO AG NONyTopa YacoB. Bce Meponpustun, cBagalHbie co cHATHeEM OpeKe- Tos M KONeU, NPOXOAAT B CneltaNbHoll KoMHaTe B TeyeHin HeO6xognMoro ANA storo nepwoga speme- Hu. Tlocne Toro Kak AOKTOp cHMMaeT KonbUa u Gpe- keTbI accucteHT nomoraeT emy O4KCTUTS 3yOb! OT ocTaTKos YeMeHTa Mu KoMNosMTHOrO MaTepmana. anee noxrop jenaet cnenin, # TexHiNK 8 naGopa- opin roTOB NphkATe Mx B paGory. TexHik roTosMT peteliep Takum o6pasom, “To6bI y>Ke Ha chepyio- LW eH Mote Gbine ero cars. Tak Kak nauyeH- ‘Toi Ha CHATHE annapaTypbi HasHa4aloTcA KOMNaKTHO Ha kaKoi-HvGyab AeHb, SygeT nerve, ecnw nayneH- Tol GyayT NPMXOAMTb ANA yoTaHOBKM peTeHepos Ha CNepYIOUINA fel», B TO xe BPEMA MB TY Ke KOMHATY. Texyuye noceujenaa — cme ayr, KoppexruponKa mMuenow AM, MT. SanncbiBaioTen Ha ocTasWeeca BpeMmA m NpoBOpATCA B OBbIMHOK onepauMOHHolt komuaTe. PacnucaHve cocTaaneHo Takum o6pazom, ‘\To6bI CTPoro onpemleneHHoe KoNMYeCTBO NaUWeH- ‘ToB OcMaTpnBanock OAHOBpeMeHHO. B pagyxnod Komuate (kaGmHeTe Ann noqpoctxos) HaXxOQMTCA BOCeMb kpecen. 3a nalMeHTOM He 3a- kpennnerca kakoe-To onpegeneHHoe Kpecno. Mauyn- eHTbI HasHayaIoTcA TOMKO Ha onpegeneHHoe spema. B kHure sanucn Ha Npnem KaxKgbia Yac npea- cTasnex 6 Bugle OTAeNbHON Tpadbbi, Kaxgan rpacba Togeneva Ha YeTbipe 4aCTH, NO NATHAAYATe MMHYT Ha kawnyo. Korna Bce CTPOKM sanonHeHst, Gonbuse NalWeHTbI B STOT AEH He HasHavalcToa. Bbino yKe HeOQHOKPaTHO NpoBepeHo, “TO ecrim GonbiuMHCTBO TayMeHTOB NPHXOQMT BOBPEMA, M cpeaM Hux Mano Tex, y Koro paclleMeHTupoBanoch KoNsYO, cnoma- Rack Ayra WNW BOSHMKN KaKKe-nMAGO APyrne MiRHit- MaNbHbIe HENPHATHOCTH, TO BCe BOCEMb Kpecen GyayT sansTel B TeNeHMe GHA, M NayMeHTam NowTH wnv cOBCEM He MpageTcA xAaTS CBOE! ovepenH, KHMTA 3ANMCH HA NPKEM Keira sanven Ha ripHem Haxonutea y cToviKn pernc- TpaTopa — cnymaluero, OTBeTCTBeHHOr 3a HasHa- uenun, Y perctpatopa mMeeTcA NOMOLIHIK, KOTO- alll MOET BART Ha CeOA Wace ero OAsaHHOCTel. Ynpaanniouyait ocbcom Take MOxeT NOAKMONMTCA WenenaTe onpenenenible HaaHaveHnn. [na permc- Tpalnn NauveHToB MMEETCA ABE OTAeNbHbX KHAN. Opa kHwra — nomeHbie — NpegHasHayexa ANA 3ANUCW HOBbIK NauKeHTOS (HaYANbHBIM OCMOTP, AH @FHOCTUYECKME 3ANNCH M KOKCyseTAUMM) (Puc.2.11). Boe ”pyrme HasHaeHiA saHOCATCA 8 rnaBHyto KHUTy (Puc.2.12). Baxvo, 4ro6bi 80 BpeMA sanvcw MMeH NaReHTOB B KMMTY, PerMcTPATOP NoMHUN o Tpex Toy PEST uPEtam Bran Go pasty eat ape = Pwe-2.11. Khura 2anica KOBE nalqneHTOR 48 Carmen Crowley Sei Courri. Alli Cor © 145%, Aha And 9° | Brad = 149 + Ted Quinn 3208 Tei! me TO Peis. Fields 1836 TEL «s tete poch Karman Watkins 72etLg me 1g ee nHines Spal | n? |Wyatr Bes Heidi Rohinan 663 Ae | a8 Hesther "Tucker HpeTRl Nie Navies SQ ‘e omrhon, 1S Az dorimes wia cost] selljax: 1. MucaTs uM nauneHTa oveHb alaypaTio v pasGopynso, Tak Kak nosxe cTpaHilia kHMrH Gyner AySnmposalia 0 wcbopmauvA noMeujeHa B pasHuix Mecrax ocbuca, ¢ Tem YTOGbt KAKI CHyKaLAl Mor CBepiTca ¢ RHEBHEIM pacnicaHieM. 2. HOMep Kap- TO4KA QOFUKEH GbITe PAZOM c MMeHEM naUneHTa. Takum o6pa20m nomouwmKy cexpetapn SyneT Tere nonoSpats KapTouR Ha cnepyiouwni ZeHb. 3.Permetpatop TaloKe AOsDKEH COKpaLUIeHHO yKa- 327, KaKMe NPOYeAYPHI Npennonaraercs abinon- HutTe B aTo NoceleHne. JWAYHAS KAPTOUKA MALMEHTA Tiwstan kaprouka (Pyc.2.13) nomoraer naunerTy TOMHMTS BpeMA ero cnepyloulero HasHaveHMA, B Moem ocbuce MBI NocTaparnch Mipiigate STOR Kap ToUKe HECKORILKO HeOGEIYHyiO cbopmy. Tak KaKTeMa, KOTOPaA NOCTORHHO OGbirpbiBaeTeR B Haulem oduce, —"nopora x Cynep Ynti6xe", mii paspaGo- Tans sTy KapTOURy B Ee BOAMTENScKNX NpaB. Fp Pve.2.13. Thiwwas xeprowa naynenta 16 8CeM pi Tom, 470 OHa NpH caDeM APKOM ochopmne- Hult He NoTepReTcA cpesM Apyrax Gymar naumeHTa, olta euye oGecnesmeaeT nayneHTa acelt HeoSxonu- Mom HHcbopmauel. B aoSaBneHne x MMeHM RaLM- eHTa, aTbl M HasHa4eHHorO BpeMexn, KapTOUKa TaloKe NoKasbiBaeT HacKonbKo ANMTeNbHOM Gynet ero cnepylowan noeaaka k "cynep ynbiGKe”, KopoT- kas Noesaka caHauaer, 4TO oH NpOBeRET B ocuce NaTHAQUATe MIMyT, AnMHHaN — nonvaca. Yxe BO 2peMA KOHCYNETALMN ynpABNAIOUIAT ocpUcoM OOS CHET NayneHTy, UTO OsHavaeT B KApTOUKe KOpOT- Ken w ANWAR noesaKa. Sto HeSonbiwoe younne MoXeT peanbHo COepeYe Bpems, usbasnsn perncT= patopa OT YacTbIx SBOHKOB ponvTeneli, cnpaLuMa- 1OuwHX Kak AONrO NPOANMTCA cneaytoulee NoceLte- He. Dpyrof sapnair KaprouKu, KoTopbtli Mb! icnonbso- BamM lonroe BpeMs MeN NereHAY o MONTOBOM AM- TiMkaHice WO ANMTeNbHOCTA NyTeLUECTBMA Ha HEM. Apyrofi sapnarT — Guner Ha poK KOHLepT ¢ ykasa- HEM ero NPOAOSUKMTENbHOCTA. FCT BAKAHTHbIX NOCEWEHHA Miuct saxanTrimix nocewennit (Puc.2.14) — poKy- MeHT, paspaSoTaHibil noMoUlp oGujemy pacrinca- HiO HasHayeHnii. Kaxnyio NATHMLIy, DHeM, peruct- PpaTop npocmaTpusaeT cnepyioluMe WecTs HefeNb B Kure HasHaYyeHKii, M NOACUMTbIBAeT KONUYECTBO caoGonHbIxX MeCT, MMSIOLIAXCA Al sanMeH NaueH- ToB. HeoGxopuMo yuecT, CKoNbKO NOCELLICHMA Kak foro Tana WMeeTCA — ANH W XOOTKHX, ANH YoT@HOBKM OpeKeTOY, ANA NONyYeHMA AMArHOCTH” Weckax aarwicel, AYIA KOHoYsbTALA, HepEore v2 MoTpa, CHATIA anriapatypbl. B cienyialyal noHe- EMBL yTpOM AOKTOP May4e2T oTOF MCT. Eons c svatasun arrow Liss (5-22) Pc.2.14, Tact BaxanTHbx noceujeniit saMevaer, 4TO Kakas-To Hegens sanonieHa c u3- GbiTkom, a HegenA Go unw nocne umeeT Gonbuice KONMYECTBO "OKOH", TO NALMEHTS! AOMKHb! 3anucei- BaTECA NPMMeHMTeNbHO STM CBOSOAHbI MecTaM B Kinre ganucn Ha npMem. B opTofoHTn noctaToUHo Mano SKCTpeHHiIK noce~ wenni. ostomy noxrop MMeer Gonbiuyio ruGxocT> & onpeneneHnn Bpemer cneayroulero noceLueHMA nauvexta. Ecnn neveHne nayventa pasaueaetca no rpacbuny, 8 ConbuincTae chy'4aes BpemA Qo ero cnepyioujero noceuleHus KoneGneTca Mexay TpeMA wwecrbio Henenamn. (TOT chakT HY:KHO RepKaTb B Tonioge BO BpeMA OTNYCKOB.) Dasaiire, Hanpumep, npegctasum, “To ects Gonb- luce KONKYECTEO CBOBORHbIX MECT B TeYeHne TpeX Henens HaunHas OT HacToAUIes. B TeYeHUe AHA, onpeaensa spemesHolk uTepsan fo kaxkgoro cne- Ayloujero nocellleHMA nauieHTa, AOKTOp aKTMBHO BbIABNAET Nal|MeHTOB, KOTOPHIX OH XOTeN Bui BMGT HecKOrbKO palbule, Jem OOBI4HO — 4epes Tp He- enn sMecto Yerbipex. JoGoM nayweHT, neveHne KoTOporo oTcraeT 8 Nporpecce m TpeGyeTcn Gonee yacTan aKTwBalnA, —NoTeHunanbHbid KaHaMpaT Ha Gonee pakvee HasHaveHne. B ocoRaHin nucta BaKaHTHbIx noceUeHMii MMeeT- cA uvdspa, KacaiolancA HoBbIX natiheHTos, Cpa ostiauaeT Kak wiOro HeAeNb NpMyeTCA BATS HOBO My fer welTy nepsore OewoTpA, 2GhH OH NOSROKUT cor, 8. SAMOM Si apeia OLSMEO J.2 HC, 211m. Bo BPeMA NeTHVX MecAUeB 9TO BPeNA MOKeT jOCTH- rats WecTh Hepens. Korga 910 4Mcno nepesanwno a7 3a ABe Hefeny, HeOGXOAMMO BbIAeNMT AononHy- TenbHOe BPeMa ANA 2aNMGh HOBIX NayMeHTOB. Hago o6nanate nnoxuM uyecTeo GixsHeca, UToBbt JaCTaBAATe NoTeHYMANbHOFO NauMeHTa *xAaT> Gonbwe 4em ase Henenn. Creayiowan yaTa — HasHayeHne Ha cHaTUe anna- Patypbi. Sta fata osHavaer Yepes CKoMbKO Henn MOXKHO Ha3Ha4aTb NalMeHTa Ha CHATME annapaTy- pbi, SHas TouHo sto BpeNMs AOKTOP MOMET TAKTHMHO WH@opmupoBaTs Na\MeHTa YO "snacTMK Hapo NPODOMKATb HOGMT ee Hefenb, nocne ero MbI cHMMeN ero GpexeTbi. A CHMTaIO ZYPHbIM TOHOM No OTHOWEHINIO K NaLIMeHTY, Korfa eMmy FOBO- PAT, 470 NleNeHHe 3aKOHYeHO W MPMUUNO BpeMR CHU Mat Gpekers!, 4 CflefaTe 910 MoKHO GyneT ye 8 cnegyiowee nocewjeHe, NauwexT snpase ayMAT®, 4To 9TO NpowsoMZeT B CaMoe Enikaliee BpeMA, Ho, nogoliga K cTojiKe permctparopa, OH ysHaeT 4TO cneayioujee cBoSogHoe MecTo ANA CHATHA GpeKe- JOB MMeeTCA B PacnncaHMM ToNbKO Yepes WeCT Henenb. Jnct BakairrHbix noceujeHuit conepant TaloKe Gnin- aviume caoBopHble noceuieHi ANA nonyYeHMA AnarHocTHMecknx sanucel M KOHCyNsTaUWi. TiMcT BaKaHTHbIX NoceujeHniA nosBonAeT AOKTOpY “nepxate naney Ha nynbce” KHurM 3anucK Ha Tpvem. Sto nosBonAer 2OKTOpy mMeTb oSulee npes- cTasnenue 0 pacnncaknn Ha chepyioulme WwecTs Hepent, 470, B CBO! ONepen, NosBoNMT ey nop- Repxngate BCIO NpaKTUKy Ha B ToHyce. WKONIbHbIE YACHI HastaveHe nauelTos Bo BpeMA LUKONEHLIX 4acoB AOMKHO NPOBOANTECA C JOMUKHON AeNMKATHOCTHIO. B HexoTopbix wKonIax HenbaA NponycKats WkKony 3a woxnioveHiem HeKoTOpEX OBcTOATENLCTa —B NPpO- ‘TwaHOM cny'iae OHM AOMKHE! GbiTb B LLKONe B onpe- AenevHbie Yacb. B Texace nayneHte! ZOrKHe| BIT B knaoce ¢ 9.30 0 10.30 — Toribko 8 aTOM cnyyae cuMTaeTCA, 4TO OHM GbINM B LuKONe Lenbili ReHb. STO {kak To canzano) oTHOCHTSGA « chenepanbitein pac Nera cbnHaHoupaBanur. Mostomy, HyxHO caenaT> ynop Ha Mpnem Bspocnbix naLiseHTos. Victopmuecknii merog HasHavenns noapoctkos — None WKONBHBIX saHATAA. Nocne nepsbix wWecTn Mecryes npaKTHk, # pean Gonbwe HiKorfa He NOABepraTs COM ocpuc KAKGORHeBHOMY "Hanane- Hwio" Ha Hero MalMeHTOB, KOTOpOe KaK MpaBuno GhyYANoCe, KaK TOsIbKO SaKAHYWBANMCE LLIKOAbHBIC 3aHATHA. F peWwMN sakaH4nBaT> OCMaTpHBATe NAL ekTo8 8 16.00 Vaca, Ho A Haan OTKpbIBaT» ocbuc B 7.00 yrpa. Ecnw ponuren peiictawrenbho 3a60- TSCA 0 TOM, HTOOb! Hx AeTM He NponyCKANM UIKOTY, OHM CMOFYT NpUKEETH MX AO WKONDI. AL TOGMID se Gute NaynentToe 8 7.00. A He Mory npmuneniT> ceGa (SkaBOPO! aM", HO od 3TH MaUbl 2 SOAP M BEX, Kai A Molt SAY aU, 11 9TO B pau: OF eTerter- ;OTHOC:AT- cn < nalweHTam 4 Wx poneTenaM. Boe paGor2‘or GbICTpO 4 chageno. Bce Toponstea. NalweHT npo- Pvc.2.15. Cneyuanowan 30H Ana rapToveX nponyujerntsx nooa= yeni CTO saxopMT K HaM NO Aopore B WKoNY Munn Ha padoTy, MbI SbinonHAem Bce HeOBxo_uMbIe npoue- ‘ypbi, GeicTpo oTnyckaem ero, M OH npomomKaeT ATM cacel Aoporoii. 3a Bpema c 7.00 no 9.00 a ocmapisaio Gonbulee KoMM4ecTBO NayMeHToR, eM 80 BCE OcTanbHbIe Yackl. Vi HanpoTue, ecnu ocHosHo# Hanniie naynetToR © 16.00 go 17.30, ro ace KsTOMy BpeMeHn y>xe ycTann w foKTopa, m ponuTenn, MnauKeHTbl. KakabiA pabo- TaeT xyxe, em O6bMHO, Hactpoene Ha Hyne. Eonn cmysaetes 470 y nayeHTa oTKNeMNca Spexer, To HM y Koro He BosHHKaeT Gonbuloro KenakiA HaknenT> ero obparuo, Tak Kak AN oTOFO NpupeTER sanepKN- BaTeca noche paGoret. SIysumnis nyt Ms6eMaTs No- ‘AOGHbiK NpoGrem — nonHocTbIo Nepectats Hasta YaTb NaleHToa 8 NOCNELIKONSHbIe ach WM cBeC- TW Wx Zo MiFMMyM. Hastavenua B 7.00 He Tek nonynapHel ana nayweH- ‘TOB LLIKONHOrO BOIDACTA B NepMOA UKONBHBIX KaHM- nyn. Vagece kak pas MoxiO NoliTH MM Ha BCTpeYy, HasHavan B Gasiee nosgHue Yacsi. HASHAYEHME B3POCIbIX Bspocniie havGonee TpeSopaTensibie nalineHs!, uTo KacaeTCA HasHaveHiA Ha npMem. Bapocnsie Te- PRIOT BDeMA B OchiCe 3a CYeT BPeMeHM NpeAHasHa- YeHHOMy K NoMGKY cpefcTs K cyLeCTEOBaHiIO, unH kaKoli M60 ApyroK gesTenbkocTH. MHorMe Topp Tonbko Bspocnbie pa6oTaloule NalMeHTbl MOFYT NO AOCTOMRCTBY OMeHMTE NoceL\eHWA Pao yTpoM, Muoro net Haag # noABMnea B ocbuce YyTS NosKe cemm, MauvexT KoTopoMy GbiN10 HasHaYeHO B CaM Gwin pasapaxer. OH cxasan "Cnytwaii floK, 9 oveHb 3@HATOM YeNOBeK HOA Npuxomy K BAM B OchMC 8 7.00. Wa Bnpabe oxMpaTb, 4TO 3fech ects KO HGyAb eitie." Stor 4enobex Gin Npas B cBoMx TpeGowaln- ax. OX gannaTan Gosbuioli rolopap, WOH sacnyxu- Ban Toro, “TaGu ero obcnysaanin Tax BE:CTPO, Kak aTO nOaMOXtO. HasHaueuna 8 patie yrpeHhue Yack! o4eHb nony- apHbl y aspocrisix paboTaiouyxx nayneHToR. [JoMo- xosniikn W Apyrme HepaGoTaloujme Bspocnile npen- NownTaicr npumepHo 10.00. NPOMYLWEHHBIE NOCEWEHAR Kadkabii 2eHb B Norge NOMOLIAUK CekpeTapA ro~ TOBMT KapTOUKH nalveHToB HasHa4eHHEIX Ha cnepy- tou QeHb. OH cTaBwT WwTaMn c yKasaHnem QaTbI cnegyioujero AHR Ha KaKGOM Ms STUX KApTOYeK. Mlotom oH pasmeujaeT ux Ha NopcTaBKe c Tem, yro6b! naueHTbl 6panu ux npexne, YeM BoviayT B occ. B KOHUe Kaxnoro AHA KaKoe To KonMYECTBO kapToeK MOET OCTaTECA HeBOCTPeOOBAHHEIM. STO osHaYAeT, HTO STH NAUeHTEI TAK M He NOABUNMCS 1 nponycrunu noceujenue. Kora sto cnyyaeter, Ha- npome are! GyseT HaNVcaHO KpacHbIMn YepHiTIa Mi, 4TO MOCeLeHMe NpONYLeHO, kapTOUKa GyeT Nomewexa Ha nonke 8 cheuwanbHyio soHy (Puc.2.15). KapTouka He ommHa SosBpaliareca Ha cece OSbIuHOe MecTo 8 KapToTeKe, nHave NalyMeHT MoxeT noTepsTEcA. Cryvanoce nv sam Korna-HnGyAb 8 aweli npaxraKe TeprT> naynexta? Ecru KapTo4Ka, noone Toro Kak Nal|MeHT He npauien, BosspauyaeTcA Ha cBoe Npe- xHee mecto, Ges gaTbI cnepyiouero HasHayeHnA, Tora ova He 6yfeT aBTOMaTMYeCKM BbITalueHa B KaKyio-HuGynb na GyAyulux far. Oha MONET COATS Ha nonke, noka nayyeHT He NosBoHiAT HacueT ceoero Gypyujero noceeHua. Ecnu xe nalweHT He NosBO- HT, TO OHa MOMET CTORTE Ha NONKe GoM yroAHO nonro, HesoctpeGosankan KapTouka ocTaeTor nexaTe B cTopoie (Ha Nonke ANA nponyujeHHeIx NoceUieHHi) Ha rionke npumepHo Henemio, NM Noka cam nayweHT He nosso, Yepea Hegento, ecnu nalueHT TaK M He nosgoHn, ¥TOGbI zanucaTEcA Ha npMeM, NalyweH- Ty oTNpasNAeTeR No NoTe cneuMaNnbHaR KapToUKa, Ha KOTOpoi HanwcaHo: "Mei NoTepaNK Bac us Buna, NoxanyiicTa NossoHuTe Ham M yCTaHOBMTe BpeMs cnepyioujero noceusenna". 3a sto apewa peructpa- TOP MOXET CAM NOSBOHMTS M yaHAT> B ¥eM npoGne- ma, Sto MoMeT GuiTe Gonee ypoGHO ANA perMctpa- Topa, eM 2kdaTb a80HKa NallneHTa WnH Ero poAUTE- ner. BHEOYEPEQHOE NOCELIEHME Korfia nayneHt sBoHMT HacueT BHEOYepepHoro No- ceujeHMa, perucrpatop GepeT ero KapTo‘Ky mB rpache npouenypt fenaer ocoGyr0 Kpaciyyio orMeT- ty. Kak TonbKo nauMeHT caAMTCA 8 KpECno, NOMOUI- Hk accucTeHTa, yauges STy oTMeTKy, cnpaumsaeT NauweHTa, “To CMy4MNoce. STO CHeHb BAXHO, TAK kak aCcucTeHT 8 NPOTMBHOM cnytae, NocMoTpuT Ha Tpecby HasHateHMi Ha cHemyIoWes Hocculerwie A MpocTo BuInoNHNT ONepenHyIO NpoYeAYpY, HANpH- Mcp fio Mente jyrK, HTO NpMBeneT P yBEMUNEHHIO shWs Cre pyicijero HaLy Stia BK IpARepH. & TO PEMA” Kak NauMeHTy HyHO 6biNo BCero NUL noAO- THyTb yapanaiouyio nuratypy. BHeowepenHoe noceujeHwe MOET GbiTb BbisBAHO Uapanawiyed ayro#, pacyemeHtuponamiemcn KONbUOM KAM cuTyaliMe, Kora NalweHT yAapnsicn Tpaemuposan sy6t1, Yem Gonee abipakena npo- GneMma, Tem Gbictpee nayweHT JOmMKeH 6biT» ocMoT- pex. B cny'¥ae cepbesHoro wHunneHTa, nayneHT AOMKeH GiiTs OCMOTPeH HEMenNeHHO, HECMOTpA Ha orcyTereve MecTa 8 pacnucaHim. Ecna naynext SBOHMT NO Tenedory no noBogy HEOXKMAaHHO BO3- Hwikuiei npoGnembi, peructpatop AonxeH ronki- TaTbCA OlleHMTS TAXeCTS cuTyauMM. MHOra MoxHO NoMO4e coBeTOM M No TenedboHy. Ecru xKe nauneHT HyXKaaeTCA 8 OCMOTpE TO eFO OBLINHO HasHataloT B camoe HesanonHeHHoe speMn AHA. BbI3OB NALW|MEHTA Kira aanncn Ha npmem noasonser sanucpisare NayweH708 Ha WecTe Mecayes enepen. Ecnn npennonaraercs ,uro nayweHt He GyneT ocmarpn- BaTbcA no KpaiHel mepe Gninxaiiuime wects me- calles, Of sanoniseT KaprouKy HanoMnHaHuA (Puc.2.16). 3a OANH Mec A0 Toro, Kak NayjneHT Ai irs Twe Fon us 10 6ce vou SUPER SMI vA PLEASE CALA OUR Offic FOR ie ‘prone DRS. ALEXANDER ane GOATES 640 W. MITCHELL ST ARLINGTON. TH 76010-2865, Burs mie te Mate 265-5008 Pac.2.16, Kaprowa Henommnanien AONKeH NpMAATH, EMy NocbiNatoT aTy KApTOUKy NO noure. NononyyennuxapTouKnnauMent sanncpipa- erca no Tenecboxy Ha npmem. Xopowiaa cucema Bbi30Ba ONeHe BaxHay NayMeHToe, KOTOpBIeeLjE He jocturnw sospacta ana Havana aKTMeHoro neve- HMA, HO Yoke Gbint Ha MepEMYHOM OCMOTpe. STO NOTeHUMANEHbIe NAUMEHTbI, KOTOPLIE HE AOFUKHDI GuiTe noTepAHHb!. Ecni natMeHT He oTBeNaeT Ha OTKpbITKy, peructpatop AOMxeH nonpoGoBaTs Bbi- abaTb ero no Tenecbony. Taynertei, koTopbie saKoH4MMM aKTHBHOE NeveHne W HOCAT peTeitHepss, TaioKe AONAGiL NepHoAMuecKn ‘ocmatpusareca. Korfa MMA NauMeHTa BHOCHTECA B CMNCOK ANA exXerofHOrS KOHTPONsHOTO OcMoTpa, efo NPOcAT CaMoro HaMCaTb afpec B Kapro4uKe Hai OMmiiaHi, Oder’ BaxKHO, YTOGDI OTM NauyieHTb! Goin noA HaGnioneHMeM AocTATONHO NpOROMKN- Tenbiice Beem, YenewHO ab AeYeHHbIM \ia\ieHT B PeTeHLWoHHOM nepHoje — cuMan xopOL..an \seKna- Ma. PesynbtaTel wx neveHnA oTo ToT Gasnc, Ha «oTOpOM swKgeTeR yenex npaxTuKi, 9 JCT HASHAYEHM HA CHSTHE ANNAPATYPbI ‘Sta nanka conepxuT KapTOUKY Ha Kaxnbili MecrL ropa Ha cnenyioume 30 wecryes. Ha Kaxnon Kap- TouKe CNMCOK NayWeHTOB M HOMep UX KapTOUeK, y KOTOPLIX B NPOeKTe HasHANeHO Ha ITOT MECRL CHA Tue annaparypsi. Ecnu naynertTy ycraHosnnn 6pe- XeTbl 8 CeHTAGpe 1996 roma, u oxmpAeMoe BpeEMA evennn 24 mecaya, ero uma GyfeT anucaHo Ha CeHTAGpeCKOH KapTOUKe 1998 roga. Kaabii MecAU Cexpetaps npocmarpnaaer 37m KapTOUKi M cocTae- SET cnWiCOK NayWeHToS, y KoTOPbIX npennonarae- Mbili Cpok CHATHA annapatypel yaxxe HacTynMn, HO neveHne euje He saKOHeHO. Cexpetaps focraeT xapTosky nauweHa 4 HakneMBaeT Ha Hee Kpactylo Rlonocy, ¥To AacT sHaT AoKTopy, YT NayeHT 3a~ Aepxusaetcr 8 Nevexnn, LloKTop He MaxeT KOHTPO- MpOBaTe HekoTOpbIe CAyMan. Flonro HenpopesbiBa- foulMecr ayGbi, YacTo nponyckaembie NoceWeHMA MOryT 3aTAHyTe neYeHWe. Bo BCRKOM cnyyae, 3Ha- Hwe NpoyelTa cnysaes, Kora nevenne aaKaHunBa- TCA BOBPEMR M KaK MHOFO Cny4aeR OTCTAeT B NPO- Tpecce nossonmer KOHTporMposats M STy cHTya- unto. Ecnin Gonbwoe KonuHecteo sbiOneaeTcA 43 HOPMaNbHbIx CpoKOB NeYeHKA, “TO-TO HeOGXOAMMO Npeanpuvare. Ecnu roxopap suinnayex NonHocTBiO, Ho NayMeHT npogomaet perynspHo noceluare odxbuc, yeHHoe BpeMA M NpocTpaHcTBo TepsioTcA ToWanpachy. NOPAQOK EXEQHEBHOrO NPMEMA NAUMEHTOB 3a MHOrMe ropbl 8 Moe NpaKTMKe abIpaGoTancA cheumbaecknit MeTon perynmpoBakna noToKa na- umexToe, OH nocTpoeH Taki oSpasom, 4To6bI nos SONmTS APMHFTS Kak MOKHO Gonbulee KONMYECTEO MauAeHTOB, HO 8 TO Ke BpEMA YTOObI OGecneuiTe HopManbibie paGouve ycnosus ANA AoKTOpa, nep- covana v nayveHTos, Sta BbicoKO acbcbexTmeran meTonnka Npnema nosBonseT OGecneunTe anexsaT- Hoe BbINOAHEHKe BCex HeoBxogMMEIx npoUeAYP, pv MHHMManbHOM BpeMeHH NpOBeAeHHOM NayWeH- ToM 8 ocpice. Ueni Tako MeTonMkn NpHema — nossonMTe nayn- eNTY NPOXOpMTS OT BXCAHOA ABepN fo NeveSHoro kaBitieTa TaK GbICTpO M Neko, HACKOMKO 3TO BOS- MoxHo. HeGonauan npaktuka re uMeeTCA acero HeckonbKo NayneHToe B AeHb, He McnbiTbiBaeT Taxnx npoGnem, Mo wepe pocta npakrinkn GeicTpoe ABWKeHKe NAL|KEHTOB CTAHOBMTCA O¥eHb BAXHEIM. To Toro, Kak Gbina BeeneHa ota cucTema, Mbi MbiTa- Much MENONLIOBATE HECKONLKO MeTOAOB. TpaAHLM- OlHbI MlOAKOA —- Nate NeAKLAMY K CTONKe pe- TucTparopa n oTMeuaeTca Tem, Permcrpatop ;i0c12- ef eo KARTONKY ft NepeHoey Se 1a Maroy. Momo: jeik ppaua Bep TKrITONKY 4 oo; DOROKEeT eta 8 kaGulier, Apyron teToa —npocrTs nauiieH- Ya No npwxe ye 9 ocbAc sanuctiBaTh cBOe UMA B cneyvanbHod 3anucHoll KHMTe MW OKNAaT BbIs0Ba B xonne. Tipu kaxnom 3 THX MeTOAOB TpeSyeTcA onpene- MenHaw paGoTa peructpaTopa, KoTOpYio OH BRINon- HAeT MHOrga B yUep6 CBOMM OCHOBHBIM OOAsaHHOC- Tam, Mlocne Zonrax net noAoGHbIx skcnepwMeHTos, Guino peweHo yOpars permctpaTopa us npoljecca OGbINHOrO perynupoBaHMA NoTOKa NaliMeHTos. Hawa Texyujan cuctema AevicTayeT npumepHo Tak: Kora NalneHT MpMxoAMT B OcbNC OH HEMeANeHHO NOBXOANT K CTOMiKe perucTpaTopa, cam Geper cacio kapTouny KOTOpaR HaXOAMTCR TYT Ke, 8 cneymanb- Hom noTke (cM.pasnen MponyuieHHibte noceujeHun), Mi wAeT APAMO 8 NeveGHbIM KaOuHeT. MayneHT HE 2xkAeT 8 KOPUAOpE M HN Te He OTMeNAeT CBOH Npu- xog. Ao Toro, kak BOWTH B KaGuHeT, NayMeHT OCTaHaBnn- BaeTcA'4TOGbI NOWMCTUTD 3yGbI, KOra OH BXOANT B xa6vHeT, OH CaquTcA Ha CBOBopHOe Kpecno, Ha Ko- ‘Topoe ykaxet accuctexT. Ecnu Bce kpecna ganarel, alent KnapeT kaptouKy Ha nopeTasKy 8 KaGnHETe wo oKAeT, KOrMa OcBOSOQNTSCA Kpecno M accucTeHT Mpurnacur ero. Kpurwxn stoi cactembi cKaxyT, UT KOMHaTa Oki aks NpaKTnveckn nepeHocnTcA B pabowil KaGU- Het, OpnaKo 370 He ToT enyyaii. Ecnu cucrema HasHaeHnA Ha npveM cbyHKUMOHUPYeT Kak HaZo, NaLeHTbi peAKoxayT caoSoAHOTO Kpecna, Ech Ke OM BCe-TaKM AOMKHB! NONOXNaT», To No“TH Acerga 370 BPeMA MeHbLe 4M NATS MMHYT. Tonsko uTo ceBUiMi 8 Kpecno nayweHT cHavana ocMaTpvBaercA accucTeHToM. Mocne nposepKn oT- knewauaxcn GpekeTos u KavecTBa 4UCTKN ay6o—8, @CCACTEHT CMOTPMT B KapTOYKy M NEPeXOAMT K BbI- NoneHuio npouesyp, KoTOpbie He Tpe6yloT npucyT~ Tew goKtopa. MoABnAeTcR AOKTOP K BbinonHAET AanbHevuime neveGHble AelicTaus. [Janee on oTMe- YaeT 8 KapTOUKe NalweHTa npoLenypbi, KOTOPEIE AOMKHbI GoITb BbINIONHEHbI 8 CNeAYIOWee NoceLYe- Hite, OH Take BBOAKT KOMMMECTEO Hefenb Zo crie- Ayiowjero noceweHuR vero npononxnTenbHocTs. Satem accucreHT momeT BLINOAHATS AanbHenUMe TpeGyenmbie npoyezypel Ecnn tpe6yetca, nayvetty sbigaior anactum, 2a- UYrTHBIH BOCK, 7.2, Mo OKOHYAHIM NpneMa, OH c kaproukoil 8 pykax BoaspaulaeTcA B pernctparypy. Kaprouka nepenaercs pervctparopy, KoTOpLitt chk cupyeT cnenyiolige noceuleHne & Kary sanKch Ha NPMeM, M ByuaeT nayeHTy ero nnuHyIO KAPTOMKy ¢ ykasaHem faTbi m apemeHi, Ecnu sta cicTema W uMeeT HemocTaTOK, To TonbKa ToT NTO oHa NonaraeTcA MYHKTYANkHOCTS NayWeH- 7a, Eon nal\nest npwronat p..oiblite Mika sagep:xn- BAETCR, 3TO MONET OCIaTicA HesaMe4eHHbIM, NOKA Raywet vo cen A Kpecno, MHorga ranneaHiia 1 14.30 vataeH:, MEK r IpedrM 4 8 19.30, faK GK 0: He XoTeM nponycKare wKony. Ecnw 8 TeveHne AHR, HecMoTps Ha ocbtbexrnsHyio paOory nepconana, o7- x cTagaHine No BpemeHn Bce xe MMeeT MecTO, Nepea TeM kak NpurnachTs ovepenHoro nayeHTa 8 KAGu- HeT, CheayeT NPOBeptTs MO KapTOUKe BpeMA Ha KoTOpoe OH GbiN HasHaveH. MauiMeHToB KoTOpBIe MPM O4eHb pako wNM onospanK npocRT nopo- 2MaTb. NEPEDAYA NAUMEHTOB Nepenava naueHTos 8 aKTusHom nepnone meve- Hi @CTe COBEPUCHHO HOpManibHbil cbaKT B eR TembHocTH opTopoHTa. M ecnk 8 HegasHeM npo- usnom, GonbuMHeTaO OpTonoHToB uMenn HeraTHME- Hoe CTHOWEHME K TaKiM cnyanM, To Tenepb NpIHA- To cumams, 4TO NepesefeHHble nayueHTb! MoryT CAyxuTe JOGABOUHbIM 2aeHOM B ononHeHMM NpaK- TWKA, Mei ace, NO pagHbim npuuuHaM, nepenaen HexoTOphx nayMeHToe ApyTMM AOKTOpAM W OMURA- eM, 4TO KTO-TO U3 WX Nal|WeHTOB NPoROMKUT y Hac cece meveHne, flo cx nop HaBepHoe, cywecTByeT KaKO@-To KorMYeCTBO OPTOACHTOB, KOTOpbie He NpM- Hvwaior y ceGR nepesenenhbie cny4al, HO MHe Kae xETCR, NTO ecnn A AY OT APYTUX OPTOAOHTOR, YTO OH Npofonxat neveHMe MOMX nauWeHTo, ect uM BApyr NPUAeTCA NOMEHATS MeCTO %KUTeNLCTBA, TOU 1B CBOIO Oepesb OBASAH NocTyNaT> aHaNorM4HO, NEPEQAYA NAUMEHTA 2PYTOMY OPTOLOHTY B noob cnyanx QoKTop oTBevaer 3a BhinonHe- HMe ChenyiouwmMx MeponpMATHA: 4. Boe sanucw w uHcbopmauys, NocnaHHian ZoKTopY,, Donxva Obit npenenbHo ACHOA, W npuaBaHa no- MoUb cfenaTb nepeson Gonee nerkam. MHcbopma- UMs AOMxHa aKMmovaTe onMcaHne nasa 6pexeTa, aH- Tynan, W TeKyuyax ayt. JomKHo GbiTe peansHo onpenerieno oxnqaemoe spems saBepuieHne neve- Hua, HavGonee nopxoaAuyni AoKyMeHT ANA sToM yen chopma ana nepesoza (Puc.2.17) npeanoxeH- Han AAO, 2. fokrop AomxeH cnpaBegnnao o\yeHuTe TeKyulee cbualicoace cocrorine. Hegactatouko KoppexTHo Repemeujate cio OTBeTCTBeHHOCTS no onpenene- Hino ocTasweroca Ganalca roHopapa Ha ”pyroro optogona. 3. floxrop aormen AcHO oBbacKuTS npoyeaypy ne- Pefa4n ponMTeNaM c aKLIeHTOM Ha BOSMOKiYIO pas- HNLY B YeHe W NPOgOMKMTENbHOCTA neYeHHA: "Bam cnepyer nat 4TO NeveHne HECKONEKO saTAHETCA u 6yper cTowTs Gonbwe". Sty ugelo obAsatenbHo cneazyet noHecTu Ao popnTenei. 4, Nepenaiouyit oKTop Tenepe GygeT oGAsaH He- MegNeHHO NPMKAMATS NalneHTOB CT AOKTOpA, K KO~ Topomy Hanpasiin coer naluesta, NPMEM MALEHTA ANA NPOAOMKENKA FEVERS Hono nayenr, ecnn He NponBHTb k HeMy ROMKHO- ro yuacTun, 4yBcTAyeT GeGA Kak NyGOUHBI, TONGKO “Ep = \ | i Puc.2.17. ©opma ana nepesona UTo Ha¥aBUUd XOAMT peGeHOK. HlepruiTe B ronoBe, ATO STOT NayMeHT OGEINHO MenbITBIeZeT AMCKOM- chopT Tak Kak OH OcTaBAN CBOMX APyseA MW NpMBLI- Hoe o6cTaHOBKY, 4 OKasaNcA 8 HOBOM OKPyMeHHN. Uem Gonee KomebopTHo oH ceGA 4yscTByeT Tem nerve ans Hero GyfeT npncnocoGuTecA K HOBOMy nopaaKy 8 ocbuce. Korga nayveHt secHur ana HasHaveHma, CeKpeTaps AOMKeH HeMegNeHHO CNPOCMTe O AMarHOCTHMECKAX SANKCAX. O4eHb BaxHO, 4TOGBI NepsoHauantHbie AvarHocTHMeckne sanvcn, ecnh 3TO SOsMOXxHO, Linn B ocbuce HOBOFO AOKTOPA AO Toro, Kak OH ocmoTpuT nayyeHTa, B Moem ocuce Mbi ocMaTpH- BaeM NepeBeneHHoro NalvenTa B Nepebilt pas no cxeme VeTBIpe noceujeHnA B OnHOM. Sto OAHO No- CeWeHMe COCTOMT Ms HeTEIpex OTAENbHbX TaNos. 4, Ocmotp. Naunenty Bbifaerca Gyknet (Puc.2. 18), KoTOpbi HaabIBAeTCA "ZOGpO NoxanowaT> B HAL , ropoa", # Aanee # ocMaTpBato nalMeHTa Ha MaHep Hawero o6bI4HOro OcMOTpa HOBOrONayKeHTa. B To BPeMA OYeHb BaxKHO, YTOGb! A ONpeAeNMN NpopoN- XUTENLHOCTe BPEMEHH, HEOGXOAMMOTO ANA saBep- WeHIA NeveHHIA u TpeSyenbi roHopan. ?. KeHcy.bTayn, A ahannsnpyio AnarkooTmeeckve sankon, Bey MeponpiaTna, KOTO pble NNaHUpyeTcA BbINOMHNTs B ChepyioWwee noce- leHMe nauweHTa, HasepHoe, HanGonee BaxHoe pe- lWeHMe, KoTOpoe OMKEH NPUHATR AOKTOp 3a BpeMA Texywero ocmorpa, Ech oH He npeacKasbisaeT Kaxabii CBO chepyiouMit War, OH CTaHOBMTECA NOxoK Ha KopaGnb, noTepasuumi ynpasnenue — Ton#ian yTpata KoHTpoNA sa HanpaBnemem asixe- Hwa. Tocne kononkn “enenyioujee noceueHne” HaxonuT~ cAKononKa "TM", KoTopaa npegvastiaveria ana sHe- CeHMA BpeMeHHbIX XapakTepucTHK cnepyioujen BCTPENM C NayneHTOM, 3Aece AOKTOP OTMeNaeT KO- sMUECTFO He/iene, oNPEPesIeHHL!: HO enezylousero nocewjennn. BeogaTcA Are Undyprt, Nepeas tacbpa oBosHayaer, NpMLeNbHbIA CHAMOK. MouTA HensGexHo, TO. 8 peaynbtaTe opTogoxTuueckoro repemewienin ay60B HexoTopaa pesopSuln KopHed GysleT MMeTe MecTo, YTOGsI "MHcbopwMpOBATS 0 Toro, KaK Bbi Caenaere" nayweHT RomKeH Okt» NsBeLeH 0 No- ‘TeHiManHbuK MpoGnemax a0 BpeMA KOHCYNbTaUNK OdHaKOMMTECA ¢ COOTRETCTBYIOLIMMM JOKyMeHTa- Mui. 9To nosBonuT MaGexant MHOKeCTBA opuaNYeC- kux ocnoxHenui, MpoGnema pesop6umi xopyet Takxe ynowmnaetoa 8 chopme cornalieHis, nozni CbigaeMoro NayeHToM Ha KoHeynbTaUAM (cm.rn. 2). CreneHb noTepy KocTHoll Tkatu fo neyeHnA — o- CraTOYHO Cepbeshbi chaxrop B ANArHOCTuKe y B3pOCNbKK NalweHToB. Tenepb, Korda Mbl MMEeM BCE Me 3.2, oHowic coajoHNe y apTOAHTa Reaeanuci pevireono nYErKOH KapTH Hl 3y6Hbix paROB Gonbwwee Konmectso Bspocribix nayeHToB, JOKTOp omer Gbits Gonee KomneTeHTeH 8 npo6nemax saGonesaHnii napopoHTa, YeM sto. Gbino panee. Kora sspocneili nayveHT noKasbiBaé? nepabie npu- ‘SHaKi YObITIA KOCTHOM TkKAHM, HeOBXOQMMO 06 sToM NOCTABUTb B USBECTHOCTE CeMeyHOrO CToMaTonora w/ wna naponorronora, 4ToGst HM yaensinun Gonee NpMCTanbHOe BHAMaHfe COCTORHMIO NapoAOHTa BO BPeMA OPTOMOHTMMeCKOrO NeveHMA. Bspocnbix na- \WeHTOB NPOCAT perynAPHO NpoBopMTS Npoyenypy CHATUA SYGHBIX OTNIOKEHUM (NO KpanHEA mepe pas B Tph mecriia). ‘O6ujee npasuno, KoTopomy cnenyeT npugepaxn- BATECA B CTYYARX, AeMOHCTPUPYIOUIMX ToTepio Koc- THOM TkaHM UNM HMeIoUWAX NOTeHYMAN ANA pesopo- Uw KopHiev, — oT nepemelaTe 3yGbi Ha BOsMOKHO Gonee HesHavmTenbHoe paccTorHme. B npoTuBHom cny4ae, AMero”MecA NpOSNeMbI MoryT GbiTb MHTeH- cucbMuyposaHib. B orpaHiHLix cyYARX, B_YeNAX cBefeHiA AO MuHMMyMa cTeneHh nepemeWeHMA ay6o8, npeanowruTestbHee BbIOpaTe neveHne Ges yaanesin. Boe natinelTs! 8 OGAsaTenbHOM noprAke noceujaior o6iero cromaronora fo Havana opTonoHTueckoro FevehMA ANA npocbanaxtuKu Kapmeca, OpKaKo, ‘cn Ha oproriaHToMorpaNMb! OSHapyxusaioTCA Ka~ PiOsHbie NopaxeHMA, OCTABLIMeCA HesaMeveHHt- ‘Mu Np CCMOTPE, UX Hanvuve chepyeT OTMETHTE B KapTouKe. @OTOFPADUN MLA Aina nuariocruueckix sanncelt Heo6xonMMo wer chepyiouyme cororpacun nua naymeHta: (1) Apocpins; (2) cbpokTanban — ryGei commyTe; (3) chporanbHas — ynbi6xa (pic. 3.3). Baa B npodune NossonneT MpowssecTH NaTepanbiyio scTeTwuec- KyI0 OLIHKY 8 COOTBETCTBHM C AAHHbIMN GoKOBOA TenepextreHorpamme! ronosti. Ha 9Toi4 cbororpa- chin uayyaeros nonoxenve ry6, Ecnu 8 cocronHin MOKOR TyGbt_PASOMKHYTHI MW OGHAXeHEI ayObi, aT osHavae?r, 4TO 3yOHbie PALI PacnonoxeHbi kNepenn Ha opHOii Vin OGeNx YeniocTAX, NloKasbiBan HeOGxo- AuMocT» NepepHer peTpaKnn 1, B03MONTIO, yaane- ‘HUA NpeMONApOB, Vayyaerca TonuynHa ry6. Ecnw y naumexta ovens ToHKHe ry6bi, HepesKO MoxHO HaSnioaTe BuqMMoe hanpaxeHie musculus orbicularis oris. Ecnu noxa- 3aHo nepemeujenne nepegHero chparmelTa Yemioc~ Teil ANCTaNbHa, OpTOAOHT AOMKEH Gbirks Kpaline oc- Topoxex. Takan peTpakyuA noBnevet 3a co6ol v3- MeHeHe Npocuna marknx TkaHeli, NpuMepHo, B CooTHOWeHMM OAH K OAHOMY K BenMuuMHe peTpak- Uni 3Y6HbIX pAyos, 4TO MOXeT BbUWTECA & pea ‘Aepiioe ynnowerne mya (pic.3.4). UpesmepHas nporpa” yun sy6oR, 8 cny¥ae ecni na- NMEKT urteer TOHKe ry6nI, Taloke onacHa. MepeoHa- YANLHO GTO MOMET HaMCHUT NON MErKHX TKa- Helis nysuiyto cropony. Ho, no .koHMaliM NeYeHMA, hmeioulerca Hanpaxeie mycr /natypbl 6 AeT eno HociHvecnx sari cei Pwe.3.4, Pucs.s, co6cTBoBaTb BOSBpALeHMIO 3yGoB B UX. opurmHant- Hoe nonomeHie, cosgasan noreHuMan ans pean Ba, Taxwe NalWexTel donk! bir Npenynpexqe- Hbl lo NeyeHma, uTo NoTpe6yeTcA ANKTeNbHbil pe- TeHUPOHHBIe Nepuon, Korga npovcxoanr anctanbHoe nepemewenne ne- Penveli rpynnet ay6oa, y nalela, ry6bi Koroporo AcTaTOYHO ToneTHle, Ha KaxObie ABA MunnMMeTpa PeTpakynw ayGoB, Mare TKAHM OTBEUAIOT vaMeHe- HMeM CB0er0 NONOKeHHA ToNbKO Ha CAMH Manni metp. Nostomy, Gonee TpyAHo HaHecTH sHaumTent- bill acTeTMeciaal ypoH Np TakoM Tune npocbuna. Hanpaxenue ry6 8 sTom cny4ae HeBonbuoe, purug- HocTs musculus orbicularis oris ssipaxera 8 meHL- we crenenu, Benegcrame MeHbulero HanpaxeHHMA MbILUU, NPOTPAKLAA PesuOB ONsrTs TaKn He ABNAETCA Sonswod npoSnemoi. LWlaHe peyngueay nopoGiiuiK WI BRBMEYYMOB TaioKe CHuKaeTes (pIC.3.5), Aanee, Ha narepansxoli botorpacpun cnepyer may- SaTe opMy Hoca, iM onpegenitis BeNKMMHY HO 3 fyGxoro yrna (pac. 3.6). Eon of oMesib ocTpbi, 10 PeTPAKLWAA BepXHer ryGbi Gyaer NanUonee Bepuni~ Hoa npoueaypoll ana ynywuienus nporsans sina TeaHedi. Ecnn xe OH criuuKOM TynOA, To MonpasuTe CuTYAUWNO MoxeT HeKOTOpOe BLINBMKEHKE BepKHel ry6b! anepen. Arc6anavc 8 nepeqnesaghem ssammooTHoWwexnn BepxHei n HiMKHel ry6 MOKeT ABNATECA MHgMKATO- PoM Tow unk MOH cKeneTHOM KoHcburypayun. Ecnn Bepxiaa ry¥6a MMeeT nepenHee nonoxeHHe, 3To MOXET HATONKHYT AOKTOpa Ha Mbicnib O HanKuMit ckeneTHoro Il Knacca, ecm xe ova perpycuBHa, To Takan cyTyallMA ckopee Bcero NoAKOAMT ANA cKe- neTHoro Ill Knacca. OyeHMBaeTcA NoToHMOH MArKIAX TkaHeli, YTOObI ONPEAeNTe ABNRETCA NM HYDKHAA VacTe nila nporpyccusHoli, perpyccneHol, wnn HopManbhol, YaMeuTenbHo HaGnogaTs, kak YacTo He Cosnanalor ‘ecbanomepTpmyecke usmepeHna v BuayanbHan ‘oueHka Apyr ¢ Apyrom. Kak yreepxnanoct 8 Mase 1, korga ocTeTwka w Yecbanometpua actynaiot Mexay coGoli & KoK¢bnMKT, sbiIGop AenaeTcA B Nonb- sy scTeTmKn, ‘ponTanbHan chotorpacbun c commeyteimu ryGamn. Nepao-sanepso npoxspogurcr obwjan oyeHKa maya naunerTa. Vimeet na nayneHt kpyrnoe suo? nui Hoe nino? Koporkoe nnuo? Haxoaarca fu HMOKHEA, CpegHAA M BepxXHAR YacTM Nua B rapMoHM4HOM Ganalice? No atoll npoemynn Tak xe MomHO caenaTS BBIBOA O ToMUyMHE ry6. Janee, ouenwpaetca nuyesan cummetpan. Vsyya- ees b TpaHcsepsanbHoM Hanpasnexin, Kax OGtiaR CHMMETPES Tak 4 CMMMMeTpHA MaITKHX TKAHEM. OcHO- Bane Kpbinbes Hoca uay4aeTCA Ha npegMer ero. \wrpinbi. Erm OcHOBaHMA xpbinbes Hoca WMpoKMe Mi N@uMeHT UMeeT HECKONLKO "CHTiOLEHHBIA" HOC, CvTYAUWA He Sy eT BbisbiBaTs HaCTOpOMeHHOCTS NO NoBozy upesmepHoro HocOBOTO yARMHeHis. C apy- To CTOPOHE, ECM OCHOBAKUA KPLIMLeS yokne HOaApM cyxKeHbI, B GynyuieM MOXET METS imecTo Gonbiuoe konimectao pocta 8 STOM yuacTKe nua, Puc. 3.6. Onpegenenie sarin Hocory6uoro yrna. 4TO B KOHeMHOM Tore pesynbTHpyeTcA B OCTPOKO- HeuHylo chopmy Hoca. Ouenka cocrorHna ynbiGkn naunerTa Tax xe Heo6- XopMMa, TAK Kak OfHa Wa OCHOBHBIX Samia OpTOAOH- Ta — nony4eHe onTuManbHoro pesynbTata neve- HUA MMEHHO ¢ OTOH TOHKM apeHus. ChenyeT orme- TT CTeNeHb SkcNOSMYWMN TKAHEM MECH! BepxHelt Yemiocta uni HwxHeemocTHbX peayoR. Mpn co- BPeMeHHOM YpOBHe OpTOACHTHYECKOA MexaHMKn NpoGnema BHeApeHNA Mk BLINBMeHWA NepeaHel Tpynnsi ayGoa Ha BepxHeA unm HuMHell Yemocta pewaerca nerve, vem Korda nu6o, ynpowaR Taku OGpasom cosmalie HOpManbHoA maki yrtiGKn. BHYTPUPOTOBbIE SOTOrPAGHMK TlonyveHe nara BHyTpMpoToBbXxX cboTorpacuis — BepXHENeMIOCTHOM M HitkHENeMtocTHOM OKKMIOSMOH- Hola BAA, NpaBaR, NeBaR M YeHTpanbHaR npoeKunn — cTaH@apTHbIA cnucoK 3aqa4 ANA Kaxkgoro nay esta. Tw coTorpacun MoryT GbiTs nonesHe! 8 on- PefleneHnn BsaMMOOTHOWEHKA MEXay BEPXHEM M HiDKHEM KOHTPONBHOM MogensiMu 80 BpeMA Quar- HocTukn. St chororpacban nosxe AeiicTayioT Kax MPeKpaCHaR CCbinka Ha MSHaNANbHoe cocToRHie SYGHBIX PROB M OKKNiOgMM ANA oNpeneNeHiA npo- Tpecca nevenna Bxytpuporossie cbororpacun 4 oGBeKTMBHoe 06- CnegoBanwe WCNonbayioTcA ANA OUeHKM YBeTa 3y608 AO NeveHMA M HANK DekanbuMcbuKaLNN. Baxxo ykasaTb naumeHTy 4 ero poAvTensM Ha ume- souyo1oca AKeKONOpalvio MN Apyrue KHeCOBepueH- cTea oman ete 40 nevetina, Mo Mepe BbiriprMne- Hina ay60B, RekanbuMGuKayWA CTaHOBMTCA BCE Gonee oveanqHow Ana naymeHta v ero cembu. On- Hako, Nocmotpes Ha cboTorpacbum ao neveHun, OWEH CKOpO BbIRCHHTGA, HTO UseT 3608 BoBCE He vameHunes, HennuHe SyneT HaNOMHMTS nayneriTy ele 20 NeveHUA, 4TO, xOTA GpexeTbI M BuINpAMAT ayObI, HO H¥KaK He NOBNMsIOT Ha Mx UBeT. W3YY4EHME KOHTPOSIbHBIX MODENEM AkxypaTibie Mogena ao NeveHi — OUeH BaxHbii 3nleMeHT AMArHOCTUKM. TIM BarnAne Ha KapTouKy TauneHTa, uXcbopmaymio, KoTopan Guina BBegeHa B pasgeh “monenn", MoxHO OTHECTH K pagprgy knio- NeBbIX, NECMOTPA Ha TO, YTO KNacc HapyweHWA npn nyea, NepexpbiTae 4 ujenb no carMTrana wHorga Nerve onpegenwTb Npm Nepsu4Hom ocMoTpe. Konn- MecTeo mAnnuMeTpos rnyGnbi nepeKpSITMA M Wer No caraTtanu vaMepAeTcA NpsiMo Bo pTy y NayneHTa Tip NoMou nMHeliKw: HexcTopbie AOKTOpa usme- PAIOT Npukye 8 NpouEHTax (50%, 100%). OnHiaKo, NpoueHT Nepexprrte cam no ceBe He mANReToA FOCTATOMMO biqbopMarTMBLAIM AeMepeHMEM TX KAK 400% nepexptitan mo:xeT Soirh M3 MM. KIM 10h Fonee Te:0, ¢*paxozes cpopma tpe6yer * raGri ne- pexpbiTue OTMeNanOc:, MMCHHO B MiKANIMIeTpAX Aesbvuiet mecta oljeHnsaerca no sennunie YacTHu- Horo AeperpbnwA 8 Mesho-qMeTAMSHOM HanpaBsie~ 29 Hun. Creel cxyyenHoro nonomeHnn sy60B Ha Bep- XHeNeNIOCTHOM Ayre He CTONb KpUTMUHa, STO OTHO- cHTeNbHO NpocTo, nepeMeulaT> nepsble Monapbi AUCTaNbHo y pacTyuumx NauMeHToB, UCONbsyR BHE- PoTosyio TATY M Apyrne NpucnocoGneHua. NosTomy, H@ BepxHeYeniocTHod Ayre B OGbIMHbIX cny4aRX MoxeT ObiT CO3faHO CTONbKO npoctpaHcTsa, ckonbko HeOGxoquMo. OpHaKo, cyMMa MeCTa, KOTO- Oe Moker GiiTS CosMaHO AUCTaNbHbIM NepemeLje- HMeM HWAGIUX MONAPOB, O4eHL OrpaHMueHo. Takum oOpasom, avania UMeHHO HOKE Ayr AANReTOR onpegenmiouyam cbaxropom 8 npwHATMA peUleHA 06 yaanenun, Bbinontifetca avanns Bonroxa ana onpegenenna Hanwuna HapywieHita pagmepos sy60B Mexay BeDX- Hell A HUXHEH YemocTAMM no BCel AnUHe syGHbi%K ‘yt, nuGo Torbko @ nepeaHem ywacrke. OTmevaeTcn Hanwune WinoaMgHiix naTepanbHbx pesyos. B o6wem rosopa, ‘wunosyaHbi natepanbHbil pesey RBNReTCR BEPXOM NPORENeHMA HapyWieHMR paamepa ay6a. VIMeeTCR HECKONeKO BOIMOXKHLIK Me~ Tonos NeveHuA CryYaeB C WMNOBMAHbIMM NaTe- Panbheun pesuamn: 1. MlonbitaTeca npwgate umnosngHbim naTepanb- HbIM pesuam Bonsai yron KaKnoHa, Tak Kak B 3TOM cnyyae OHM sanonHAT Gonbulyio sony B Meswonnc- ‘TanbHom HanpasneHun. Octasiulescn HecooTaeTcT- he BeNMYHbI pasMepos 3y608 MexAY AYTAMiK KOM- ReHeMpoBaT NpM TOMO MexnpOKCHMMaNbHoH ce- Napauwm B NepepHem yyacTke HAKHEM YemocTy, Taxoi cnoco6 neveHNA MOxHO cHimTaTs schcbexTHE- HbIM ¢ OfHOI OroBopkou — wHnoBMAHbIe Natepanb- Hble peabl AOMKHb! MoHAYANHO UMeT Gonee Mmn MeHee acTeTHMHbIl SHELL aya. Ecrin ohm KpaiHe OGTPOKOHe4HbIe M TOHKMe, pesyNbTAT cKopee Bcero Hens GyneT HaseaT YAa4HbIM, 2. Packpbirs npocTpaHcTso SoKpyr LMNOBAAHEIX Na- TepanbHbix pesyoB M YCTAHOBUT Ha HUX B KOHLI nevenus KOpoHKn. Sta Npoyenypa OGbIHHO npEA- RowruTenbHa & cnyvaAx neveHun Gea yAaneHun, ech naynenT meet npAMod npocbuns. YaaneHne UWNTOBMAHEIX naTepaNbHbix PEsYOB MOKET BbisBaTE YpeamepHoe ynnoweHne niya. Mocne coszanns MeCTa ANA NATEPANbHbIx PESUOB HOPMAIIbHOTO Pas- Mepa, WMNOBUZHEIe 3yOb! MoryT GbiTS peKoHcTpyH- POBaHbi 90 HOpManbHbix paamepoB MHOGbIM BOSMOK- HbIM cnoco6oM. 3. Yaannts winnosmgnbie natepanbHbie pesusi, ne- PeMECTHTe KribiKn Ha HX MecTO, NocHe ero PeKCH- TypHposars Kniikn M nepebie NpeMonApEI. Ecnw sagava nepemeujenis sepxvevemocreix sMbiKOB Ha MecTO yAANeHHbIX NaTepanbstbix pesuoB soxeT GbiTs nerko pewena, 1oKH!A pyra MOKeT Gti nevena Gea yaaneHna, 4 pesynbTaTOM KaK npaann, Byser a /,2clotouhok creneHa rapwohwt- Phill MpodbWib MaraHx HaHeH, Sto ol ia Mero BbiGepa, MPH KOTOPOM MOFAPHI NpMBOAATCA B oN Hoe BsanmoaTHOWeHMe No BTOPOMY KNaccy, Bce MPOMEMYTKM SaKpLIBAIOTCA MCKMIOWMTENbHO opTO- AOHTMYeCKMM NyTeM, 4 ECnM nayWeHT Bnaneer non HOCTbIO HaTypanbHo 3yGHOK cTpyKTypoli, OH He 6yaeT 6 GyAyuiem ucnoibiBaTs HeOGxoAMMacTe wMeTb AeNo c MOCTaMi MIM KopoHKan. Npapaa, MoxHo BoapazHTe, 4TO NpM Tako npoyeAY- pe WsMeHuToR yuacTne KnbiKOR B chopmmpoBaHnin OKKnIOsMN. ODHAKO, KNbIKM Tak 4 OCTaIOTCR KnbIKaMM, rpe6yeTcA Nui HesHaUMTeNbHaR npuuunAcpoaKa ANA npapaHWA WM cbopME! NaTepanbiix pesyos. Nepssie npemonsphi saHuMaloT nosMuWio KnBIKOB. Taku o6pasom, ye He OAMH, a Ba sy6a Ha KaX- OM CerMeHTe YemocTA BLINONHAIOT Ty pons KOTO pan v3Ha¥anbHo NpuHagnexkana knbikaM, 4 A yGex- Zev, YT HeT HuNero NpoTMBOeCTecTBeHHOFO B TaKOM nonoxkeHuu Bee. Crenett nepexpectHoro npukyca oyeHitaaioTcR Ha OcHOBAHMM Way4eHMIA KOHTPONbHbIX MoeNed nayn- eta. B anarHocTu4eckoil KapTouKe AenaeTcA coor- BeTCTBYIOUIAA Sanitch 0 TOM, KakaA KoHcbirypaLnA nepexpecrHoro npuKyca umeeT MecTo 6biTb: B nepe- AveM yuacTKe nh B GOKOEOM; GyxKarbHbIA unin TIMHTBANGHBI NpuKyc, B To Xe BpeMm, Gepeton Ha saweTny mo6oe coctortime Kpnsoit Llinee, 8 sHaun- TembHoli creneHu oTMHYHOe OT HOPManbHoro. CMe- Uenne YeHTpanbHol nmHMM oyeHMBAETCR Bo BpeMA nepewutioro ocmotpa. CreneHs HapyweHiiA sani ChIBAIOTCA 8 MUNNMMETPaX, Np 3TOM AenaeTcA BHIBOR, Kaka M3 YeniocTeli sauHTepecorana 8 Gontwed crenenn. amerka “nepesom” Ha anarHocTMyeckol KapTouKe oTHOCMTER K nioBoMy syBy, MeloUleMy necheKT Ko- POHKM CBASAHHDIA C TPABMOM B TOR OGnacT. KaK peayMbTaT ThaBmMaTuYecKoro yhapa, 3NeCb MOET MMeTb MeCTO MaTeHTHas naTonoma, Kotopan, NOCHE NPUNOKEHMA Harpy3kw, MOXET NPMBeECTH K onpegenerisim npo6nemam: noTeMHeHie KOpoHKA, a6cyecc u 1.2. MosTomy, nauvexT m popyTenu jo- MkHb| ObiTi NPeAYNpEXMeHE! 06 aTOM BOSMORHOCTH Moxet ctaTeca HeoGxogmmeim onpegeneHHeiti OGBEM HAOROHTAYECKOrO BMeWaTeMbcTa AO Ha- Nana opTopoHTMvecKoro neveHiA. Ecmm oTKon KoponKa AocTaTOuHO BenMK, MoxKeT CTATeCA HEBOSMOXHBIM yCTAHOBUTS EpexeT Ha oc- Taguiyioca ee WacTb, KopoHKa AonKHa Gis Torna poccTaHosnea no KpaitHeli Mepe Qo Tou Korza Gpexer mK KONBYO MoryT GbITe yoTaHoBneHs! Ha Hee. Ecnw orkon HeSonbuiol, AoKTop MoxeT MaMe- HaTl KOHTyp ayGa nyTen mpmuunmcboaxn eLye 20 Hayana opTogoxTmyeckoro neveHma. Torna, ecnu fauiee yeranoake Bpekera cnepyeT a6bi4Hti npa- Bulan, NpowsoviAeT HekoTOpoE 3yGoanbeeonapHce BMIABIOKEHKE, HO NPA O1OM pexyulan ypan ayGa Gyger ReXOAUTCR B HOpMAN.HOH NosMyNN B KOHYE nevenin, Sta npolleaypa MoMoKeT MaGexaTs HEOO- KOQMMOCTH falibHedivero KOCMETMYeCKOrO BOCCTa- NOBNeHAA KOpCHKH aySa. AAHHbIE MEPBMYHOFO CCMOTPA Paagen “ocmotp" 8 AMarHocTMHecKoH KapTOUKe OT- HOCHTCR K OnpeneNeHHin GaHHIM NONyMeHHbIM Ha. Ha4anbHom ocmoTpe. Cioga xe, 8 rpacby saHocaTcn APMBLINKiA, KOTOPbIe KaK-TO MOTYT NOBNMATS Ha XOn Devenns: napacbyHKyns AabiKa, MHCbaHTUMLHOE rn0- ‘Tahwe, poTOBOe AbixaHie, M T.4. OueHnBaeTCA co- cTORHMe TkaHel ZeceH. Victopuveckn cnoxanock, 4To opropoHTs: mano BHAMAHMA YAENSIOT COCTORHMIO JecHeSLIX TkaHeli, Ho cnocoGHocTe ix BrnsiTe Ha XOm OpToMOHTHMec- koro NeveHvis Ha CefOAHALWHMI eH O6ujenpusHaH- Ha. Train onvcpleaioTcA 8 OGuIKX Tepminvax (Tone Tble, TOHKVe, HOPMarbHBIe, Us yObIBaloWKeE). Bonee Tonotole Tkaku cosnaiot Gonee GnaronpuAT- Hbilt OBcTaHoBKY ANA NeYeHNA, Tak Kak STO NOApa- ayMeBaioT HanMuMe JOCTaTOHHOrO KOWMECTBA KOC- THOH TKaHM, oKpymaloWie sySbl. Bectu6ynnpHoe NepemeujeHve HWKHUX NepenHVX PesyOB MoXxeT NpoUcKoAYTS Gea KakNX NuGO BpeAHEI sdbcbexTos. C apyrof cropoH!, Manoe KonmuecTso npuKpen- NeHHOM AecHEBOM TkaHH orpaHnynBaeT 3oHy Ges- onachbx MaHInynALi. Homma Spite npowsseneva oyjeHKa yObinn TKaHea ‘ecHbI. HexoTOpbie NayMeHT! M3HaMANHO WMeIOT B HefOcTaTOMHOM Ko/IMMeCTBE Mn He UMeIOT BoAGE BecTHEyNAPHO NpHKPENNeHHOM AecHEI. Sta cutya- Uva MoxeT ObiTe crlezcTaHeM HenpaBinHorO Npo- PeSbIBAHWIA HiDKHIKX NepenHHnx syO08. YOLIN> AecHe- 80M TkaHM BOKPYT HimKHix NepemHiix syGoB MOKET Tak Xe BbigbIBATEGA aOpasHEHbIM AevicTeMeM 3y6- How werk. Dpyran npwunna oShaMeHns RecHbt MoxeT GbiTb 8 BbICOKOM NpHKperneHinu y3neUKH Hit knelt ry6bi, UpeamepHoe obHaKeHIle KOPOHOK 3y608 W fame HeKoTopoe ObHaxeHiIe KOEN MONET BbiT Tak xe pesynbTaToM Tpaambi. Bonee Bspocniie na- UMeHTbI MOryT MMeTb OGHaxKeHHMe KOPOHOK KNbIKOB M Npemonrpos 8 obaenenve K HiME NepeaHeli s0He, HanBonee YacTo aTo pesynbTaT adpasusHoro aeiictans 4uctkn sy6o8. Baxho Tak xe o4eHMTS KoAMYeCTBO NpukpenneHHOH ACCHbI Ha AIbIYHOR YacTu NepegHMX syGoB. HeKoTO- Pble NayMeHTel yMeIOT EonbLUyIo AECHEBYIO yObine Ha TMHTBaneHOu cTopore, a He Ha BECTHGYNADHOA. Ecn o6ctonrenbersa Toro Tpe6yior, Ao Havana OpTOROHTHMNECKOTO NeveHI‘A HEOGXOANMA Tpakcn- TaHTaynA AecHeBoro NocKyTa, Bory4anx co sHaun- Tembiol AECHEBOH yObinblo, NocKyTHaN onepauVA omoia GiT> BbinonHeHa HeMeaneHHo. Dechexoi ‘TpalicnnakTar He rapaxtupyeT nonHoro BoccTaHos DSHMA TKAHEM ZECHEI, @ SBNACTCA Nish CTPAXOBKOM oT fanbHeliwero ycyrySnekns npoyecca. |) peule- HAW NOTeHUVANBHLIX CepbesktIx npoGnem Tpaken- PaHTaAA Jechesch Tal adbcbexTvaHe No“ B 100% cnys3e8. He nepeyvom octorpe npouupaerca cbykKyoHH- Posahve sicoHU-HHXKE ieMvetbory eyeTaaA Eon oveaus61 HeKoToptie ipoSneM|, a noceuye Hui, ANG NOMyYeHMR DMarHOCTM4eCKMX sanucen, 20- MONHMTENbHO MOKHO NpowaBecTA namnHorpaditio cycraga. [lvarHoctuxa BHC chugpoma 6yner uano- 2xeHa Gonee nonxo 8 Tnase 12 TENEPEHTTEHOrPAMMA Ana pacsera natepanbion yecanorpammpi 1c- NoMbsyeTcA TONbKO NATHAQUAT. MaMepeHMii. XOTA Apyrme meToauin aHanvaa MoryT McnonbaoBaTe 4 AO NATHpeCATH UsMepeHuii, MHE KAKETCA, “TO 3TH AakHbe, CKOMEMHUpOBAHHbIe C Apyro uAcopMa- nell 8 AMarHocTHNecKon KapTouKe, OBecne4nBaIoT Aokropa npakrauecky sce ONHOTOR AMariocTu- ecko ucbopmayan. Sunocodna Vari-Simplex 8 abiGope cneyncnyec- KuX MoMepeHM ANA AvarHOCTMMECKHX Yenen Gasn- pyeTcA Ha npepnockinke, 4To cyLecTByioT onpene- TeHHbIe YaCTh MHcopMayMM, KOTOPBIE AOMKHbI GuiTe NonyeHb! M3 Wecbanorpamme. VamepeHus, KoTOpbie Gti BbiGpaHb! ANA STHX AMarHocTHMEC- xux npouleayp, Syay4u HeMHOrOSMCneHHbimi, 20Ka~ 3anm, NO MpowecTBHM MHOTAX NeT cBOID HaqeX- HocTs 8 gene ugeHTncnKaunn. VicnonssoBaHKe Crmwkon Gontwore KonMYecTBa MIMepeHiN MONET cKopee aaTyMaHMT> KapTHHy, Yem cpenatp e€ Gonee AcHoA — "6yabte npouie, cop" Metoguxa paciera TenepentreHorpamm Vari-Simp- lex Discipline He comepxarT xaxnx nuGo yHnKanbHeix vamepeHiii. Onv savMcTaoaaHbl 43 aHannaos Crea- Hepa, JloyHca, Xonases, w Puxerca w apyrax aBTo- pos. {Ina Toro, sToGb! noHsT> akanua Vari-Simplex, AOMKHO Bolte onpeaeneHHO KonMvecTBO Yecano- MeTpivieckHx opueHTupos, Pucyxku ¢ 3.7 no 3.24 copepmat onpegenenua XYQORECTBEHHbIE BOCNPOMSBELEHUA KANON TOUKU. Toukw wcnonbsyiotca ANA onpefeneHua Konn4ecT- 8a nnocKacTeli, KoTOpsIe ¢bopmupyior ocHoay Ans uecbenomerpmyecknx wsmepeHiii. PucyHKn c 3,25 no 3.30 cofepxaT onpefenerna u us06paxeHns 9Tux nnockocTel. Onpenenekia Yecanomerpy- 4ecKMX M3MepeHM” C uNMOCTPaUMAMM HaxogATCA Ha pucyHkax ¢ 3.31 no 3.45, TaGnmua 3.1 nepeunc- RET HOPMbi M CTaHapTHbie OTKNOHEHR ANA pa3~ TMMHbiX UaMepeHW, OTKNGHEHHS OT HOpMBI— oTo OcHoBa ANA NPMHSTHA pasnM4HbiX PeWeHHA neve- His. AHAII“3 B TPEX MIOCKOCTAX B pmamoctuxe nnakuporaNnn neveHun, 1aQ0%~ Haw CUCTeMa ONMCBIBAeT MAYO 6 TPEX NiocKocTAX npecrpavictaa, AxxypatHan unelitudinkasina cour HoWeHh 8 Thex MNoCKOCTAX —caMMTTalssHOH, BCP TAKANHOR, 4 TpaHeNepsantiioh — KoMoXeY B ible Gope MuxaHiikn reNieHiea, NOMKHBIM O6}aI0M cno- COGHOR NoBNAATS na TpeByrMoe WaMeNciuie STHX soaMMooTHOWetni Fy] Puc.2.7. Sella turcica (S)~ Yenrp ninocasapnoii fun Knitio- BMAHOM OCT Pyc.3.8. Nasion (N) — Nepecevenne mexHocosoro wea ¢ Hoco- ‘noGHnim WEOM B cpeARHMO-carMTTaMbHO} iiocKOcTH ww oot 4 F 53.9, Menton (Me) — HawSonee sionana roma cyaepnea Puc.3.10. Towa Ir (Ir) ~ Towa HavSonsweii Bemyxnocta spon —_Pc.3.13. (At) — Pexyusi kpal bepxnera YeHTpankHore peaya Hwee fpakiuel BETBK WemiocTh 1 wb 9 ky 0 ee: BY Ho Puc.3.11. Potion (Pr) — HakGonee sticoKan Towa hapykHoro — Pwc.3.14, (B1) ~ Pemyuini xpail Husciero WehTpanbHoro pesye ‘cnyxonore npoxone as : as 0 wy 0 ae > 2803.12, Orbitale (Or) ~ Fansone> HimmRR ToXka HepyKii vo ae 3.18, (Mp) - Cpeainn Tova KouTakra Bepxnero u ninxHero ‘pan cashins epeore wane # “oeruni GoR:eOH Tenepen retorts 2 4 ae ; \\ Puc.3.16.) Touka A (A) HanGonee mySoxan Toure Kpwaoline- Puc.3.19, Tora AR (Ar) — Bepxyuina wopun aepxiero Yeutpanie- BeAKEl TannyE BepKNeR YemiocTH MeXAY NepeAHeR HocoBOA Horo Peaye ‘ocTbio H anBeonawn Ae a o ~ 0 HY Lae ( Puc.3,17. Towa 8 (B) ~ HanGones aaqHan TouKe soruyrocrn —Piic.3.20, Noronwos (Po) — HanGonee nepearnr ToNKe cmmcuse BgOne nepeAHerO PAR cHMIcHEa, 8 NPOEKYAM FaTepANSHOH Te- —_HUKHER NeNiocTH TepentrteHorpamasi Pio.3.18. Towka BR (Br) — Bepxytuka kopit Huewiero YeHTpans- —Pye.3.241, Tarwon(Ga)-~ | wa nepeccveie Mexry MRocKOR 10 oro peaya ‘comaycasioiue® NM Po, W 1ickocTbHa co@mAMRiaute Ma i+ If P01 nnanr a Tosa nogGoponia (Ot) ~HawGonee nepenrin Towa — Pue.3.25. SN — Pinoovoere CoenWHniowan sella turcica 4 nasion MRnex trae noaSopoaKa AB 45 cs 0 Y a me Pro '3.26. HiHeveniocTran nnockocrs = MnockocTe coeaulnio- war Town Meu Ir. ta nnockocrs onpenener covosalie Hinael Memtoctn Pnc.3.23. Bepmn ya (Ul) — HanGonee nepenHan Tove Bep- >oHeH ry6s D> 45 Pr PRe357. anmpyproas foprsonTank — Anockocte :Gpaso- Bs HAO A) anSoncorengyon rarities (OA usar Sehr na cpu tr “pene vananan gous See Puc.3.28. Oraniosnonnasi minccxocts — Monoania pacctoRHin meray rowan At 4 B18 coeguHernn c Too” Mp oOpaayiar ary ‘AnocKoeTs. XOTA na caMoM Aene ORTToaMOHHAS NNOCKOCTE PeZKO Gaisaer nonvocTto NNocKOl, Tavoe AonyilleHne He yMaNRoT AWar- HocTHerKOm UeHHOcTH NocTpoeHHoA TakxM oSpasoM MnockocTH Pue3.29. Mrociocts APo — Sra nnooxocrs ‘nuesoro cxeriera, M OGpas0sana CoeAMHEHNEM TOMI A ABs 0 Ae ae PMG-3.30, Mens ssincec THa.seH TpaMnuy MACIX TsaHEN KiE rapMoHNuHiilt npoc>- uinb. B ueane, 970 CooTHOWeHMe 2OmKHO Geir 1:1, WOM TOUKa HiOKHMX pestios JOTMKHa ObITs pacnono- okeHa KNePeAM OT OAHOrO AO ABYX MuNNvMeTpoB No OTHOWeHIMIO K NOrOHKNOH, TpeTbMM WaMepeHneM Ka- CAIOUIMCR ROSMAN HIKHIX peslOB ABNAETCA ux RonoxkeHHe No OTHOWWIeHINO K APo. Sto mamepeHne ABNAETCH MHAVKATOPOM CalMTTANbHOFO OTKNOHEHUA pemyuax kpaes xnepegn wm xeagn. Llenbio ByzeT RBMATOCA PACNONOKEHME HMMKHHX WleHTpanbHEKX Pesyos Takin o6pasom, uToGbi pexyulme kpaR Ha- XOAMNGb Ha PaCcTORHMM OT OAHOTO AO ABYX Min Fuetpos knepeni oT mania APo IMPA 1 oTHoweHne Holdaway onucpisaior nonome- Hite peatioB TONLKO No OTHOWEHMIO K HinkHell Nemioc- Tw. Hiokne peaubi k APo COOTHOCAT HinkHie pest K BepxHeii Yemiocta TaKxe, Kak K HH, CrepyeT NonbiTaTecA HaliTh NONOMeHMe PestOS, NPM KOTO Pom Bermuntist BCex TPex MaMepeHHii OyAYT HaXO- utes Grmako K HopMe, M, 8 TO Xe BpeMA, He OTNM- YaTbCA 8 sHaYMTeNbHOM cTeneHy oT NoKasaTeneli AO neveHus. Bepxine peauti k SN onpenensior yron HaknoHa BepxHux pesos. Bonbwan Benw4mHa sTOrO M3Me- pels npeanonaraeT Gonbiee sectuBynapHioe oT- KNoHeHMe BepxHMX pesos. Mexpesuioabia yron OnMcbiBaeT CTeneHb GumakcunnApHOA npotpycun wn perpycuw. Yem Hike 37a BemMuMHa, Tem Gonee APOTPYCHBHD! ayEHbIe PALI. COOTHOWEHME MATKUX TKAHEN Vamepenine nonoxeHin HuoKHell ry6bi K AMM rap- MoHitn NoMoraeT AOKTOpy OYeHMT yuaCTHe MATKHX ‘Trae B chopmuposaHum npodunr. HeraTweHan senmntia QnA sToro maMeperMA noApasymesaer cMeujenve HMmHen ryGbI ANCTANbHO, SonbulaR Be- mwunKa NpeAnonaraert BbiCTyYNAlOLlylO HMKHIOIO ry6y. VaeanbHan nuvi rapMoHni Nils AoTparn- BreTCH AO MRrUX TkaheR NoSoponKa, Hine H Bepxtielt 1 Sbt w NpoXoAHT Hepes cepe,inty Hoa. B joSapnenve k suinonHenme eneuwPayecKHX Ye PANOMETPK'eckix HaMe; 2HVid, BOXHO NpoaHAnh- SMpOBaTb OUPKCIBkY YHLTO aMayanbHo. MHoNAa, uucbpbl He Mory HeCTH acio NonHoTy Mli-opMatyAn, BosMoxaio, 4To wamepeHiin noKaxkyT enya HASKO- fo yrna, u Tem He meHee, 8 cBASM c NonoxeHneM Sella wan pankcbyprcKow ropusoHTanu, cnyyali MoxeT 6biTh Ha CaMoM gene cny¥aeM ¢ AbICOKMM yrnom. HaGopa WHCTpyMeHToB, KoTopbit Guin Gui cnocoGex NOnHOCTbo 3aMeHITe aianUTAYECKyIO 3k cnepTiay KnMHMUcTa, Ha CerOBHAWHMA AeHb He cywjectayer. UYEPANOMETPUYECKMA PA3QEN KAPTOUKK Vcbopmauun, nony4enHan Ha ocHOBaHAM MaMepe- Hwa W B4ayanbHoro aHannsa TenepeHTreHorpaMMst, HaxopMT caoe oTpaxenue B cexynn "Llecbanorpam- ma" AMardocTA4eckoK KapTOKM. "CKeneTHO" oTHo- cuTbcA kK MMeeT NM naumeHT cKeneTHBIA Knacc |, II, lll. "Nlepexperme" — HopmantHbiit, oTKpbITala, mnt rrySoKnii npukyc uMeet nayweHT. "Yron" noapaay- MeBaeT BbICOKNA wm HASKHA yron. “Bepxian Ye- miocTs" — nonoxeHue BepxHel YemocTH B caruT- TanbHom HanpasneHiny. "U1's" umeeT 8 BMay non- OKEHNE BEPXHUX PesLjOB, Hx HAKNOH B TY HNH MHyIO cTopoHy, “L'1s" onucbipaeT HOKE Pesuibi Ha TaKoli ake MaHep Kak 4 “U1's”, OGstuHo A BLINOMHAN None aHanns CreiHepa, Ho, NocneaHMe ABeHaAUATE ner, A OTOWeN oT Hero. Ha amarHocTuHeckoli KapTouKe uMeeTcA rpacbuuec- koe w306paxexne TpeyronbHvka Tewga. FMA » IMPA yxe 6binu o6cyxgenel. FMIA 8 anarHacruuec: ko# Npoyenype Vari-Simplex ucnonbsyetca gocta- TouHO peaKo. B quarHoctuposanuu cnyyan, HeO6xogMMo Hay4uTb Ce BOIMOMHOCTH YRyMUleHMIA ENeUHeFO BHAA na UMeHTa, BkniovaR Te, KoTOpEIe No cEoeli Npipone He (OPAL HYGIENE (DISCOLORATION, [ESTMATED TREATMENT TIME REnAIOTeA OpToAOHTMYecKMMM. SyGHbie prAbI co- CTasnsiot Tomko YacTe OT BCero BHEUWHerO BYaAa Juua. Hanpymep, cyulecrayiot cnyuav, B KOTOPLIX ayGbI, NO OKOHYAHNN NeyeHnR, SaHMMAICT CBOE Wpe- aMbHOe NoNoxKeHine, HO NoABoPOAOK m Hoc BbiNaza- tor 43 oOuled rapMoHwu. Spec HeT ANB npoonem, HO pesynbTaT He ABNAeTCH KOcMeTHYeCKHM, PaHon- TacTnka 4 yMeHbueHne Nog6oponKa nosBonAT fO- cTw4b Gonee Ka4eCTBeHHOrO, C acTeTM4eCKON TOUKM apeHins, pesynbtata. B no6aanevne K OpTOMOHTH- Yeckomy leveHMio MoryT GbiTs NpeANOXeHb! pas niitble THnbI OpTorHaTM4ecKOit Mn KOCMeTMMeC- Koi xupypruy. MAH SIEUEHWA (Puc. 3.46) Bepxtissi vacTs KapTouKn oGecneunBaer HeoGxopu- Moe NpocTpaHcTao ANA sannon AMArHOCTMYeCKNK AakHbIx. Pasnen “Tnak neveHin” NosBonAeT ZOKTO- PY BEECTH MHchopMALINO, CHTesMpOBAHHyIO M3. 3THX ABHHbIX. Bect npouecc nnaHuposaninn NeveHun, 6 KOHEYHOM wTore, penyunpyerca fo Asyx waroe: Onpenenenne 2eNaeMOH NOSMUMK HIMKHEYETIOCTHDX pesyos, M 3aTem, onpeneneHine HeoOxopmmoro oGbema neve- HAA ANA NpwBepeHuA B COOTBETCTBMe BepxHell 4e- TIOCTH OTHOCHTeNbHO KeneeMow NOsMUMK HiDKHel: yeniocTw. TpeaMeTom seveHMA ABMReTCA pasme- Wetine sy608 HuMKHea Yenioc™H B Npenenax ansee- ONApHOFO OTpoCTKa , cOBMOAAA NU TOM YeTEIPE yenosua: (1) pestis! BbinpAMneHbi 8 GasanbHon kocTu; (2) HikHssI YemOCTS B OGNACTH KnbIKOB He IscoMFORT AELAPSE Pue.3 48, Paagen "Tan neenm ear rou, 40 pacwmpaetor; (3) ONTHMaNbHbil ypoBeHt KpMaoi Ulnee; (4) nevexne Ges yganerun, Korga 3To BO3- MOXHO. Nepaan yenb — sTo pbipaGotaT> péanncTm4nbili inal nevenin Ges yaanenna, Sxctpaxyinn gosKHa NpMHMMATECA BO BHAMAHMe, ToMbK ecm Gonee KOHCepsaTHBHbIA NogXoA He BbinonHNM. Ecnu cny- wali Boe xe TpeSyeT axcTpaKuw, ayGbi KOTOpbIe ApennonaraeTcn ynanuqb, nepewersuorca B Ha sunun "Yaanenne". "Ynanese! xem” — 910 nunun ucnonbayemas ANA 3anKcu “Meh AOKTOPAa KATOPbIi BbINONHUT yAaneHue. "BHEPOTOBbIe CiiMbI” OTHOCATCA K Tuny BHEpoTOBOA ‘ara (petpakropa), KoToppin Gye HcnonbsoBAH 8 aToM cnyyae. S70 MONET ObiT NpAMAR Tara, Well Han Tara, KOM6MHMpoBaHHaR Tara, nopBopoqouHan Npawa, muyesan macka, W7.A, Weer nycreix mH MOA "BHEPOTOBbIMM CMnaMi" UCNONb3ylOTCA ANA 3a~ Auch KaKor TMG0 SkCTPAOPAKHAPHOM CocTaBnRIO- eli nnaia neveHus. SameTbTe, YTO Hurge 8 STOM xapTouxe He NepewmeneHa Mpepnonaraeman npo- Tpecoun nposonowHibix Ayr. CTanapTHan nocnepo- sarensHocte pyr Vari-Simplex oGcyxaaerca 8 neTa- rox 8 [nawax 7, 8, 4 9. OpHaKo, ecnm npeanonara- eTcA ucrionbsoBaHMe KAKO mio aKcTpaopaMHap- Holi ayru, sTOT saMbicen AosiKeH HaliTH cBOe oTpa- xeHKe 8 KapTOUKe. B cexynu "MpoGnembt " MMelorca YeTbipe cermeHTa: (1) pesop6unin kopHe — Ecnn Gbino onpeyeneto ro paccacbibalive KopHell RENAETCA NOTeH\UMaNb- Holt npoGnemow, sect MoryT nepeswcnaTcA ocHo- saHMMR ANA TaKMX NopospeHni, (2) aucKomeoptT — ecri ecTb onaceHinA, HTo NeveHne 6yAeT CONPOBOX- fatsca GonbUIMM AMCKOMcOpTOM HeM OBBI4HO, rae teHTa uHcbopmupyioT 06 aTOM yxKe Ha KOHCyNbTa- uuu. (3) rurmexa nonoctu pra — Eon naynext yxe ObIN saMe4eH B BLINONHeHIMN ¢ HegOCTATOYHbIM pBe- HWM rirmeHM4eCKvx MeponpMATHA, NauIKeHTy Mero popirenam HanomunaloT Ha KOHCYAbTauMi O Bax- HOCTM COOTBeTCTBYIOUIEN MMrheHbI NONOCTM pTa MO @@ B3aMMOCBASM C OPTOAOHTMYECKMM NeveHneM. (4) peynans —B Gonbumucree cnyyaes Ges yaanenwa CO cKYYeHHOCTEIO AO NeveHKA, npeaoTBpALeHHe peuanea umeet TeHReHLMI0 Geib NPeAMeTOM ocO- Goi saGoTel. B TaKMX, MM MWOGEIX ApyTUK cyyanX, rae umeeTcn Gonbuian BepomTHOCTs pewinanea, Na- UMeHT W POAMTeNN AOKHb! GbIT CooTBeTCTBYIO- yam O6pazom micbopmupoBaret. SH NoTeHyKane- Hbie NpoBnemel TaloKe ocBeLIBIOTCA B chopme corna- erin. Taxnm o6pazom, Kora nayneHT KNW Poon Ten NoANKeLIBAIcT chopMy, CHit CCBEAOMNeHD! OS atom cwryaunn. Seo, npegnionaraemon npofonxnTrenbiocTa neve- Mit MCNOMLAayeTCA Npexpe BEErO KaK yCTaHORKa’ Yeni. HesosmomHo aGcomorHo rouHo npeackasars, munnuMeTpos. OpNaKo, cyiiecrsy- eT HeKoTopoe 3anacHoe npoctpaHcTBo, OT OAHorO ‘AO AByx MarnuMeTpoB, KoTOpOe coxpaHAIGT KopoH- 4M BTOPLIX MONOYHEIK MONApOB. MosToMy, B KOHEN- Hom wTore AecbuyWT MecTa CocTaBneT nopagKa ‘deTbIpex MMNIIMMeETpOB. 8 cBoe BpemA MeHA yun OcoGeHHO He HanentecA Ha To, WTO Nocne yAaneHnMA BTOpero MONoUHOTO Monsipa ynactor coxpaHuTe Gonbulylo wacTs sanac- Horo npoctpancrsa. A, ogkaxo, obHapyxun, To 3TO He Tak. Mpv HeoGxopMmocTu npakTuyeciA Bacio pas Huy B pasMepax BTOporo MONOYHOrO MonApa BTOporo NpeMoNApa MOxHO sdbcbexTMBHO vicnonb- sopare, Ha sTofi TouKe elye He Momer GbiTb caenato onpe- AenekHoe petuietine 08 ynaneHin, xoTA ye celiac A Mpegnoven 6b ynaneHue no AByM npwsunnam: (1) Npodwine winx Tae BbirnsnnT NpOTpyCMBHBIN (2) Cywectayer shawwrensiteit aeduuwr mecta. Oavaxo, ecnn 6bi naywerT umen Gonee ANMHHEI Hoc Gonbui no pasMepaM nogGoponoK, f, Bepo- ATHO, naHMposan Goi NeveHve Ges ynaneHisa. Quesmsas parHocTaecKne Mogenv, Mbt sKgnM TO NalIKeHT MMeeT BSaMMOOTHOLEHe MORApOB NO Knaccy Il, HecxonsKo rny6okoe nepexpaiThe B nepe- AHEM yuactKe, 4 WeNe No carvTanw npuMepHo B aT winnnmmeTpos. B caAsH c npoTpycHel Bepxiel YeniocTu moxeT NoHanoGiMTbcA ee peTpaKun. Npe- TeHaMi K CpeAHEA NuHMM He umeeTCA. Hakoveuy, akanusiupyiotes aaHible TentepeltreHor- Pammt:. 8 nepsyio o4epenb OUeHMBAIOTCA MaMepe- MMA XapakTepnsyioume cnyvali B BepTHKANbHOR FUNOCKOCTH: HUDkHeeNtocTHaR NTOCKoCT» B 28°, yron OM 14°, uoce pocta Y 8 61° nokasbisaior, Yro aTo cryuail Hnakoro yrna, Sth pa uaMepeHua onnceisa- oT Hennoxyio KoHcburypayino pocta, Nph KoTopOi GTOyTCTBYIOT BepTHKaNbHble NpoOneMei. : anee quaroctuka cTpourca Ha ouelKe aHayeHnit yrnos SNA 8 88° 4 SNB 8 83°. Peaynbrarei oTHx CkeneTHLX MaMepeHWi NonpasyMeBatoT, 4TO HM 2KHAA MemMOCT HAXOAMTCR B XOPOWIEM BIaMMOOTHO- Wen c YepenoM, HO BepxHAA YeniocTe ¢ SNA B 88°, HaxoguTca anepean. Yron ANB a 5° nogrsep- 2KDaeT ELIE paa, YTO MbI MMeeM cKeNeTHOE COOTHO- were no Il Knaccy, KoTopoe Mul ye HMENMN BO3- MOXHOCTL HaGNIOnaTS Nph oYeHKe coTorpaduii nya. Nostomy, MomHo chenatb saKmoueHne, “To cxeneTHbii I! Knacc o6ycnosnex npotpycneli Bepx- Hef YeniocTA. OGparmm Hawe BHuMaHMe Ha NonoxeHMe HMKHINX pesos. IMPA coctapnaer 95°, ¥ro xopawio snucbe BaEICA B NPMHATHIe HopMaTHBN. HikHite Pesi{bt K swHwn APo wMetoT nonOxeHKe Anne Tha Mune MeTpa, NokasbiBAR HekoTopce BEcTHEyNApHOL pac ROMOKeHME 1:44 pesyos. MMHINa et.A pe=paK- Ui 91x ayboR NPMAACT 4M NpaBuNbHy.o HBO AHA mio WM HeMHoro yMeHbtunT yron IMPA, OrHoweHne Holdaway HaxoquTca nanbuie oF HOpsbL, Mer Apy- Fue wsmepenina (-6°), Perpanyna niKHux pesyos NoMOXeT yeTaHOBHTs HopManbHyto nponop\iio. Yron Haknova sepxHux peayos K SN — 1079, wro Gano x Hopme. Cymmapio: (1) npocunt markax TeaHel ssnnerca TpoTpycuslii. (2) wMeeToR cKeneTHBIA H sy60ar~ BeonnpHeiii II Knacc, (3) ckyYeHHocTs Ha HMXHEdl ayre cocrasnset 4eTbipe musiniamerpa. (4) HinkHe- MeEMOCTHBIe Peslibi HMEIT KEGOMbLOA HaKHOH 8. CTopory npenabepns. Bropoit knacc cooTHoweHna Monsipos AenaeT He- BO3MOxHOM ANCTaNusayMo NepBLiX HuNHeYeTOCT- Hbix Monsipos. Ko ecemy npoYemy Tpe6yeTca Take PeTpaKUMA HMKHX NepenHX pestios. Mostomy, Npo6nema HecooTseTcTBMA ANIMHbI HAxKHeYemocT- Hoi ay6Hoit Ayra B HaHHOM cryvae He MONET Geil pewena Ges ynanelua npeMonspos. Nnanupyerca ynanure sepxnevemioctibie nepabie NPeMONApE! M HMKHEYeMOCTHBIe STOpbIe NpeMonA- bi. Peslbi HMHEA YeMOcTH HYKAaIOTCA AML B HeaHawMTenbHOM NepemeujeHinn AUCTasBHO. Hit- XHEYEMOCTHDIE MORAPbI NOFDKHbI CMeCTHMTCR Meait- @MlbHO 4TOGbI NOCTHMYb BIaMMOOTHOLUEHMA No | Knac- cy. Taxnm o6pa30m, mei wMeem cnyyaii MaHUMan- Horo aHKopaxka Ha HiME! Ayre, TO ECT cHITyALMO, Kora Me3nanbHLii cnBur MonApOB xenaTenex. Yaanevne HmxHeYencTHbix BTOPLIX NpeMonapos 8 HakHOM cny4ae Gonee yenecooGpasHo. Ynane- HMe BePXHeYeNiocTHbIX NepabIX NPeMONApOS B kaKoil TO Mepe NomeulaeT CMeWeHMIO NepBbX Mo- NRPOB B MesManbHOM HanpasneHun. Naynent GygeT HocHTe Lely! sHepoToByIo Tay, KoTOpaR TaloKe OKaKeT HeCeHMMYIO NoMoUUp B ene yaep- aan NEPBbIX MONAPOS BepxHeH UemiocTH Ha mecte. Pewierne 0 Tom, Kakwe npeMonapel SyzyT yaanexti Ha kaxknoi Ayre cneayeT JenaTb npexge scero uc- XOAR Wa Toro, KAKO yuacTox aySHOA AyrA AoTUKeH GsiTs nepemeujers, a KaKol ocTaBaTBCR cTAGune- HBIM, TO ECTb, NPMHAMAA BO BHAMAHWe aHKopax. OGbHHO, Ha MOGOH Ayre, A yAANsIO Nepabie npemo- Aapbl, Korga TpeSyeTcs CoxpaHuTb cyLilecTByOUlee NONOXeHVKe MONAPOB (MAKCMMaNBHbi AHKOPAX), A Bropble Npemosmipsl, 8 GnyYaRX, Kora enaTeneH MesnaNbHbili CABHT MONAPOB (MMHMMANHEI AHKO- pax). Dpyrnm npumepom ynaneHna pasnwunbixnpe- MONAPOB Ha NPOTMBONONOKHBIX AYrax MOKET CHy- 2arTe criy¥aii ¢ TeHAeHLMeR K III Knaccy. BepxHeye- WWOCTHAR Aya Tpe6yeT MMHMMaNbHorO aHKopaxa, TO €CTb BbIFOAHO B AaHHOM cnytiae yanwTe sTopbie ApeMonAps! “TOG riepable MonAPLI BepxHeA Ye- niOcTM wenn Gonbimyio croGony nepemeujarscr MesMarbHo, Makcrwan:Hbii ansopam HecOXognr Ha HiiieNemoctHod pyre, TaK Kak NepenHii cer- Mes {0 DMNA MOKET HaxopaTbcA B OB; aTHoM feyexporTii. B yakom cny¥ae, PapeaTHo, enesi, 27 Yaasitts wxkiine nepable NpeMonApLt K iponsecTA PeTpaxynio nepeped rpyrintt syau..

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