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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2013-10-3-11</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1399</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>МИЕЛОДИСПЛАСТИЧЕСКИЙ СИНДРОМ: КЛАССИФИКАЦИЯ, ПРОГНОЗ, ЛЕЧЕНИЕ</article-title><trans-title-group xml:lang="en"><trans-title>MYELODYSPLASTIC SYNDROME: CLASSIFICATION, PROGNOSIS, TREATMENT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Усс</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Uss</surname><given-names>A. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Искров</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Iskrov</surname><given-names>I. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смольникова</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Smolnikova</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Могилевцев</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mogilevtsev</surname><given-names>M. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Республиканский центр гематологии и пересадки костного мозга на базе УЗ «9-я городская клиническая больница», г. Минск</institution></aff><aff xml:lang="en"><institution>Republican Center for Hematology and Bone Marrow Transplantation at Public Health Institution «Municipal Clinical Hospital No.9», Minsk</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2013</year></pub-date><volume>0</volume><issue>3</issue><fpage>57</fpage><lpage>62</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Усс А.Л., Искров И.А., Смольникова В.В., Могилевцев М.И., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Усс А.Л., Искров И.А., Смольникова В.В., Могилевцев М.И.</copyright-holder><copyright-holder xml:lang="en">Uss A.L., Iskrov I.A., Smolnikova V.V., Mogilevtsev M.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/1399">https://journal.gsmu.by/jour/article/view/1399</self-uri><abstract><p>Использование современной классификации миелодиспластического синдрома позволяет унифицировать подходы к диагностике и лечению пациентов с данной патологией. Их лечение должно быть индивидуальным и основываться на определении группы риска, возрасте, соматическом статусе. При выборе тактики лечения преимущество в отношении качества жизни дает эпигенетическая терапия децитабином, так как она обладает клинической эффективностью, демонстрируя высокий уровень ответа у пациентов с миелодиспластическим синдромом.</p></abstract><trans-abstract xml:lang="en"><p>The use of the modern classification of myelodysplastic syndrome makes it possible to standardize the approaches to diagnosis and treatment of patients with this pathology. An approach to MDS treatment should be individualized and based on the definition of risk groups, age and somatic status. Among treatment strategies, epigenetic therapy with decitabine is given advantage in terms of quality of life. The decitabine therapy is clinically effective, demonstrating a high level of response to therapy in patients with myelodysplastic syndrome.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>миелодиспластический синдром</kwd><kwd>классификация</kwd><kwd>лечение</kwd><kwd>децитабин</kwd><kwd>шкала риска</kwd><kwd>myelodysplastic syndrome</kwd><kwd>classification</kwd><kwd>treatment</kwd><kwd>decitabine</kwd><kwd>Prognostic Scoring System</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Santini, V. Changes in DNA methylation in neoplasia: Pathophysiology and therapeutic implications / V. Santini, H. M. Kantarjian, J. P. Issa // Ann Intern Med. - 2001. - Vol. 134. - P. 573-586.</mixed-citation><mixed-citation xml:lang="en">Santini, V. Changes in DNA methylation in neoplasia: Pathophysiology and therapeutic implications / V. Santini, H. M. Kantarjian, J. P. 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