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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">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2024-102-11-12-874-879</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-990</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL INVESTIGATIONS</subject></subj-group></article-categories><title-group><article-title>Инфекционный фактор в этиологии и патогенезе хронических заболеваний</article-title><trans-title-group xml:lang="en"><trans-title>Infectious factor in etiology and pathogenesis chronic diseases</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>Щербинина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcherbinina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щербинина Нина Владимировна — канд. мед. наук</p><p>Москва</p></bio><bio xml:lang="en"><p>Nina V. Shcherbinina — Candidate of Medical Sciences</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Широков</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shirokov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Широков Евгений Алексеевич — д-р мед. наук, профессор</p><p>Москва</p></bio><bio xml:lang="en"><p>Evgeny A. Shirokov — Doctor of Medical Sciences, Professor</p><p>Moscow</p></bio><email xlink:type="simple">Evg-747747@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>АНО ВО «Российский новый университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian New University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education of the Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>10</day><month>03</month><year>2025</year></pub-date><volume>102</volume><issue>11-12</issue><fpage>874</fpage><lpage>879</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Щербинина Н.В., Широков Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Щербинина Н.В., Широков Е.А.</copyright-holder><copyright-holder xml:lang="en">Shcherbinina N.V., Shirokov E.A.</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://www.clinmedjournal.com/jour/article/view/990">https://www.clinmedjournal.com/jour/article/view/990</self-uri><abstract><p>В представленной работе, основанной на исследованиях академика РАН Г.П. Ступакова, показано значение персистенции патогенов вирусной, бактериальной и грибковой природы, вызывающих иммунодефицитные, иммунопатологические и аутоиммунные реакции в организме человека. Это приводит к хроническим воспалительным, деструктивным и иным изменениям в органах и системах, раскрывает причинность развития хронических заболеваний и обосновывает положение о том, что широкий спектр хронических заболеваний человека представляет собой органораспространенный полисистемный тропнофиксированный хронический инфекционный процесс. Для уточнения распространенности персистирующих вирусных инфекций обследовали 210 практически здоровых студентов колледжа и университета в возрасте от 15 до 23 лет (случайная выборка). Для диагностики использовали метод электронной органометрии (электропунктурная диагностика по методу Р. Фолля), представлены механизмы формирования патологических изменений при этиологическом и патогенетическом единстве и многоликости клинических проявлений, обосновано этиотропное лечение, направленное на элиминацию патогенов, нормализацию функции врожденного иммунитета с дополнительным применением патогенетического лечения.</p></abstract><trans-abstract xml:lang="en"><p>In the presented work, based on the research of Academician of the Russian Academy of Sciences G.P. Stupakov, the signiﬁcance of the persistence of pathogens of viral, bacterial, and fungal nature that cause immunodeﬁcient, immunopathological, and autoimmune reactions in the human body is demonstrated. This leads to chronic inﬂammatory, destructive, and other changes in organs and systems, revealing the causality of chronic disease development and substantiating the position that a wide range of chronic diseases in humans represents an organ-distributed, polysystemic, tropically-ﬁxed chronic infectious process. To clarify the prevalence of persistent viral infections, 210 practically healthy college and university students aged 15 to 23 years (random sampling) were examined. The method of electronic organometry (electropuncture diagnostics according to R. Foll’s method) was used for diagnosis. The mechanisms of pathological changes formation are presented within the etiological and pathogenetic unity and multifaceted clinical manifestations, and etiotropic treatment aimed at pathogen elimination and normalization of innate immune function is justiﬁed, with the additional application of pathogenetic treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хронические заболевания</kwd><kwd>персистенция патогенов</kwd><kwd>дисфункция регуляторных систем</kwd><kwd>воспаление</kwd><kwd>иммунитет</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic diseases</kwd><kwd>pathogen persistence</kwd><kwd>dysfunction of regulatory systems</kwd><kwd>inflammation</kwd><kwd>immunity</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">Ступаков Г.П. Концепция здоровья человека. М. ГИНФО. 1999:48. [Stupakov G.P. Human health concept. M. GINFO. 1999:48. 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