-
,&p ma~le~ ~ K O B J I U ~ B e PneH Ha 5.06.1961 r. Bucrue~o
CH 06pmosa~~e sasaprrrsa npe3 1988r. B MY- C~apa saropa. llpe3
1994r n p t r a o 6 ~ ~ a cneuHaJlHocT no B'bTperrr~a ~ O J I ~ C T
H , a npe3 1 9 9 6 ~ no Kna~asaa mepronorm. P a 6 o ~ ~ KaTo neuap
anepronor a acoHcynTaHT - anepronor B M6AJI-C~apa saropa.
, & I C ~ ~ T ~ ~ H O H H ~ I H T Tpya Ha A-p ~ ~ K o B J I
u ~ B e I l O C E T e H H a MHOrO aKTyaJIeH, BCe Owe q ~ c ~ y ~ a
6 ~ n e ~ H HeHaIIMHO tI3RCHeH B W e H MeAMK*COWZUleH npo6ne~, n o
p w a a ~ ~ a , ye sacKynaTnTe ca cpasamaso ~ e c r a 6onec~. B
ronaMa ram OT cnyame npunoqasaqwe ce KJIUHAYHA H M O P @ J I O ~ Y
H H BaCKYJIUTHU CIlHAPOMEl 3aTPYAHIIBaT K~BCH@HK~UHIIT~ MM. T o ~ H
~ T ~ m ~ ~ ~ ~ o n a h p a ~ o p ~ a o u e ~ ~ a H a 6onecma e t r
3 ~ n m r a ~ e n ~ o sama 3a THXHOTO JIeseHMe. O ~ H T ~ T Ha A-P
%OMM~B Aa UCBeTJIll HRKOR OT Te3H ~HWHOCTH1IHU KPMTePHH, IlpaBIl Y
e c T Ha AIiCepTaHTa M HerOBWI H a P e H P'bKOBOABTeJI ~'IPo@. A-P
M a p ~ a E ~ J I ~ B ~ , A.M.H.
A U C ~ ~ T ~ ~ H O H H M T TpyA e KOHCTpyHpaH C'bpa3MepHO H
BKAEUqBa , , ~ a c ~ c ~ e c ~ ~ p p t e ~ ' MoAyna: mBeAeHne ( I
c~p); C'bKpweHm (1 CTP. ); JIHTepavpeH 0630~ (50 CV.); UeJI B 3m8YN
(1 CTP.); MaTepHaJ M MeTOAki ( 5 CTP.); pe3ynTaTH (28 CT~,);
06caxnane Ei A3BOAEI ( 64 C T ~ . ) ; IlpHHOCIl ( 1 C T ~ , ) ; H a
F H H I I Y G J I I I K ~ ~ B H (1 CTP.); KWHrOIIUC ( N ~ ~ I o I '
I ~ B ~ H ~ nHTepaTypa- 26 CV.- OT ~ o m 49 H a KMpMnMrZa H 282 H a
n a m ~ ~ u a ( o ~ o n o 20 % m nocsremme 3-5 TOAHHH)
-
Barrpem npMnoKpwsam ce K J I I I H H I C O M O ~ @ ~ O ~ Y H H X
~ ~ P N C T I I K ~ I KOMMTeTnT IT0 P;BalXOCTCIKa n TePallklSI ARA,
lTpeAJram 7 @PMH Ha BBCKYJIWT, 3a KOWTO A-P HKOBTIW~B H0 OTgenHO
M3Jlara CIBpeMeHHwTe J(OCTM'HCeHWR B KntIHHreH, na6opa~ope~, m r ~
o r p a @ c ~ ~ a ~ o p + o ~ r o r ~ r e ~ acrreacr ( IIonaap-
TepwuTac ~ogo3a; C I I ~ ~ P O M H a Yapr u a y c ; r p a ~ y n o ~
a m a Ha Bere~ep; X ~ l n e p c e ~ s ~ m ~ e ~ BacKynm; llypnypa H
a UIomaii~ Xe~ox; Te~nopane~ apepnm; Ap~eprrrn~ na Ta~axcy a ~ p .
) .
A-p ~ ~ K o B J I H ~ B 0~6emssa tl f l p w lTOnyJrHpHkI K ~ W H
~ M K ~ ~ M H KaTo 'CWW H a Fauci, H a Lie, Ha Scott Watts.
nocneqaa~a smapaaa KJICH@HK~~I . IX OT 1995 e HacoveHa a r a ~
KnmavHTa npamKa M e c~ap3ana c no-rona~a fiWamocTHYHa TOYHOCT,
nopa,qn 3a~wrrn~~enaa~a n K a H n a 6~011crn c ~ ~ p 3 a ~ a c
pa3~epa H a s a c e r ~ a ~ ~ ~ e cano~e.
Pmrne~a~a e = w e O ~ C T O ~ ~ H O mcTonaTonormTa Ha OTAenHUTe
H030l lOr) lYHH eAMHEIUki, BKJIH)YBauH: Y ~ T U K ~ P U ~ J H M I I
+BaCKynHT; H O A O ~ ~ H naHapTepem; J I e ~ a p c ~ s e ~ nynyc;
nypnopa H a LUomaii~ Xe~ox; B~CKOJIMT~~HO l l p H
CE&~MHHTeJlHO-TbiCaHHM 60nem~ ( C H C T ~ M ~ H PeBMaTOkIAeH
BacKynw; cHcTeMeH LE); r p a ~ y ~ r o ~ a r n 3 e ~ H a Bere~ep, C
s ~ n p o ~ H a Cborpe~; C n m p o ~ H a Eexre~; E ~ ~ T ~ M ~ E I
O A O ~ Y M ; C B ~ P O M H a %PK u a y c .
6ki 6 ~ ~ 0 ao6pe aK0 B KpU Ha o63opa Ce t#lOp~yflHpa~ H e
nOCTaT5YHO ocBeTneasTe npo6ne~s B K ~ M H B K O - M O ~ ~ O ~ O ~ M
~ H ~ - U M ~ H O ~ O ~ H ~ ~ H acnem, OT KOllTO JIOlX9HO l
lp(W3THsaT OCHoBHaTa H 3WaqklTe Ha AHCepTarjIiOHHAHT
TPYA*
3.Mumepurwr u memodurn- n 3 c n e ~ s a ~ ~ ~ e 6 o n ~ ~ (219)
ca Hanwao A O C T a W H H , HM&KM llpeABHn TpynHaTa AHarHO3a H
a 3 a 6 o ~ s a ~ m , YeCToTO nponycKaHe H a pmHnTe canMToMtI H
CIIHAPOMH, Kamo EI ~ W X Kama OTC'bCTBlleTO H a 13'53MomOma HIIKOW
IIPAIIOKPHBaUIM. Ce CHMTITOMH Aa 6 a ~ a ~ o 6 0 6 ~ e ~ n
(acoqa~pa~a) K ~ M ~ ~ ~ O J I R B ~ H ~ , 3a KoeTo pm~o ce
MHCATIH. Me~oflme Ha UXneABaHe BKJTlOYBaT: AMYH0510THYHA MeTOnM (
OVeAeJlAHe Ha Ig H $ P ~ K ~ H H Ha C B CePYM; OnPeAeJLIIHe Ha
aHTAHYKJleaPHR ~ H T M T ~ J T ~ - ~ A ; K3cJIeABaHe Ha ~ ~ - I T M
H ~ Y T ~ o ( # ~ H . J I H M UHTOllJIa3MeHA a~~ki~ena-ANcA;
onpeAeJrlrne H a aHTwTena cperrsy eKcTpaxupyem HyIureapnn aHTnTena-
EHA- Sm, RNP, SS-A, Ro I SS-B (La); KonHrecrseHo onpeaerrme H a ~ p
w o r ~ 1 0 6 y n ~ ~ u B cepyMa; EJM3A 3a onpegenrrae H e
KapgaonHnmoaM
-
aHTmena B cepyM; onpeflenme H e c Clq). khy~onortlr~me M ~ W ce
OnHCBaT B ~ ~ O & P O ~ H O C T B , HRKOH OT KOElTO YTeHCHFIBXT
B3JIOXeHNeTO H
@aryp-mpa~ B ~ K O B ~ A C T B O T O no npaKTwrecKa A M Y H O ~
O ~ I I . C X B ~ ~ M ~ H H ~ T E ~ CTaTIlCTHYeCKa o6pa6o~~a Ha l l
O n y W H HTe pe3yJITaTH e
HanpaBeHa no n~qen3apa~a nporpa~a-SYSTAT (SPSS inc,, Chicago,
USA, 1996). C T ~ ~ M C T H ~ ~ C K H T ~ MeTOAA BKJIMYBaT H
BaPHaYMOHeH aHBnH3 Ha KonHrecTseHme npoMeHnmH, Kamo B rpaaasaa
mo6paxe~m.
Crnspe~e~~a~a CraTucmYeCKa o6pa6o~~a H a p e 3 y n ~ a ~ ~ ~ e e
c e p ~ o 3 ~ a 6a3a 3a flOCToBepHOCT Ha lTOJlyWHHTe
pe3yJrTaTH.
5. O6cw~danertlo H a nonyYeHme pe3yn~a~tr e 6e3 caMHeHue M H O ~
n o ~ p o 6 ~ o C Gi3B€?CTHa T~@OJIOMA C )JaHHHTe OT JIMTepaVpHHHT
0 6 3 0 ~ . ~ C ~ ~ T ~ ~ M O H H M A T TPYn 6~ CIleYeJlAJl cll
lope^ MeH ) a K 0 pe3ynTaTH I4 0 6 c s ~ a ~ 1 e Gnxa 6 m ~ B eABH
pa3~en MaKap, Y e B "06rnxda~e~~to" HMa carrocTaMHe cw c o 6 m ~ e
~ n ~ e pe3y~1~am a eneMeHm H a ~ ~ c ~ y c a ~ .
-
7. B "6~6~uozpa#c~ama cnpas~a " C W T a M , se M K O H 6wrrapc~a
8BTOPI3 3a M e H e He C a OTPEieHB B YaCTa nCZIIXOCOMaTHKa: " ~ C A
X O C O M ~ T H Y H ~ J~BHCMMOCT" nOA PeAaKqWITa H a n p o @ . Bn.
M B ~ H O B 198 1 r., KaKTO H "HCMXO- TponHaTe cpeacTsa npn
neYeHneTo H a EA, &c; P. LUWUIKOB- I990r.
H ~ ~ P ~ B ~ H H T ~ H ~ ~ H ~ ~ H T ~ J I H H sa6enern~~ c
HHUO Be B m m B a T AOCTOMHCTBaTa Ha AMCePTSluBOHHEIEI TPYA H a a-P
~ J I ~ M ~ H X K O B ~ ~ H ~ B , KOHTO H e e YacT OT p a 6 0 ~ e ~
k i ~ eKan H a c n e ~ ~ a n k 1 3 w p a ~ ~ ~ e m r y H o n o r n
s H a VeaTpoHe B F a n r a p ~ r r H H3T%KBaT A O C T O ~ H C T B ~
T ~ MY H a KJIBHEICT C UIklPOKa KJIWHkiYHa M AC'bJI.
9. lly6nu~ayuurne C8.6p3aHU C AHCepTaUkiOHHW TpyH Ca 10, H0 A-p
A ~ o s n w e ~ no 0 6 e ~ ~ x l ~ ~ 1 . x ~ npwnmu H e e BOA^^
amop. B 3 a ~ g ~ a H a ToBa yracTkIrrTa B H a p H k I @OPYMB, O C
O ~ ~ H H O KOHrpeCIlTe EAACI a ERS, IcaAeTO a-p XKOB e Bogeq amop
614 cneasano ga ce 0 ~ 6 e n e x a ~ , s e ca r r y 6 n u ~ y s a ~
~ B npecTmcHme M ~ A ~ H Z . I R H a @ o p y ~ n ~ e B pesm~e n
614xa MornH aa ce O@OPMRT B rrsnea TeKcT B 6anrapc~a~a MeawsaHcKa n
e p w o a w Ka.
