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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">179</article-id><article-id pub-id-type="doi">10.15690/vramn.v68i6.674</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>PHYSIOLOGY: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ ФИЗИОЛОГИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">MODERN MEDICAL PROBLEMS OF ENERGY EXCHANGE IN HUMANS</article-title><trans-title-group xml:lang="ru"><trans-title>СОВРЕМЕННЫЕ МЕДИЦИНСКИЕ ПРОБЛЕМЫ ЭНЕРГООБМЕНА У ЧЕЛОВЕКА</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ivanov</surname><given-names>K. P.</given-names></name><name xml:lang="ru"><surname>Иванов</surname><given-names>К. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Professor, Head of the Laboratory of bioenergetics and thermoregulation, Pavlov Institute of Physiology RAS, Honored Worker of Science of RF Address: 199034, St. Petersburg, Makarov Embankment, 6; tel.: (812) 293-76-80</p></bio><email>kpivanov@nc2490.spb.edu</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I.P. Pavlov Institute of Physiology, Russian Academy of Sciences, St. Petersburg, Russian Federation</institution></aff><aff><institution xml:lang="ru">Институт физиологии им. И.П. Павлова РАН, Санкт-Петербург, Российская Федерация</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-06-19" publication-format="electronic"><day>19</day><month>06</month><year>2013</year></pub-date><volume>68</volume><issue>6</issue><issue-title xml:lang="en">Vestnik Rossiiskoi akademii medetsinskikh nauk / Annals of the Russian academy of medical sciences</issue-title><issue-title xml:lang="ru">Вестник Российской академии медицинских наук</issue-title><fpage>56</fpage><lpage>59</lpage><history><date date-type="received" iso-8601-date="2015-08-07"><day>07</day><month>08</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 1970, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 1970, Издательство "Педиатръ"</copyright-statement><copyright-year>1970</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/179">https://vestnikramn.spr-journal.ru/jour/article/view/179</self-uri><abstract xml:lang="en"><p><italic>In a living organism 72% of energy exchange occur in the visceral organs, which comprise only 5-6% of the total body mass. The remaining energy is spent at the expense of the skin, bones, connective tissues, resting muscles. The level of energy expenditure determines the general physiological state of a human organism, serves for the diagnostics of various diseases, in particular, the diseases of endocrine system, the disruptions of thermoregulation, protein, carbohydrate, and lipometabolism, etc. It should be mentioned that in modern textbooks of physiology, pathophysiology, and biology the problem of energy exchange in humans and animals is given inadequate consideration. Traditionally it occupies only 2-2.5% of the content. Meanwhile, new problems of energy exchange have appeared recently, which almost never were advanced earlier. These are, for example, the reasons and mechanisms of high energy expenditure under conditions of metabolism, the significance of the coefficient of efficiency of a human organism in physiology, special processes previously unknown of the organism heat exchange with the environment, physiological and social components of human energy exchange. There is also a problem of a theoretical possibility of life without energy .</italic></p><p> </p></abstract><trans-abstract xml:lang="ru"><p><italic>В живом организме 72% энергообмена происходит во внутренних органах, которые составляют всего 5–6% от общей массы тела. Остальная энергия затрачивается за счет кожи, костей, соединительной ткани, покоящихся мышц. Уровень потребления энергии определяет общее физиологическое состояние организма человека, служит для диагностики различных заболеваний, в особенности ― болезней эндокринной системы, нарушений терморегуляции, нарушений белкового, углеводного и жирового обмена и др. Следует сказать, что в современных учебниках по физиологии, патофизиологии и биологии вопрос об энергообмене человека и животных рассматривается недостаточно подробно. Обычно он занимает только 2–2,5% содержания. Между тем в последние время появились новые проблемы энергообмена, которые раньше почти никогда не выдвигались. Это, например, причины и механизмы высокого потребления энергии в условиях основного обмена, значение в физиологии коэффициента полезного действия организма человека, неизвестные ранее особые процессы теплообмена организма со средой, физиологические и социальные составляющие энергообмена человека. Существует также вопрос о теоретической возможности жизни без энергии.</italic></p></trans-abstract><kwd-group xml:lang="en"><kwd>energy exchange in humans</kwd><kwd>heat exchange in humans</kwd><kwd>coefficient of efficiency of an organism</kwd><kwd>life without energy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>энергообмен у человека</kwd><kwd>теплообмен у человека</kwd><kwd>коэффициент полезного действия организма</kwd><kwd>жизнь без энергии</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>1.	Fundamental'naya klinicheskaya fiziologiya. Uchebnik [Fundamental clinical physiology. Textbook]. Pod red. A.V. Komkova [A.V. Komkov (editor)]. Мoscow, Akademiya, 2004. 1050 p.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>2.	Schmidt-Nielsen K. Animal physiology. Cambridge.: Cambridge Univ. Press. 1972. 400 p.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>3.	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