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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">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1561-6274-2003-7-1-129-135</article-id><article-id custom-type="elpub" pub-id-type="custom">nefr-1010</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>ДИСКУССИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISCUSSION</subject></subj-group></article-categories><title-group><article-title>РАЗМЫШЛЕНИЯ КЛИНИЦИСТА О СУЩНОСТИ БОЛЕЗНИ И ЕЕ СОСТАВЛЯЮЩИХ</article-title><trans-title-group xml:lang="en"><trans-title>CONTEMPLATION OF A CLINICIAN ON THE ESSENCE OF THE DISEASE AND ITS COMPONENTS: PROBLEM OF SECONDARY NEPHROPATHIES</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>Шулутко</surname><given-names>Б. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Shulutko</surname><given-names>B. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра внутренних болезней</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Северно-Западный медицинский институт</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2003</year></pub-date><pub-date pub-type="epub"><day>10</day><month>01</month><year>2003</year></pub-date><volume>7</volume><issue>1</issue><fpage>129</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шулутко Б.И., 2003</copyright-statement><copyright-year>2003</copyright-year><copyright-holder xml:lang="ru">Шулутко Б.И.</copyright-holder><copyright-holder xml:lang="en">Shulutko B.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.nephrolog.ru/jour/article/view/1010">https://journal.nephrolog.ru/jour/article/view/1010</self-uri><abstract><p>Размышления клинициста о сущности болезни и ее составляющих.</p></abstract><trans-abstract xml:lang="en"><p>Contemplation of a clinician on the essence of the disease and its components: problem of secondary nephropathies.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хронические болезни почек</kwd><kwd>этиология</kwd><kwd>определение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic renal diseases</kwd><kwd>etiology</kwd><kwd>definition</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">Саркисов Д.С., Пальцев М.А., Хитров Н.К. 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