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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">emcardio</journal-id><journal-title-group><journal-title xml:lang="ru">Неотложная кардиология и кардиоваскулярные риски</journal-title><trans-title-group xml:lang="en"><trans-title>Emergency Cardiology and Cardiovascular Risks journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2616-633X</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/2616-633X.2024.8.1.2201</article-id><article-id custom-type="elpub" pub-id-type="custom">emcardio-72</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>Рецензии на лекции</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Reviews of the lectures</subject></subj-group></article-categories><title-group><article-title>Три вопроса медицинской интеллигенции: «что делать с окислительным стрессом; кто виноват в преждевременном старении и нужно ли принимать антиоксидантны»</article-title><trans-title-group xml:lang="en"><trans-title>Three questions from the medical community: what to do about oxidative stress; what is the cause of premature aging; whether you need to take antioxidants</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>Цапаев</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsapaev</surname><given-names>V. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Vadim. G. Tsapaev</p><p>Minsk</p></bio><email xlink:type="simple">tsapaev@rambler.tu</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>УО «Белорусский государственный медицинский университет»</institution></aff><aff xml:lang="en"><institution>Belarusian State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>21</day><month>06</month><year>2025</year></pub-date><volume>8</volume><issue>1</issue><fpage>2201</fpage><lpage>2214</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Цапаев В.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Цапаев В.Г.</copyright-holder><copyright-holder xml:lang="en">Tsapaev V.G.</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://emcardio.bsmu.by/jour/article/view/72">https://emcardio.bsmu.by/jour/article/view/72</self-uri><abstract><p>   Исходное значение слова медицина – знать, понимать, постигать, различать. Именно постижение и понимание процессов, происходящих в организме пациента, является основанием распознавания болезни и выбора лечения недуга. Современная медицинская наука имеет две ипостаси: собственно медицина как врачевание больного человека и здравоохранение как комплекс общественных организационно-управленческих мероприятий, направленных на поддержание общественного здоровья. При несомненной синергичности этих двух гуманитарных оснований следует признать, что доминирование общественных форм медицины оказывает тормозящее индивидуальную медицину действие. При этом для личности именно индивидуальная забота о здоровье является приоритетной. Современные научные мнения основываются на стереотипах, выведенных из статистических заключений, а не на понимании патогенетических механизмов болезней и их исцеления. Этому в значительной степени способствует бесконтрольное тиражирование непрофессиональной псевдонаучной информации в интернете и СМИ. Как результат, представления о сущности заболеваний и методах терапии формируются в виде примитивных клише по типу «хорошо-плохо». К таким стереотипам относятся взгляды на окислительные процессы в организме и особенно на антиоксиданты: «Активные формы кислорода – это очень плохо, антиоксданты – это хорошо». В данной статье мы хотели бы представить научную точку зрения по этому вопросу с привлечением достижений физиологии и биохимии, тем более что этот раздел науки интенсивно развивается в настоящее время.</p></abstract><trans-abstract xml:lang="en"><p>   The original meaning of the word medicine is to know, understand, comprehend, and distinguish. It is the comprehension and understanding of the processes occurring in the patient’s body that is the basis for recognizing the disease and choosing treatment for the disease. Modern medical science has two forms: medicine itself as the treatment of a sick person and healthcare as a complex of public organizational and managerial measures aimed at maintaining public health. Given the undoubted synergy of these two humanitarian foundations, it should be recognized that the dominance of social forms of medicine has an inhibitory effect on individual medicine. At the same time, individual health care is a priority for the individual. Modern scientific opinions are based on stereotypes derived from statistical conclusions, and not on an understanding of the pathogenetic mechanisms of diseases and their healing. This is largely facilitated by the uncontrolled circulation of unprofessional pseudoscientific information on the Internet and the media. As a result, ideas about the essence of diseases and methods of therapy are formed in the form of primitive clichés of the “good and bad” type. Such stereotypes include views on oxidative processes in the body and especially on antioxidants: “Reactive oxygen species are very bad, antioxidants are good.” In this article we would like to present a scientific point of view on this issue, drawing on the achievements of physiology and biochemistry, especially since this section of science is intensively developing at the present time.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>активные формы кислорода</kwd><kwd>антиоксиданты</kwd><kwd>электрон-транспортная цепь</kwd></kwd-group><kwd-group xml:lang="en"><kwd>reactive oxygen species</kwd><kwd>antioxidants</kwd><kwd>electron transport chain</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">Grivennikova A.D. Vinogradov V.G. Generation of reactive oxygen species by mitochondria. Uspekhi Biological Chemistry, 2013, vol. 53, p. 245-296. 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