New powerful outburst of the unusual young star V1318 Cyg S (LkH{\alpha} 225)

Young double star V1318 Cyg, which is associated with a small isolated star-forming region around HAeBe star BD+40o4124, has very unusual photometric and spectral behavior. We present results of photometric and spectroscopic observations in the optical range. We carried out BVRI CCD photometric observations of V1318 Cyg from 2015 Sept. to 2017 July. For the same period we acquired medium- and low-resolution spectra. Observations were performed with the 2.6 m telescope. We analyze the historical light curve for V1318 Cyg and demonstrate that the southern component, V1318 Cyg S, after being rather bright in the 1970s (V$\approx$14 mag) started to lower its brightness and in 1990 became practically invisible in the optical. After its reappearance in the second half of the 1990s the star started to become very slowly brighter. Between 2006 and 2010 V1318 Cyg S started brightening more quickly, and in 2015 had become brighter by more than five magnitudes in visible light. Since this time V1318 Cyg S has remained at this maximum. Its spectrum shows little variability and consists of a mixture of emission and absorption lines, which has allowed for estimates of its spectral type as early Ae, with obvious evidence of matter outflow. We derive its current A(V)$\approx$ 7.2 and L = 750 L(sun) thus confirming that V1318 Cyg S should belong to the Herbig Ae stars, making it, along with BD+40o4124 and V1686 Cyg, the third luminous young star in the group. It is very probable that we observe V1318 Cyg S near the pole and that the inclination of its dense and slow ($\approx$ 100 km/s) outflow is low. The unusual variability and other features of V1318 Cyg S make it difficult to classify this star among known types of eruptive young stars. It could be an extreme, higher-mass example of an EXor, or an object of intermediate class between EXors and FUors, like V1647 Ori.Comment: 9 pages, 7 figure

Videolaparoscopic surgical treatment of strangulated paraesophageal hiatal hernia (clinical observation)

Relevance. Paraesophageal hiatal hernias are much less common than other types of diaphragmatic hernias. The risk of strangulation in this pathology is about 21 %. It is often very difficult to establish the correct diagnosis in time, because patients are admitted with an atypical clinic of acute cardiological or pulmonary pathology. Usually, the correct diagnosis is established only on the 4th day. Due to late diagnosis, necrosis and perforation of the strangulated organ occur, which causes high mortality; sometimes the correct diagnosis is established only at autopsy.Clinical observation. The patient was admitted to the surgical department on an emergency basis with complaints of intense pain in the lower chest and epigastric region, vomiting of eaten food. From the anamnesis it is known that about a year ago, periodic nausea and vomiting of food eaten began to bother. The last 12 hours before admission to the hospital, pain in the chest and epigastrium intensified, all eaten food came out with vomiting. X-ray diagnosed strangulated paraesophageal hernia of the esophageal opening of the diaphragm. During esophagogastroduodenoscopy it was impossible to pass into the distal parts of the stomach; hyperemia and petechial hemorrhages were detected in the zone of strangulation. Video-laparoscopic reduction of the hernial contents, resection of the hernial sac and anterior diaphragm crurorrhaphy were urgently performed. The early postoperative period was uneventful. The presented clinical observation indicates the promise of using video-endoscopic technologies for diagnosis and treatment of strangulated diaphragmatic hernias. The key to success is the timely establishment of the correct diagnosis. We consider it impractical to perform an antireflux intervention simultaneously in conditions of an acute inflammatory process

Results of Field and Laboratory Studies of Carriers and Vectors of Natural-Focal Infections on the Territory of the Republic of Armenia

The purpose of the study was to assess the current epizootic potential of the Transcaucasian high-mountain and Pre-Araks low-mountain natural plague foci on the territory of the Republic of Armenia using GIS technologies. Materials and methods. We used the data from an epizootiological survey, records of the abundance and species composition, spatial distribution of rodents and ectoparasites in the plague-enzootic territories of the Republic of Armenia in 2021. Results and discussion. Based on the results of the research, an electronic database of carriers and vectors of pathogens of natural-focal zoonotic infections in the plague-enzootic territories of the Republic of Armenia has been created. Applying GIS technologies, an assessment of the spatial distribution of carriers and vectors of plague has been made and areas of circulation of tularemia and leptospirosis pathogens identified. The results obtained serve as the basis for improving the efficiency of planning and carrying out preventive measures aimed at ensuring the epidemiological welfare as regards natural-focal infectious diseases in the territory of the Republic of Armenia

Assessment of the quality of life of patients with achalasia of the cardia after videoendoscopic Heller cardiomyotomy with Dor fundoplication

Background. The leading symptom of achalasia of cardia (AC) is dysphagia, along with other symptoms significantly affecting the quality of life of patients.The aim. Based on the results of questioning patients using special and general questionnaires and using special methods for studying the closing function of the cardia, to evaluate the quality of life of patients with stages 2–4 of AC after video-laparoscopic esophagocardiomyotomy according to Heller with anterior hemiasophagofundoplication according to Dor.Materials and methods. The basis of the work was the analysis of the results of esophagocardiomyotomy according to Heller with anterior hemiesophagofundoplication according to Dor in 106 patients with stages 2–4 of AC. The postoperative follow-up period averaged 2 ± 0.4 years. In the pre- and postoperative periods, the results of fluoroscopy of the esophagus and stomach, manometry of the esophagus and the esophageal-gastric junction were studied, and three questionnaires were used (Eckhardt scale, GIQLI questionnaire and SF-36).Results. Analysis of the data obtained showed that the clinical manifestations of the disease in the postoperative period decreased in all patients with stages 2–4 of AC, the results in patients with stage 2 were better than in patients with stages 3 and 4 (p < 0.05). The results of fluoroscopy of the esophagus and stomach, manometry of the esophagus and the esophagogastric junction showed improvement in the postoperative period in patients at all stages of the disease, the results of patients with stage 4 were worse compared with stages 2 and 3 (p < 0.05).Conclusion. Videoendoscopic esophagomyotomy according to Heller with anterior fundoplication according to Dor significantly reduces the severity of clinical manifestations of AC and improves the quality of life in patients with stages 2–4 of AC, as a result of which surgery should be recommended to patients already at stage 2 and organ-preserving surgery at stage 4 of the disease

Physical inactivity in nine European and Central Asian countries: an analysis of national population-based survey results

Background Physical inactivity is a major risk factor for non-communicable diseases. However, recent and systematically obtained national-level data to guide policy responses are often lacking, especially in countries in Eastern Europe and Central Asia. This article describes physical inactivity patterns among adults in Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Republic of Moldova, Tajikistan, Turkey and Uzbekistan. Methods Data were collected using the Global Physical Activity Questionnaire drawing nationally representative samples of adults in each country. The national prevalence of physical inactivity was calculated as well as the proportional contribution to total physical activity (PA) during work, transport and leisure-time. An adjusted logistic regression model was applied to analyze the association of age, gender, education, household status and income with physical inactivity. Results National prevalence of physical inactivity ranged from 10.1% to 43.6%. The highest proportion of PA was registered during work or in the household in most countries, whereas the lowest was during leisure-time in all countries. Physical inactivity was more likely with older age in eight countries, with female gender in three countries, and with living alone in three countries. There was no clear pattern of association with education and income. Conclusion Prevalence of physical inactivity is heterogeneous across the region. PA during leisure-time contributes minimally to total PA in all countries. Policies and programs that increase opportunities for active travel and leisure-time PA, especially for older adults, women and people living alone will be an essential part of strategies to increase overall population PA.The authors gratefully acknowledge support from a grant from the Government of the Russian Federation in the context of the WHO European Office for the Prevention and Control of NCDs

Recent patterns in chronic disease mortality in remote living Indigenous Australians

Background: Despite the well-recognised Indigenous-non-Indigenous health disparity, some reports suggest improvements in Indigenous mortality. Our aim was to quantify Indigenous mortality in Outer Regional (OR), Remote (R), and Very Remote (VR) areas in New South Wales, Queensland, South Australia, Western Australia, and the Northern Territory and changes in mortality from 1998 to 2005

Feint Lines: Notes on the Creation of a Skateboard Choreography

Magnetic fields on a range of scales play a large role in the ecosystems of galaxies, both in the galactic disk and in the extended layers of gas away from the plane. Observing magnetic field strength, structure and orientation is complex, and necessarily indirect. Observational data of magnetic fields in the halo of the Milky Way are scarce, and non-conclusive about the large-scale structure of the field. In external galaxies, various large-scale configurations of magnetic fields are measured, but many uncertainties about exact configurations and their origin remain. There is a strong interaction between magnetic fields and other components in the interstellar medium such as ionized and neutral gas and cosmic rays. The energy densities of these components are comparable on large scales, indicating that magnetic fields are not passive tracers but that magnetic field feedback on the other interstellar medium components needs to be taken into account.Comment: 13 pages, 7 figures. Accepted in Space Science Review