Development of cognitive processes for children with violation of rumor

Features of development of children with hearing impairment takes place in special conditions of perception of the outside world and interaction with it. The primary defect, hearing impairment, leads to a slowdown in the development of the cognitive sphere. The development and correction of the cognitive sphere of the child with hearing impairment includes the development and correction of its sensory intellectual development, mnestic, emotional-volitional, speech, motivational spheres, mechanisms of volitional regulation. It is known that the intellectual development of a deaf child is carried out through the development of mental processes. A child with hearing impairment has a significant or minor disorder of all spheres of cognitive development, and most importantly the basic functions of speech. Therefore, children suffering from profound hearing impairment, in the General level of development lag behind their peers.Особенности развития детей с нарушенным слухом проходят в особых условиях восприятия внешнего мира и взаимодействия с ним. Первичный дефект, нарушение слуха, ведет к замедлению развития познавательной сферы. Развитие и коррекция познавательной сферы ребенка с нарушенным слухом включает развитие и коррекцию его сенсорного интеллектуального развития, мнестической, эмоционально-волевой, речевой, мотивационной сфер, механизмов волевой регуляции. Известно, что интеллектуальное развитие неслышащего обучающегося осуществляется через развитие психических процессов. У школьников с нарушением слуха наблюдается значительное или незначительное расстройство всех сфер познавательного развития, а главное — основных функций речи

Association of anaemia in primary care patients with chronic kidney disease: cross sectional study of quality improvement in chronic kidney disease (QICKD) trial data.

BACKGROUND: Anaemia is a known risk factor for cardiovascular disease and treating anaemia in chronic kidney disease (CKD) may improve outcomes. However, little is known about the scope to improve primary care management of anaemia in CKD. METHODS: An observational study (N = 1,099,292) with a nationally representative sample using anonymised routine primary care data from 127 Quality Improvement in CKD trial practices (ISRCTN5631023731). We explored variables associated with anaemia in CKD: eGFR, haemoglobin (Hb), mean corpuscular volume (MCV), iron status, cardiovascular comorbidities, and use of therapy which associated with gastrointestinal bleeding, oral iron and deprivation score. We developed a linear regression model to identify variables amenable to improved primary care management. RESULTS: The prevalence of Stage 3-5 CKD was 6.76%. Hb was lower in CKD (13.2 g/dl) than without (13.7 g/dl). 22.2% of people with CKD had World Health Organization defined anaemia; 8.6% had Hb ≤ 11 g/dl; 3% Hb ≤ 10 g/dl; and 1% Hb ≤ 9 g/dl. Normocytic anaemia was present in 80.5% with Hb ≤ 11; 72.7% with Hb ≤ 10 g/dl; and 67.6% with Hb ≤ 9 g/dl; microcytic anaemia in 13.4% with Hb ≤ 11 g/dl; 20.8% with Hb ≤ 10 g/dl; and 24.9% where Hb ≤ 9 g/dl. 82.7% of people with microcytic and 58.8% with normocytic anaemia (Hb ≤ 11 g/dl) had a low ferritin (<100 ug/mL). Hypertension (67.2% vs. 54%) and diabetes (30.7% vs. 15.4%) were more prevalent in CKD and anaemia; 61% had been prescribed aspirin; 73% non-steroidal anti-inflammatory drugs (NSAIDs); 14.1% warfarin 12.4% clopidogrel; and 53.1% aspirin and NSAID. 56.3% of people with CKD and anaemia had been prescribed oral iron. The main limitations of the study are that routine data are inevitably incomplete and definitions of anaemia have not been standardised. CONCLUSIONS: Medication review is needed in people with CKD and anaemia prior to considering erythropoietin or parenteral iron. Iron stores may be depleted in over >60% of people with normocytic anaemia. Prescribing oral iron has not corrected anaemia

Initial State Fluctuations and Complete Destruction of the Projectile Nucleus in Interactions of Asymmetric Nuclei at High Energies

A study of characteristics of the events of complete destruction of the projectile nucleus in the interactions between asymmetric nuclei for different initial states of the collision, is performed. In the interactions of the sulfur nuclei with heavy emulsion nuclei at energy 200 AGeV, anomalous high number of events the complete destruction of the projectile nuclei, is observed. The high probability of such events depends on the energy of interaction (it is not detected in the interactions of the sulfur nuclei with emulsion nuclei at energy of 3.7 AGeV), on the degree of asymmetry of the interacting nuclei (it is not detected in interactions of the sulfur nuclei with light emulsion nuclei) and on initial state of interaction (it is not detected in peripheral collisions). These events are characterized by high multiplicity of secondary particles and narrow angular distribution at large angles (they form narrow peak in the region of small values of average pseudorapidity)

OPTIMIZATION OF INTERNAL QUALITY’S CONTROL OF MEDICAL HELP IN ROSTOV STATE MEDICAL UNIVERSITY

The article presents the results of analysis of the four-level’s system of internal quality’s control in Rostov State Medical University. There is a unified electronic database of quality’s control in the University’s clinic. Analysis of the results of quality’s control allows us to made the elimination and prevention of irregularities. During the reporting periods the electronic system calculates a mark of the medical help for each patient, a mark of the work of each doctor, a mark of the work of all departments. The marks of the electronic system seems to us as possibility to improve measures of personal responsibility of staff and to achieve collective results of work

Mutations in human genes that increase the risk for severe influenza infection

The system of genetic control of innate immune responses to influenza infection and gene function allows for the development of systemic treatment of influenza with a focus on the phenotype of mutations based on individual genetic susceptibility to severe disease and/or the development of complications.The system of genetic control of innate immune responses to influenza infection and gene function allows for the development of systemic treatment of influenza with a focus on the phenotype of mutations based on individual genetic susceptibility to severe disease and/or the development of complications

Inter-year variation in pup production of Caspian seals (Pusa caspica) 2005-2012 determined from aerial surveys

Assessing species abundance and reproductive output is crucial for evaluations of population dynamics, conservation status and the development of management objectives. The Caspian seal (Pusa caspica) is a key predator in the Caspian Sea ecosystem and is listed as “Endangered” by IUCN. Here we report on fixed-wing aerial strip transect surveys of the breeding population on the Caspian Sea winter ice field carried out in February 2005-2012. Potential detection biases were estimated by applying a Petersen mark-recapture estimator to the counts from double photographic observations. We also tested for effects of weather conditions on count results, and for correlations between pup production and ice conditions and net primary productivity (npp). Fluctuations in pup production estimates were observed among years, ranging from 8,200 pups (95% CI 7,130-9342) in 2010 to 34,000 (95% CI 31,275-36,814) in 2005. Total adults on the ice ranged from 14,500 in 2010 to 66,300 in 2012. We did not detect significant associations between pup production and either ice summary data (ice season length, and ice area) or npp. The observed inter-year variation may be partly due to underlying biological drivers influencing the fecundity of the population, although measurement errors arising from observation bias, plus variation in survey timing and weather conditions may also have contributed. Identifying the potential drivers of Caspian seal population dynamics will require extending both the survey time series and the quality of supporting data. However, inter-year fluctuations should still cause concern that the population may be vulnerable to environmental variability and ecosystem dynamics

Особенности клинико-рентгенологических проявлений обострения туберкулеза легких у больных молодого возраста

Summary. We observed 150 patients aged 18 to 34 yrs with pulmonary TB exacerbation. For patients 18–24 years old, the rate of exacerbations was equal in men and women. For patients 25–34 years old, TB exacerbations in men were 4.4 times more often. Infiltrative and fibrocavitating TB were more prevalent characterized by intoxication, productive cough, shortness of breath and rales in the lungs. Unilateral lesions of one or two lobes were more frequent; 88.7 % of patients had cavities of 2–4 cm in diameter and sputum-positive TB. The highest rate of drug resistant mycobacteria was registered in patients with caseosus pneumonia (77.0 %), disseminated pulmonary TB (75.0 %), infiltrative and fibrocavitating TB (55.6 % for each).Резюме. Были обследованы 150 больных с обострением туберкулеза легких в возрасте от 18 до 34 лет. Обострения в возрасте 18–24 лет с одинаковой частотой встречались у мужчин и у женщин, а среди пациентов 25–34 лет – в 4,4 раза чаще у мужчин. Преобладали инфильтративная и фиброзно-кавернозная формы туберкулеза, характеризующиеся интоксикацией, влажным кашлем, одышкой и хрипами в легких. Преобладало 1-стороннее поражение протяженностью 1–2 доли легких, причем у 88,7 % обнаруживали каверны 2–4 см в диаметре и бактериовыделение. Максимальный процент лекарственно-устойчивых микобактерий туберкулеза зарегистрирован у пациентов с казеозной пневмонией (77,0 %), диссеминированным туберкулезом (75,0 %) и при инфильтративном и фиброзно-кавернозном туберкулезе (по 55,6 %)

Дар художника Василия Поленова

Basing on the newly found sources, the article summarizes the information on the transfer by the painter V.D. Polenov of the book collection of his father D.V. Polenov to the Naryshkin Special Library of the city of Tambov. There is given the brief quantitative description of the collection, as well as there are described the most valuable samples. It is noted the uniqueness and importance of the book collection of D.V. Polenov for Tambov region.С учетом вновь найденных источников в статье обобщаются сведения о передаче художником В.Д. Поленовым книжного собрания его отца Д.В. Поленова Нарышкинской особой библиотеке города Тамбова. Дана краткая количественная характеристика коллекции, рассказывается о наиболее ценных ее экземплярах. Отмечена уникальность и значимость книжной коллекции Д.В. Поленова для Тамбовского края

EFFECTS OF ACUTE PHYSICAL EXERCISE OF VARYING INTENSITY ON LIPID METABOLISM IN MIDDLE AGED MEN

Aim. To investigate effects of acute physical exercise of varying intensity on lipid metabolism in middle aged men.Material and methods. Two bouts of physical exercise of moderate and high intensity were performed in 54 clinically healthy men aged 30-45 y.o. without obesity with subsequent assessment of lipid profile (total cholesterol, high density lipoprotein cholesterol, triglyceride levels, and atherogenic index). Effect of physical exercise on the lipid profile as studied both in the whole group and in subjects with and without insulin resistance.Results. Acute physical exercise of moderate and high intensity produced beneficial effects on lipid parameters (increase in cholesterol of high density lipoprotein level and reduction of atherogenic index). Increased intensity of physical exercise caused more prominent improvement of lipid profile in subjects without insulin resistance. However subjects with insulin resistance had weaker response to physical exercise than individuals without insulin resistance did and increased intensity of physical exercise did not cause significant improvement of lipid parameters in subjects with insulin resistance.Conclusion. Response to moderate or high intensive physical exercise may depend on baseline metabolic profile. It should be taken into account under development of preventive programs for modifying risk factors of cardio-vascular diseases and type 2 diabetes mellitus

ВЛИЯНИЕ ТЕКСТУРЫ МЕДНОЙ ПОДЛОЖКИ НА ФОРМИРОВАНИЕ СТРУКТУРЫ ТОНКИХ ЭЛЕКТРОЛИТИЧЕСКИХ ПЛЕНОК НИКЕЛЯ

The influence of differently focused grains of a copper substrate and the condition of their surface on the growth of thin electrolytic nickel films is investigated.Исследовано влияние различно ориентированных зерен медной подложки и состояние их поверхности на рост тонких электролитических пленок никеля