Search for 2p Decay of the First Excited State of 17 Ne

Structure of nuclei located near and beyond the drip-lines plays important role in the explosive astrophysical processes. The problem of two-proton decay of the 17Ne first excited state is a good example of such situation. The two-proton radiative capture is a possible bypass of the 15O waiting point in the rp-process. The rate of this process drastically depends on the value of the weak

Risks of HIV Infection for Medical Staff. Postexposure Prophylaxis (by the Example of the Sverdlovsk Region)

Introduction. The Sverdlovsk region is on the second place among all subjects of the Russian Federation on the level of infestation of the population is HIV. The prevalence of HIV-infected residents of the Sverdlovsk region is 1.6%. This corresponds to a generalized stage of infection. Annually in medical institutions of the Sverdlovsk region up to 4 million patients with HIV infection receive various types of medical care. In these conditions increase the risk of infection employees related to their professional activities.Aims of this study was to assess the completeness and timeliness of post-exposure antiretroviral therapy to employees in case of accidents with exposure to blood and to determine their professional the risks of infection.Materials and methods. The study was conducted on the basis of the Sverdlovsk Regional Center for Prevention and Control of AIDS and the Department of epidemiology of the Ural State Medical University. The authors analyzed 1678 strategic messages in an emergency for 2013-2016.Results. In medical organizations of Sverdlovsk region in 2013 was introduced registration of all emergencies, regardless of the HIV status of the patient. The number of registered accidents was 6.7 ± 0.3 cases per 10 thousand employees. The frequency of emergency situations doctors have1.7 times higher than the average staff and nurses. Among nurses there was a trend to increasing frequency of emergencies, with an annual growth rate of 3.0%. Changes in the frequency of emergency situations, the doctors and nurses are not installed. The authors found considerable variation in the number of accidents according to the official registration and results of the employee survey. The frequency of emergency situations is determined by the profile of the Department, business process, profession, work experience of the employee, day of week and time of day. The number of persons who received chemoprophylaxis during emergency situations, reduced annually. Reasons for the decline were later appeal for help, the failure of prevention and the absence of indications to antiretroviral therapy in low risk of infection. The proportion of doctors who are not receiving antiretroviral treatment was higher than the proportion of paramedical staff and nurses.Conclusion. The prevention of occupational infections require legal regulation. Preventive actions should be focused on the set in the process of research risks

COMBINATION OF AZILSARTAN MEDOXOMIL AND CHLORTHALIDONE: IS IT POSSIBLE TO FIGHT SYSTEMIC HYPERTENSION AND OBESITY TOGETHER?

Arterial hypertension (AH) and obesity are the main risk factors of chronic noncommunicable diseases. Adipous tissue is not only a depot for energetic compounds, but is an active endocrine organ synthetizing biologically active substances that facilitate development of AH. Patients with AH and obesity are in the high cardiovascular risk group and demand effective combination antihypertension therapy. One of such drugs is the fixed combination of azilsartan medoxomil and chlorthalidone, which safety and efficacy are confirmed by various trials. Our clinical case demonstrates positive action of Edarbi Сlo on office and 24-hour blood pressure (BP), main parameters of aorta stiffness and structural and functional condition of myocardium at rest, as in exertion in patient with AH and obesity

The Attitude of Pregnant Women and Health Workers for Influenza Vaccination

Influenza and ARVI - the main nosological form in structure of all infectious diseases. Influenza is especially dangerous to pregnant women. Purpose: to estimate commitment of pregnant women and health workers to vaccination against influenza. Materials and methods: form No. 5, form of the statistical account No. 1 - influenza the section 1, information from the official site of Federal State Budgetary Institution Scientific Research Institute of influenza of the Ministry of Health of the Russian Federation; materials of various conferences and the congresses on a influenza problem, information and analytical reference of the Ministry of Health of the Russian Federation. There were asked 1126 pregnant women on various durations of gestation and 447 health workers in various territories of the Russian Federation. Statistical processing was carried out with use of the Microsoft Excel 2010 and IBM SPSS Statistics 20.0 programs. Results and discussion: Among the interviewed pregnant women planned or were already vaccinated against influenza only 8% of women. The most frequent causes of failure from vaccination against influenza during pregnancy: doubt in safety (41.8%), ignorance about possibilities of vaccination (21,1%), lack of need for vaccination (18,7%). Only 25% of respondents knew about entering vaccination against influenza during pregnancy into a national calendar. At the same time only in 15% of health workers suggested pregnant women to be vaccinated from influenza. 73% of the interviewed health workers didn't recommend vaccination against influenza to pregnant women because they consider undesirable an intervention in immunity of the pregnant woman, 33% doubt in safety of vaccination, 13% don't know about a possibility of vaccination of pregnant women at all, 6% have personal negative experience of vaccination, and 4% don't see need for vaccination from influenza. Conclusion: the received materials showed need of development of knowledge at health workers of a vaccinal prevention of infectious diseases, including also vaccination against influenza during pregnancy, and also to carry out broad and active information work with the population, attracting mass media