Corporate culture health college as a means of professionally-moral values of students

The article is devoted to corporate culture Medical College as a means of developing professional and moral values of the students focused on the principles of effective development of the quality of their activities at the net of the specific features of training of future specialists in the field of medicine in terms of secondary vocational education. When engaging the students in the development of professional and moral values will occur throughthe development of norms of communication , values, beliefs , behavior patterns , etc. that characterize the corporate culture of medical collegeСтатья посвящена корпоративной культуре медицинского колледжа как средству развития профессионально-нравственных ценностей студентов, ориентированных на принципы эффективного развития качества собственной деятельности с учётом специфических особенностей подготовки будущих специалистов в сфере медицины в условиях учреждений среднего профессионального образования. При этом вовлечение студентов в процесс развития профессионально-нравственных ценностей будет происходить через освоение системы норм общения, ценностей, убеждений, образцов поведения и т.п., характеризующих корпоративную культуру медицинского колледж

Long-time discrete particle effects versus kinetic theory in the self-consistent single-wave model

The influence of the finite number N of particles coupled to a monochromatic wave in a collisionless plasma is investigated. For growth as well as damping of the wave, discrete particle numerical simulations show an N-dependent long time behavior resulting from the dynamics of individual particles. This behavior differs from the one due to the numerical errors incurred by Vlasov approaches. Trapping oscillations are crucial to long time dynamics, as the wave oscillations are controlled by the particle distribution inhomogeneities and the pulsating separatrix crossings drive the relaxation towards thermal equilibrium.Comment: 11 pages incl. 13 figs. Phys. Rev. E, in pres

Динаміка клініко-біохімічних параметрів і функціонального стану вегетативної нервової системи у хворих на гострий гепатит B із хронічним вживанням алкоголю в гепатотоксичних дозах

Relevance of hepatitis B due to the high incidence complexity of pathogenesis, ineffective treatment, severe consequences of the disease. Among combined lesions of the liver, special attention is paid to viral-alcoholic type.One of the mechanisms of chronic hepatitis of different etiology is violation of the functional activity of the autonomic nervous system.The aim of this work- to determine the dynamics of spectral indices of heart rate variability in patients with acute hepatitis B from chronic use of alcohol in hepatotoxic doses.Materials and methods. 133 patients with acute hepatitis B were under observation. Patients were divided into groups taking account the presence or absence of chronic use of alcohol in hepatotoxic doses and using the classification of alcohol consumption based on the frequency and dose of consumed alcohol. I group comprised 52 patients with chronic use of alcohol in the hepatotoxic doses, II group consisted of 81 patient without this factor. Heart rate variability was diagnosed using computer cardiointervalometry performed by electrocardiographic diagnostic system CardioLab-2000. 20 healthy individuals were in the control group.Results and discussion. Prodromal period in patients of the I group was longer (p<0,05) than in II group of patients. Frequency of clinical signs in most patients in both groups was not statistically different (p>0,05). However, only patients in group I had marked hemorrhagic manifestations (5,8 %) and itching (7.7%). Average serum total bilirubin level was higher (p<0,05) in patients from the I group than in patients from II group.Functional state of autonomic nervous system in patients of both groups were decreased in acute period (vagotonia).Period of convalescence in patients from the I group was accompanied by more severe autonomic dysfunction in 33,6 % (p<0,05).Conclusions.1. Acute hepatitis B in patients with chronic alcohol use in hepatotoxic doses is characterized by longer (p<0,05) prodrome, cholestatic (7,7%) and hemorrhagic manifestations (5,8%), higher levels of hyperbilirubinemia (p<0,05), and during convalescence maintaining higher (p<0,05), alanine aminotransferase activity compared with group II patients.2. Acute period of acute hepatitis B regardless of whether chronic alcohol use in hepatotoxic doses is characterized by the development of autonomic imbalance towards vagotonia.3. Period of convalescence in patients with acute hepatitis B with chronic alcohol use in hepatotoxic doses is accompanied by more severe autonomic dysfunction in 33,6% (p<0,05). Показали, что у больных острым гепатитом В с хроническим употреблением алкоголя в гепатотоксических дозах происходят более выраженные функциональные нарушения состояния вегетативной нервной системы с развитием вегетативного дисбаланса в сторону ваготонии, которые сохраняются и в периоде реконвалесценции.Показали, що у хворих на гострий гепатит В із хронічним вживанням алкоголю в гепатотоксичних дозах відбуваються більш виражені функціональні порушення стану вегетативної нервової системи із розвитком вегетативного дисбалансу у бік ваготонії, котрі зберігаються і в періоді реконвалесценції.

DYNAMICS OF CLINICAL AND BIOCHEMICAL PARAMETERS AND FUNCTIONAL STATE OF THE AUTONOMIC NERVOUS SYSTEM IN PATIENTS WITH ACUTE HEPATITIS B WITH CHRONIC ALCOHOL USE IN HEPATOTOXIC DOSES

Relevance of hepatitis B due to the high incidence complexity of pathogenesis, ineffective treatment, severe consequences of the disease. Among combined lesions of the liver, special attention is paid to viral-alcoholic type. One of the mechanisms of chronic hepatitis of different etiology is violation of the functional activity of the autonomic nervous system. The aim of this work- to determine the dynamics of spectral indices of heart rate variability in patients with acute hepatitis B from chronic use of alcohol in hepatotoxic doses. Materials and methods. 133 patients with acute hepatitis B were under observation. Patients were divided into groups taking account the presence or absence of chronic use of alcohol in hepatotoxic doses and using the classification of alcohol consumption based on the frequency and dose of consumed alcohol. I group comprised 52 patients with chronic use of alcohol in the hepatotoxic doses, II group consisted of 81 patient without this factor. Heart rate variability was diagnosed using computer cardiointervalometry performed by electrocardiographic diagnostic system CardioLab-2000. 20 healthy individuals were in the control group. Results and discussion. Prodromal period in patients of the I group was longer (p0,05). However, only patients in group I had marked hemorrhagic manifestations (5,8 %) and itching (7.7%). Average serum total bilirubin level was higher (p<0,05) in patients from the I group than in patients from II group. Functional state of autonomic nervous system in patients of both groups were decreased in acute period (vagotonia). Period of convalescence in patients from the I group was accompanied by more severe autonomic dysfunction in 33,6 % (p<0,05). Conclusions. 1. Acute hepatitis B in patients with chronic alcohol use in hepatotoxic doses is characterized by longer (p<0,05) prodrome, cholestatic (7,7%) and hemorrhagic manifestations (5,8%), higher levels of hyperbilirubinemia (p<0,05), and during convalescence maintaining higher (p<0,05), alanine aminotransferase activity compared with group II patients. 2. Acute period of acute hepatitis B regardless of whether chronic alcohol use in hepatotoxic doses is characterized by the development of autonomic imbalance towards vagotonia. 3. Period of convalescence in patients with acute hepatitis B with chronic alcohol use in hepatotoxic doses is accompanied by more severe autonomic dysfunction in 33,6% (p<0,05)