MODEL OF SOCIAL AND PSYCHOLOGICAL PREVENTION OF TEENAGERS’ DEVIANT BEHAVIOR

The searches for solution to overcome the problems of prevention and deviant behavior in teenagers have focused our attention on the concept of personality-oriented approach in learner - centered education. In the psycho-pedagogical science it is established to be quite clear criteria that reveal the essence of deviant behavior of juveniles (teacher isolation, maladjusted, delinquency, instability of values, psychological aggression, social passivity, increased anxiety, conflictprone). The study of the etiology of deviant behavior allows the scientists to isolate the multiplicity of factors that produce such behavior. Causes of deviant behavior of teenagers is a pedagogical isolation, indocileness, tortfeasor, instability of value orientations, psychological aggression, social passivity, increased anxiety, conflict potential

Aspects of the modern biogens runoff formation in the central part of the Russian Plain

The removal of biogenic substances (mineral nitrogen and phosphorus) from river catchments and its modern aspects of formation are considered. A rough estimate of the annual water-biogenic balance for the Linda and Kudma river catchments, which are the tributaries of the Cheboksary reservoir, and the river catchments of the Kursk region is presented. It is shown that the diffuse removal of biogens from river catchments exceeds their removal into water bodies with wastewater. Not only anthropogenic, but also natural factors play an important role in the biogens export to the rivers and waterbodies. Resent changes in biogens removal from catchments are assessed

Results of research of mental health of teenagers in conflict with the law in East Kazakhstan region

The article systematizes the results of the study of adolescent health in conflict with the law in East Kazakhstan region. Adolescent mental health is considered a basic condition for development and well-being. It takes into account international practice of working with children in conflict with the law, which updates the needs of children for special work and special assistance. Mental health as a basic basis for assessment is given a significant place. In order to reduce the risks of repeated conflicts with the law and to plan recovery programs, it is necessary to understand the basis of well-being - the state of mental health of children. The study was conducted on a sample of 511 people using the methods MAYSI-2 and STAB. On the basis of the study, activities can be planned that will help adolescents to receive assistance in the field of mental health

AUTOIMMUNE BRAINSTEM ENCEPHALITIS (CLIPPERS-SYNDROM): A CASE REPORT

Aim. In this paper, we aim to analyse our own clinical observation of a patient with CLIPPERS syndrome on the basis of available literature data. Materials and methods. The medical record of a patient treated at the Neurology Unit of the S.V. Ochapovsky Regional Clinical Hospital No. 1 (Kradnodarsy Krai) was investigated, along with available national and foreign literary sources. Results. The patient was diagnosed with autoimmune brainstem encephalitis (CLIPPERS syndrome) on the basis of the diagnostic CLIPPERS syndrome criteria modified and adapted by W. Tobin and co-authors in 2017. Among them are: 1) subacute development of symptoms for the pons and cerebellum lesions along with other signs of CNS damage (onset is characterised by diplopia and ataxia); 2) good response to glucocorticosteroid (GCS) therapy; 3) lack of involvement of the peripheral nervous system; 4) enhanced MRI lesions homogeneously accumulating contrast agents without a mass effect; 5) a significant decrease in the accumulation of contrast material during GCS therapy; 6) absence of myelin loss. Conclusion. Considering that the GCS therapy produces a rapid and significant effect, it is important to focus on early detection and treatment of this disease through the development of more accurate markers and evaluation criteria for its diagnosis

INTEGRATED PROJECTION FOR RUNOFF CHANGES IN LARGE RUSSIAN RIVER BASINS IN THE XXI CENTURY

The paper discusses an approach to a long-term forecast of river runoff changes for Russian large river basins in the first third of the XXI century caused by climate warming and social-economic changes. The approach considers runoff changes under a range of possible climate warming effects. This range is chosen by generalizing the calculation results obtained by using an ensemble of global climate models within CMIP 3 and CMIP 5 experiments for twocontrasting scenarios (A2/RCP 8.5 and B1/RCP 2.6) of globally averaged air temperature rises. The approach also utilizes a method for alternative scenario for water consumption related to socio-economic changes. The obtained scenario estimates show that expected changes in the Volga and Don annual river runoff and its intra-annual distribution in the first third of this century can be relatively small, while changes in water use characteristics may be extremely negative in some scenarios, especially in the Don River basin

Analysis of the causes of repeat stenosis of the coronary arteries after elective stenting in patients with stable angina pectoris

Aim. Coronary stenting is the evidence-based treatment approach of stable angina. The objective was to determine the incidence of restenosis or atherosclerosis progression which led to the need for coronary angiography according to a single center registry data. Materials and methods. The procedure and clinical data of 3732 (2897 males) consecutive stable coronary artery disease patients undergoing coronary stenting, over five years between March 2010 and September 2014, were subject of this study. Over the next 4 years, 1487 (1173 males) patients were re-evaluated due to angina reoccurrence. 699 patients demonstrated the indications for coronary angiography. Results. The restenosis of the previously stented segment was detected in 84 (12%) cases, the progression of coronary atherosclerosis in 306 (44%), the combination of restenosis and atherosclerosis progression in 63 (9%), and the absence of these complications in 245 (35%) cases. The progression of coronary atherosclerosis was the leading indication for the repeat angiography and revascularization (44 and 58%, respectively); p0.05. The basal level of hsCRP2 mg/l had a prognostic significance for the development of combined event (the restenosis and atherosclerosis progression): AUC 0.65 (0.500.75), OR 3.0 (1.17.9), p0.05. Conclusion. The progression of coronary atherosclerosis was the leading indication for the repeat angiography and repeat revascularization during 2 years after coronary stenting. The hsCRP level 2 mg/l at baseline had a prognostic significance for the development of restenosis in previously stented segment and coronary atherosclerosis progression