Ways of optimizing medical services for children at educational institutions under the Health Care system reform in Ukraine.

Aim – scientific substantiation of the ways to optimize preventive childhood medicine under the health care system reform in Ukraine. The medical, sanitary and epidemiological conditions of children’s stay were studied at 147 schools in five oblasts of Ukraine and the city of Kyiv. The following methods were used: system analysis, analytical, mathematical and statistical, bibliosemantic, modeling and expert assessments. The results of an expert assessment (224 specialists) on the optimization of medical services for schoolchildren were analyzed. The main risk factors for schoolchildren staying at educational institutions were identified: daily routine failure, non-compliance with the hygiene requirements for the premises where the educational process is carried out, as well as failure in food and water quality and safety. The levels of medical observation provision were analyzed. There were suggested two ways of maintaining the role of medical personnel in preserving and enhancing the health of schoolchildren: involving doctors of primary care centers of the Ministry of Health of Ukraine and creating an autonomous medical service in the institutions of the Ministry of Education and Science of Ukraine in accordance with the current licensing requirements. The issues of prevention and promotion of children's health, including schoolchildren, are one of the key aspects of the training of medical personnel at all stages. Such programs need to be modernized on the basis of a competency approach, taking into account the current needs of the health care system and the best international experience in resolving these issues

SUBJECTIVE WELL-BEING OF THE STAFF OF ENTERPRISES WITH DIFFERENT INVOLVEMENT IN INNOVATIVE PROCESSES: AGE ASPECT

The results of empirical investigations of subjective well-being of multi-age engineering staff at successful innovative enterprise and the enterprise with long-term problems of transition to innovative development format have been presented. Subjective well-being has been сonsidered as emotional regulator of labor activity and staff acceptance of innovations factor. Readiness for innovative changes, self-esteem of fatigue, health status, stress and age state of health has been studied as indicators of well-being. It has been shown that at ordinary enterprise the most unpleasant indicators of subjective well-being are typical for young staff, but at the innovative enterprise the staff regardless of age have a high level of subjective well-being which is manifested in a commitment to innovative values and personal involvement in the labor process

Применение вегетационных индексов для оценки состояния сельскохозяйственных культур

Monitoring of the state of agricultural crops and forecasting the crops development begin with aerial photography using a unmanned aerial vehicles and a multispectral camera. Vegetation indexes are selected empirically and calculated as a result of operations with values of diff erent spectral wavelengths. When assessing the state of crops, especially in breeding, it is necessary to determine the limiting factors for the use of vegetation indexes.(Research purpose) To analyze, evaluate and select vegetation indexes for conducting operational, high-quality and comprehensive monitoring of the state of crops and the formation of optimal management decisions.(Materials and Methods) The authors studied the results of scientifi c research in the fi eld of remote sensing technology using unmanned aerial vehicles and multispectral cameras, as well as the experience of using vegetation indexes to assess the condition of crops in the precision farming system. The limiting factors for the vegetation indexes research were determined: a limited number of monochrome cameras in popular multispectral cameras; key indicators for monitoring crops required by agronomists. After processing aerial photographs from an unmanned aerial vehicle, a high-precision orthophotomap, a digital fi eld model, and maps of vegetation indexes were created.(Results and discussion) More than 150 vegetation indexes were found. Not all of them were created through observation and experimentation. The authors considered broadband vegetation indexes to assess the status of crops in the fi elds. They analyzed the vegetation indexes of soybean and winter wheat crops in the main phases of vegetation.(Conclusions) The authors found that each vegetative index had its own specifi c scope, limiting factors and was used both separately and in combination with other indexes. When calculating the vegetation indexes for practical use, it was recommended to be guided by the technical characteristics of multispectral cameras and took into account the index use eff ectiveness at various vegetation stages.Аэрофотосъемку с помощью беспилотных летательных аппаратов и мультиспектральной камеры применяют для мониторинга состояния посевов и прогноза развития сельскохозяйственных культур. В результате операций со значениями различных спектральных длин волн эмпирически подбирают и рассчитывают вегетационные индексы, составляя карты. При оценке состояния посевов необходимо определять лимитирующие факторы применения вегетационных индексов.(Цель исследования) Проанализировать, оценить и выбрать вегетационные индексы для проведения оперативного, качественного и комплексного мониторинга состояния сельскохозяйственных культур и формирования оптимальных управленческих решений.(Материалы и методы) Изучили результаты научных исследований в области технологий дистанционного зондирования с использованием беспилотных летательных аппаратов и мультиспектральных камер, а также опыт применения вегетационных индексов для оценки состояния сельскохозяйственных культур в системе точного земледелия. Определили лимитирующие факторы для исследования вегетационных индексов: ограниченное количество монохромных камер в популярных мультиспектральных камерах; основные показатели для мониторинга сельскохозяйственных культур, необходимые агрономам. После обработки аэрофотоснимков с беспилотного летательного аппарата создали высокоточный ортофотоплан, цифровую модель поля и карты вегетационных индексов.(Результаты и обсуждение) Обнаружили более 150 вегетационных индексов. Не все их них создавались путем наблюдений и экспериментов. Рассмотрели широкополосные вегетационные индексы для оценки состояния посевов на полях. Проанализировали вегетационные индексы посевов сои и озимой пшеницы в основных фазах вегетации.(Выводы) Выявили, что каждый вегетационный индекс имеет свою специфическую сферу применения, ограничивающие факторы и используется как отдельно, так и в комплексе с другими индексами. Рекомендовали при расчете вегетационных индексов для практического применения руководствоваться техническими характеристиками мультиспектральных камер и учитывать эффективность применения индекса на различных стадиях вегетации

Network technologies in the professional education and advanced training of engineers

The article substantiates the effectiveness of network training and e-learning technologies in the professional training and advanced training of engineering personnel at a technical university. The paper analyses e-learning technologies in the context of competence-based and activity-based approaches to the organization of the educational process. The study considers Universities as the core elements of the regional educational space, integrating and developing the potential of network interaction of its subjects. The authors propose the definition of the concept of “network educational space”. The article describes the experience of network training of personnel in the production sectors of the Ulyanovsk region in 2014-2020. Based on the analysis of the teaching practice of the Ulyanovsk State Technical University, the study proposes a model of the electronic information and educational environment of an educational organization. The authors formulate recommendations for the development of a network educational space in the region that meets the needs of the labor market

Breast milk microbiota (concept, sources, role of bacteria for a child and mother)

Scientific discoveries of recent years demonstrate a crucial role of the human microbiome in human health. The establishment of a healthy, functional gut microbiota of the newborn requires physiological conditions, one of which is breastfeeding. The role of breast milk as a “direct supplier” of live microbes for the establishment of the newborn gut microbiota became known only at the beginning of the new millennium, previously it was believed that the breast milk was sterile. Today, the breast milk microbiota can be defined as multi-species assemblage, in which microbes interact with each, representing a complex organized ecosystem, among which the genera Streptococcus and Staphylococcus are dominant. Lactobacillus, Pseudomonas, Bifidobacterium, Corynebacterium, Enterococcus, Acinetobacter, Rothia, Cutibacterium, Veillonella and Bacteroides are also often referred to the common bacterial genera. The article presents two theories of the origin of bacteria in the breast milk (endogenous and exogenous bacterial translocation pathways) and explains why both of them are true. The role of bacteria in the breast milk of healthy women, in the global sense, is viewed in the context of the establishment of the infant gut microbiota. The article lists the main producers of antibacterial peptides (bacteriocins) in the breast milk and considers the effective immunological protection using the example of the population of bifidobacteria and bacteroids prevailing in the breastfed infant gut. However, the breast milk microbiota is also important for women’s health. We tried to explain why infectious lactational mastitis is now considered to be the result of dysbiosis in the mammary ecosystem, which leads to the development of an inflammatory process, and why Streptococcus thermophilus (TCI633) shows promise in the fight against human ageing

The sensitivity to antibiotics of nosocomial strains of acinetobacter baumanii isolated in the tertiary hospitals in the Central Kazakhstan

Del 1972, en l'actual emplaçament des de 1976. D'acer pintat, mesura 5 x 3,54 x 3,20 metres.Calder, Alexander (escultor)Pla general de l'obra. La galeria Maeght va decidir instal·lar una sucursal a Barcelona i va triar fer-ho al carrer de Montcada. Va obrir amb una exposició que incloïa una peça de Calder, Quatre ales. Després fou oferida a l'Ajuntament

Clinical and electroencephalographic characteristics of chronic tic disorders in children and adolescents

Chronic tic disorders (CTDs) are one of the relevant problems of pediatric neurology, the higher prevalence of which is associated with undifferentiated therapy without considering comorbidity.Objective: to enhance the efficiency of diagnosis and therapy of tic disorders in children and adolescents in terms of video-electroencephalography (EEG) monitoring data.Patients and methods. The investigation enrolled 116 patients, including 83 (71.6%) boys and 33 (28.4%) girls at the age of 3 to 15 years (mean age, 9.0±3.0 years), diagnosed with CTD who had been examined at the Specialized Neurology Department, Voronezh Regional Children's Clinical Hospital One, in the period 2010–2014. The investigation consisted of two steps: 1) clinical, laboratory, and neurophysiologic  examination; 2) differentiated therapy. The Yaele Global Tic Severity Scale (YGTSS) was used. The diagnosis was established in accordance with the draft classification of epileptic seizures and epilepsy syndromes by the Intern ational League Against Epilepsy. Video-EEG monitoring was carried out in an awake state and during daytime and/or nighttime sleep. Results and discussion. EEC epileptiform activity was recorded in 46.6% of the patients; a concurrence of CTDs and epilepsy was ascertained in 16.4% of cases. The risk factors of epilepsy in children with CTDs and EEG epileptiform activity are isolated motor tics in the facial region (p=0.0023), MRI epileptogenic changes (p = 0.01), a remitting course (p=0.02), and an early age at the full-scaled picture of tic disorder (p=0.02). CTD therapy with antiepileptic drugs (extended-release valproic acid) was effective and safe in both epileptic seizures (remission in 85.7% of cases) and tics with an improvement in 81.5% of cases with retention in therapy during 2–3 years. Therapy with dopamine transmissionlowering drugs was effective against tics; however, their intake for more than 6 months increased a risk for added epileptic seizures in patients with EEG epileptiform activity (the secondary bilateral synchronization phenomenon and epileptic seizures were recorded in 42.9 and 14.3% of the patients, respectively)

Spin-transfer mechanism of ferromagnetism in polymerized fullerenes: AbinitioAb initio calculations

A mechanism of the high temperature ferromagnetism in polymerized fullerenes is suggested. It is assumed that some of the C$_{60}$ molecules in the crystal become magnetically active due to spin and charge transfer from the paramagnetic impurities (atoms or groups), such as hydrogen, fluorine, hydroxyl group OH, amino group NH$_2$, or methyl group CH$_3$, dispersed in the fullerene matrix. The exchange interaction between the spins localized on the magnetically active fullerenes is evaluated using \textit{ab initio} calculations. The nearest neighbour and next nearest neighbour exchange interaction is found to be in the range $0.1\div 0.3$ eV, that is, high enough to account for the room temperature ferromagnetism.Comment: typos corrected, 8 pages, 3 figures, LaTe

Features of the functional composition of goat's milk and its importance as the basis for infant formula

Goat milk has a long history of use in human nutrition. There are currently many studies examining the functional characteristics and nutritional value of goat milk and its importance in the production of various dairy products. Before, native goat milk was widely used for feeding young children if the breastfeeding was impossible. To date, however, the practice of feeding unmodified goat milk, as well as cow milk, to infants under 12 months of age is strongly discouraged, as this leaves them exposed to the risk of electrolyte imbalance, as well as iron, folic acid, and vitamin B12 deficiencies. Commercial production of formulas based on goat milk began in the 1980s, and since then there have been many studies which show the safety and effectiveness of these formulas. The review provides the latest evidenced-based information on the composition and functional properties of individual components of the goat milk and goat milk formulas. The protein and amino acid composition of goat milk, as well as the features of its effects on the formation of the infant's intestinal microbiota, are described in detail. The studies investigating goat milk oligosaccharides and their similarity to human milk oligosaccharides are presented. The characteristics of the goat milk fat profile have been demonstrated. As an example of an adapted goat milk formula, a formula designed to meet all standards is presented. The fat profile of the presented formula is modified by introducing a patented lipid complex consisting of β-palmitate in its composition. In addition, the presented formula composition includes such oligosaccharides as galacto- and fructo-oligosaccharides, which availability ensure the formation of an optimal intestinal microbiota