ОСОБЛИВОСТІ МЕНСТРУАЛЬНОГО ЦИКЛУ ЖІНОК ФЕРТИЛЬНОГО ВІКУ, ЩО ЗАЗНАЛИ КОНТУЗІЇ ПІД ЧАС БОЙОВИХ ДІЙ

The article presents an analysis of literature data and the results of our own retrospective studies of the characteristics of the menstrual cycle in female combatants who have undergone concussion. Clinical and anamnestic factors have been identified that negatively affect the menstrual function of women of reproductive age, who received contusions during hostilities. The relationship between the state of mental health of women and menstrual irregularities has been established. Aim: to identify and evaluate changes in the menstrual function of women - veterans of reproductive age. Also, to establish the relationship between menstrual irregularities in women - veterans of reproductive age who have undergone contusion, and the state of their somatic and mental health.Materials and method: The research was conducted at the Department of Obstetrics, Gynecology and Reproductology of the National University of Health of Ukraine named after P.L. Shupika. To achieve this goal, a comprehensive clinical and laboratory examination was performed in 567 women of reproductive age (main group and comparison group) who participated in hostilities and suffered contusions, the average age of the subjects was 27.08 ± 4.23 years.The period of stay in the combat zone is 29.34 ± 9.21 months, the time from the moment of receiving a mild traumatic brain injury (contusion) is 18.8 ± 9.2 months. Group I - 399 fertile women who suffered contusions during the fighting with PKS. Group II - 168 women of childbearing age who suffered contusions during hostilities without PKS (mean age 32.21 ± 7.32 years).Results: The results of the studies revealed statistically significant deviations in the characteristics of the menstrual cycle of women who participated in hostilities who were injured with PKS, compared with women without PKS. It has been proven that women-viskovosluzhvits more often develop menstrual irregularities, namely a decrease or increase in the number, lengthening or shortening of the menstrual cycle by 7 days. Taking into account the revealed menstrual irregularities in the women under study, it can be argued that the detected changes are due to the influence of both craniocerebral trauma and stress factors associated with military service. This justifies the need to develop a program for monitoring and supporting the reproductive health of women-viyskovoservices, as well as medical and psychological rehabilitation of veterans, aimed at their full adaptation to a peaceful life.The article presents an analysis of literature data and the results of our own retrospective studies of the characteristics of the menstrual cycle in female combatants who have undergone concussion. Clinical and anamnestic factors have been identified that negatively affect the menstrual function of women of reproductive age, who received contusions during hostilities. The relationship between the state of mental health of women and menstrual irregularities has been established. Aim: to identify and evaluate changes in the menstrual function of women - veterans of reproductive age. Also, to establish the relationship between menstrual irregularities in women - veterans of reproductive age who have undergone contusion, and the state of their somatic and mental health.Materials and method: The research was conducted at the Department of Obstetrics, Gynecology and Reproductology of the National University of Health of Ukraine named after P.L. Shupika. To achieve this goal, a comprehensive clinical and laboratory examination was performed in 567 women of reproductive age (main group and comparison group) who participated in hostilities and suffered contusions, the average age of the subjects was 27.08 ± 4.23 years.The period of stay in the combat zone is 29.34 ± 9.21 months, the time from the moment of receiving a mild traumatic brain injury (contusion) is 18.8 ± 9.2 months. Group I - 399 fertile women who suffered contusions during the fighting with PKS. Group II - 168 women of childbearing age who suffered contusions during hostilities without PKS (mean age 32.21 ± 7.32 years).Results: The results of the studies revealed statistically significant deviations in the characteristics of the menstrual cycle of women who participated in hostilities who were injured with PKS, compared with women without PKS. It has been proven that women-viskovosluzhvits more often develop menstrual irregularities, namely a decrease or increase in the number, lengthening or shortening of the menstrual cycle by 7 days. Taking into account the revealed menstrual irregularities in the women under study, it can be argued that the detected changes are due to the influence of both craniocerebral trauma and stress factors associated with military service. This justifies the need to develop a program for monitoring and supporting the reproductive health of women-viyskovoservices, as well as medical and psychological rehabilitation of veterans, aimed at their full adaptation to a peaceful life

ПРЕГРАВІДАРНА ПІДГОТОВКА ЖІНОК З КОРЕКЦІЄЮ ВУГЛЕВОДНОГО ОБМІНУ ПЕРЕД ПОВТОРНИМИ ЦИКЛАМИ ДРТ З ВИРАЖЕНОЮ НЕДОСТАТНІСТЮ ЕНДОМЕТРІЮ

According to statistics, every fifth married couple has problems with pregnancy. It is known that among all the factors of infertility, the first place is occupied by the tubal-peritoneal factor, and the most common cause of non-pregnancy is a violation of the receptive ability of the endometrium. In the study of the endometrium in patients with unsuccessful attempts at assisted reproductive technologies and severe endometrial insufficiency, there are changes in receptivity, impaired development of foaming, decreased expression of implantation molecules. The development of new methods for correcting the receptive function of the endometrium remains an important step. It should be noted that currently there are no standardized approaches to pre-pregnancy preparation of endometrial receptivity with pronounced signs of lag. Also today, special attention is paid to the impact of carbohydrate metabolism disorders on women's reproductive health. Based on the analysis of literature data and the results of their own retrospective observations, the team of authors identified the role of disorders of carbohydrate metabolism and autoimmunization with food allergens in the violation of endometrial receptivity. It is noted that severe endometrial insufficiency is significantly correlated with an increase in the number of women with disorders of carbohydrate metabolism. The initial algorithm of preliminary preparation of the endometrium of normal immune systems and carbohydrate conversion of heirs in accordance with the mode of processing and analysis is developed and offered. Created, adherence to the elimination diet increases the receptivity of the endometrium with a collection of women according to standard schemes. The proposed training algorithm also improves the overall health of patients, reduces metabolic manifestations.The results of the studies indicate the need for a differentiated approach to the correction of endometrial receptivity and pre-pregnancy preparation of the endometrium before subsequent cycles of ART.According to statistics, every fifth married couple has problems with pregnancy. It is known that among all the factors of infertility, the first place is occupied by the tubal-peritoneal factor, and the most common cause of non-pregnancy is a violation of the receptive ability of the endometrium. In the study of the endometrium in patients with unsuccessful attempts at assisted reproductive technologies and severe endometrial insufficiency, there are changes in receptivity, impaired development of foaming, decreased expression of implantation molecules. The development of new methods for correcting the receptive function of the endometrium remains an important step. It should be noted that currently there are no standardized approaches to pre-pregnancy preparation of endometrial receptivity with pronounced signs of lag. Also today, special attention is paid to the impact of carbohydrate metabolism disorders on women's reproductive health. Based on the analysis of literature data and the results of their own retrospective observations, the team of authors identified the role of disorders of carbohydrate metabolism and autoimmunization with food allergens in the violation of endometrial receptivity. It is noted that severe endometrial insufficiency is significantly correlated with an increase in the number of women with disorders of carbohydrate metabolism. The initial algorithm of preliminary preparation of the endometrium of normal immune systems and carbohydrate conversion of heirs in accordance with the mode of processing and analysis is developed and offered. Created, adherence to the elimination diet increases the receptivity of the endometrium with a collection of women according to standard schemes. The proposed training algorithm also improves the overall health of patients, reduces metabolic manifestations.The results of the studies indicate the need for a differentiated approach to the correction of endometrial receptivity and pre-pregnancy preparation of the endometrium before subsequent cycles of ART

Shared decision-making for psychiatric medication : A mixed-methods evaluation of a UK training programme for service users and clinicians

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).Background: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. Aims: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. Methods: The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. Results: Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users’ decisional conflict and perceptions of practitioners’ interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users’ and care co-ordinators confidence to explore medication experience, and group-based training was valued. Conclusions: The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions.Peer reviewedFinal Published versio

Precise measurement of RudsR_{\text{uds}} and RR between 1.84 and 3.72 GeV at the KEDR detector

The present work continues a series of the KEDR measurements of the $R$ value that started in 2010 at the VEPP-4M $e^+e^-$ collider. By combining new data with our previous results in this energy range we measured the values of $R_{\text{uds}}$ and $R$ at nine center-of-mass energies between 3.08 and 3.72 GeV. The total accuracy is about or better than $2.6\%$ at most of energy points with a systematic uncertainty of about $1.9\%$. Together with the previous precise $R$ measurement at KEDR in the energy range 1.84-3.05 GeV, it constitutes the most detailed high-precision $R$ measurement near the charmonium production threshold.Comment: arXiv admin note: text overlap with arXiv:1610.02827 and substantial text overlap with arXiv:1510.0266

Резервуар ВИЧ у больных ВИЧ-инфекцией

An HIV reservoir is a collection of HIV DNA in target cells in an HIV-infected person. HIV reservoir in patients with HIV infection prevents eradication of the pathogen and cure of the disease. The review presents published data on the structure of HIV reservoir, its formation and change of its size at different stages of the disease, depending on the time of treatment initiation. The article demonstrates the results of studies that investigated the effect of antiretroviral therapy on the size of the reservoir and the ability to use the size of HIV reservoir as a clinically significant indicator of the course of the disease. The current strategies for influencing on HIV reservoir are considered, the ultimate goal of which is recovery from HIV infection.Резервуар ВИЧ представляет собой совокупность ДНК ВИЧ в клетках-мишенях в организме больного ВИЧ-инфекцией. Резервуар ВИЧ у больных ВИЧ-инфекцией препятствует эрадикации возбудителя и излечению от заболевания. В обзоре представлены данные литературы о структуре резервуара ВИЧ, его формировании и изменении размера резервуара на разных стадиях заболевания в зависимости от сроков начала лечения. Приведены результаты исследований, в которых изучалось влияние антиретровирусной терапии на размер резервуара и возможность использовать размер резервуара ВИЧ в качестве клинически значимого показателя течения заболевания. Рассмотрены современные стратегии воздействия на резервуар ВИЧ, конечной целью которых является выздоровление от ВИЧ-инфекции

МУТАЦИИ МИКОБАКТЕРИИ ТУБЕРКУЛЕЗА, ОБУСЛОВЛИВАЮЩИЕ УСТОЙЧИВОСТЬ К РИФАМПИЦИНУ И ИЗОНИАЗИДУ, У ПАЦИЕНТОВ С РАЗНЫМ ВИЧ-СТАТУСОМ

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Performance of the CMS Cathode Strip Chambers with Cosmic Rays

The Cathode Strip Chambers (CSCs) constitute the primary muon tracking device in the CMS endcaps. Their performance has been evaluated using data taken during a cosmic ray run in fall 2008. Measured noise levels are low, with the number of noisy channels well below 1%. Coordinate resolution was measured for all types of chambers, and fall in the range 47 microns to 243 microns. The efficiencies for local charged track triggers, for hit and for segments reconstruction were measured, and are above 99%. The timing resolution per layer is approximately 5 ns