Contamination of drinking water: peasants’ contingents sociological survey

For retrospective survey until 2011-2013 years the standardized questionnaire was designed for interviewing peasants in the settlements (experimental group) and inhabitants of an industrial city Dnipropetrovsk (control group) - 90 respondents from each group. Information about quality of piped potable water that enters the building (apartment) were requested from the all questionnaires. The data obtained in the study showed low awareness among peasants contingents: 26.07 % of interviewing doesn’t consider quality of potable water is a hygienic problem; 22.26 % were not decided yet if they are satisfi ed with the quality of tap water. Therefore, 14.81 % of peasants were sure that they use poor quality potable water; 25.25 % of questionnaires associate poor quality of tap water mainly with rust and sediment, 19.57 % with turbidity (p < 0.001). After collecting questionnaires from 180 contingents (90 from experimental and 90 from control group) new data will be used for further scientifi c research in the fi eld of potable water supply and management decisions in order to improve quality of piped potable water in the peasants contingents, and introduction modern methods of purifi cation in the rural settlements, which are not covered by centralized water supply, mainly, from 5.8 % to 39 % peasants contingents in the region

IAA Technology Development Center Report 2012

No abstract availabl

СВЯЗЬ ВНУТРИБРЮШНОГО ДАВЛЕНИЯ И РАНЕВОЙ ИНФЕКЦИИ В ПОСЛЕОПЕРАЦИОННОМ ПЕРИОДЕ У РОДИЛЬНИЦ С ОЖИРЕНИЕМ

To study the dependence of the wound infection rate after cesarean section and the level of postoperative intra-abdominal pressure (IAP) in obese patients. A study was conducted, involving 313 patients delivered by cesarean section. All patients were divided into 4 groups: control group 90, with degree I obesity 137, with II 49 and III 37 patients. The frequency of development of wound postoperative complications was determined, bacteriological studies of amniotic fluid, placenta, lousy and discharge wound of the anterior abdominal wall were carried out. Postoperative dynamics of IAP was investigated. IAP research was carried out using vesical indirect method. Wound postoperative complications were diagnosed in 17,9% of the puerperas, 8,6% of them had a discrepancy and suppuration of the sutures in the anterior abdominal wall. The incidence of wound complications increased with increasing severity of obesity. In patients with severe obesity, in the sowing of septic purulent wounds, microorganisms of the genus Escherichia coli, Enterococcus spp. prevailed. Analysis of postoperative dynamics of IAP showed that in obese patients its values exceeded those in the control group at all stages of the study. The correlation analysis showed the presence of a positive average force of communication between the postoperative intestinal paresis and the development of wound infection, r = 0,500 (p &lt; 0,01). The relationship between wound infection and postoperative dynamics of IAP was approaching a strong-r ratio of 0,654 (p&lt;0,001). Representatives of the intestinal microbioma are leading in patients with obesity in infection of the postoperative wound. In the contamination of the intestinal microflora, intra-abdominal hypertension (IAH) is one of the main triggers. Long-term persistent IAH in the postoperative period is a significant risk factor for the development of postoperative infectious complications.По данным ряда популяционных исследований, у родильниц с ожирением частота послеоперационных инфекционных осложнений в несколько раз выше по сравнению с пациентками, имеющими нормальную массу тела. Основной целью данного исследования является изучение зависимости частоты раневой инфекции после кесарева сечения и уровня послеоперационного внутрибрюшного давления (ВБД) у пациенток с ожирением. В исследовании участвовало 313 пациенток, родоразрешенных путем кесарева сечения. Выделено 4 группы: контрольная группа – 90 пациенток, со I степенью ожирения 137, с II 49 и III 37 пациенток. Определена частота развития раневых послеоперационных осложнений, проведены бактериологические исследования амниотической жидкости, плаценты, лохий и отделяемого раны передней брюшной стенки. Исследована послеоперационная динамика ВБД чреспузырным методом. Раневые осложнения диагностированы у 17,9% родильниц, из них у 8,6% – расхождение и нагноение швов на передней брюшной стенке. Частота раневых осложнений возрастала с увеличением тяжести ожирения. У пациенток с выраженным ожирением при посеве отделяемого гнойных ран преобладали микроорганизмы рода Escherichia coli и Enterococcus spp. Анализ послеоперационной динамики ВБД показал, что при общей тенденции снижения уровня ВБД в группах, при ожирении его значения превышали таковой в группе контроля на всех этапах исследования. Была выявлена корреляционная связь средней силы между развитием раневой инфекции и послеоперационным парезом кишечника – r = 0,500 (p &lt; 0,01), а также уровнем снижения послеоперационного ВБД – r = -0,481 (p &lt; 0,01). Связь инфицирования раны (рост микроорганизмов из отделяемого раны при посеве на среды) и послеоперационной динамики ВБД приближалась к сильной – r составил 0,654 (p &lt; 0,001). Таким образом, в инфицировании послеоперационной раны у пациенток с ожирением лидируют представители кишечного микробиома. В контаминации кишечной микрофлоры внутрибрюшная гипертензия (ВБГ) является одним из основных триггеров. Длительно сохраняющаяся ВБГ в послеоперационном периоде является значимым фактором риска для развития послеоперационных инфекционных осложнений.

Potential role abdominal hypertension in for severe ovarian hyperstimulation syndrome and its complications outcomes

Report examines the hypothesis about the role ot intra-abdominal hypertension in the development of severe ovarian hyperstimulation syndrome and its complications outcomes. Comparison of the pathophysiology and clinical presentation indicates that the clinic severe ovarian hyperstimulation syndrome and associated organ dysfunction syndrome is almost identical abdominal hypertension. The classic triad, including respiratory disorders, reduction in venous return, a violation of perfusion of internal organs and is present with severe ovarian hyperstimulation syndrome and the syndrome of abdominal hypertension. It appears that the treatment of severe ovarian hyperstimulation syndrome should include the principles of therapy abdominal hypertension syndrome.В обзоре рассматривается гипотеза о роли внутрибрюшной гипертензии в развитии тяжелых форм синдрома гипер­стимуляции яичников и его осложненных исходов. Сравнение патофизиологии и клинической картины указывает, что клиника тяжелого синдрома гиперстимуляции яичников и связанная с ним органная дисфункция, практически идентична синдрому внутрибрюшной гипертензии. Классическая триада, включающая респираторные нарушения, уменьшение венозного возврата, нарушение перфузии внутренних органов присутствует и при тяжелом синдроме гиперстимуляции яичников и при синдроме внутрибрюшной гипертензии. Представляется, что лечение тяжелых форм синдрома гипер­стимуляции яичников должно включать принципы терапии синдрома внутрибрюшной гипертензии

Dependence of hemostasis indices on external environment nemperature in women with physiological pregnancy accompanied by limitation of liquid intake

The research goal was to study the influence of extremely high temperatures on the hemostasis indices in patients with uncomplicated pregnancies with the concomitant limitation of liquid intake. The research results of hemostasis of pregnant women being hospitalized during the period of spring and summer in 2010 have been analyzed. The differences in the level of hypercoagulation changes of hemostasis in summer and spring have been found to be insignificant. In the platelet link hemostasis in summer of 2010, as compared to the spring, the increase of platelet aggregation and amount has been observed, with the exception of the third trimester, which is marked by the decrease of platelet amount. Hot seasons and liquid intake limitations make additional demands on hemostasis adaptive capacity, increasing the risk of thrombohemorrhagic complication

INFLUENCE OF INTRA-ABDOMINAL PRESSURE AND WOUND INFECTION IN THE POST-OPERATIVE PERIOD IN WOMEN WITH OBESITY

To study the dependence of the wound infection rate after cesarean section and the level of postoperative intra-abdominal pressure (IAP) in obese patients. A study was conducted, involving 313 patients delivered by cesarean section. All patients were divided into 4 groups: control group 90, with degree I obesity 137, with II 49 and III 37 patients. The frequency of development of wound postoperative complications was determined, bacteriological studies of amniotic fluid, placenta, lousy and discharge wound of the anterior abdominal wall were carried out. Postoperative dynamics of IAP was investigated. IAP research was carried out using vesical indirect method. Wound postoperative complications were diagnosed in 17,9% of the puerperas, 8,6% of them had a discrepancy and suppuration of the sutures in the anterior abdominal wall. The incidence of wound complications increased with increasing severity of obesity. In patients with severe obesity, in the sowing of septic purulent wounds, microorganisms of the genus Escherichia coli, Enterococcus spp. prevailed. Analysis of postoperative dynamics of IAP showed that in obese patients its values exceeded those in the control group at all stages of the study. The correlation analysis showed the presence of a positive average force of communication between the postoperative intestinal paresis and the development of wound infection, r = 0,500 (p &lt; 0,01). The relationship between wound infection and postoperative dynamics of IAP was approaching a strong-r ratio of 0,654 (p&lt;0,001). Representatives of the intestinal microbioma are leading in patients with obesity in infection of the postoperative wound. In the contamination of the intestinal microflora, intra-abdominal hypertension (IAH) is one of the main triggers. Long-term persistent IAH in the postoperative period is a significant risk factor for the development of postoperative infectious complications

Optimization of electrical networks industrial district

В статті розглядається можливість рішення оптимізаційної задачі розподілу потужностей електричних підстанцій промислового району між споживачами електричної енергії.В статье рассматривается возможность решения оптимизационной задачи распределения мощностей электрических подстанций промышленного района между потребителями электрической энергии.The article considers the possibility of solving the optimization problem of capacity allocation electrical substations industrial area between the consumers of electric energy