CARDIOLOGICAL MANAGEMENT OF PREGNANT WOMEN IN THE UDMURT REPUBLIC

Aim. To assess the efficacy of specialized management of pregnant women with cardiovascular diseases (CVD) in the Udmurt Republic (UR) of Russia.Material and methods. In prospective and retrospective study we investigated pregnancy outcomes in all 17948 women in management system created for pregnant patients with CVD in the UR from 2000 to 2007. The system comprises specialized outpatient and inpatient departments and an obstetric hospital within the regional cardiological centre. Pregnant women had different CVD including hypertension, congenital and rheumatic heart disease, cardiac arrhythmias, noncoronary myocardial disease, disorders and autoimmune diseases of connective tissue, etc.Results. Perinatal mortality decreased by 41,1% from 11,2‰ in 2000 to 6,6‰ in 2007. During 8 years, no one woman died.Conclusion. The management system for pregnant women with CVD within the regional cardiological clinic makes it possible to reduce of maternal and perinatal mortality rates significantly

Scaphocephaly: anatomy, clinic, diagnosis, surgery

The purpose of this study is to present a clinical approach, experience in the diagnosis and treatment of children with deformity of the cranial vault caused by premature closure of the sagittal suture — craniosynostosis.Цель исследования – представить клинический подход, опыт диагностики и лечения детей с деформацией свода черепа, вызванной преждевременным заращением сагиттального шва – краниосиностоз

Организация медицинской помощи больным с тяжелыми пневмониями на фоне гриппа А/H1N1

The paper describes the way medical and intensive cares are organized to patients with complicated forms of A/H1N1 and seasonal influenzas in the Trans-Baikal Territory in the fall of 2009.В статье приведены особенности организации медицинской помощи и интенсивной терапии больным с осложненными формами гриппа A/H1N1/09 и сезонного гриппа в Забайкальском крае осенью 2009 года

Influence of socioeconomic factors on pregnancy outcome in women with structural heart disease

OBJECTIVE: Cardiac disease is the leading cause of indirect maternal mortality. The aim of this study was to analyse to what extent socioeconomic factors influence the outcome of pregnancy in women with heart disease.  METHODS: The Registry of Pregnancy and Cardiac disease is a global prospective registry. For this analysis, countries that enrolled ≥10 patients were included. A combined cardiac endpoint included maternal cardiac death, arrhythmia requiring treatment, heart failure, thromboembolic event, aortic dissection, endocarditis, acute coronary syndrome, hospitalisation for cardiac reason or intervention. Associations between patient characteristics, country characteristics (income inequality expressed as Gini coefficient, health expenditure, schooling, gross domestic product, birth rate and hospital beds) and cardiac endpoints were checked in a three-level model (patient-centre-country).  RESULTS: A total of 30 countries enrolled 2924 patients from 89 centres. At least one endpoint occurred in 645 women (22.1%). Maternal age, New York Heart Association classification and modified WHO risk classification were associated with the combined endpoint and explained 37% of variance in outcome. Gini coefficient and country-specific birth rate explained an additional 4%. There were large differences between the individual countries, but the need for multilevel modelling to account for these differences disappeared after adjustment for patient characteristics, Gini and country-specific birth rate.  CONCLUSION: While there are definite interregional differences in pregnancy outcome in women with cardiac disease, these differences seem to be mainly driven by individual patient characteristics. Adjustment for country characteristics refined the results to a limited extent, but maternal condition seems to be the main determinant of outcome

Citalopram therapy in rehabilitation period of myocardial infarction among patients with Type 2 diabetes mellitus and affective disorders

Three-month citalopram (Opra) therapy in post-infarction rehabilitation period effectively treated affective disorders, reduced psychological stress levels and improved night sleep in patients with Type 2 diabetes mellitus and chronic heart failure. Combined therapy, including Opra, was associated with reduced angina attack incidence and autonomous dysfunction symptoms, increased physical stress tolerance and quality of life, improved cardiac structure and function

Bachelors of pedagogics training for pedagogical support of the organization of competitions of children’s research works

В статье описан опыт организации сопровождения конкурсов исследовательских работ детей (дошкольников и младших школьников). При организации сопровождения конкурсов бакалавры педагогики получают возможность совершенствовать профессиональную подготовку, приобретать компетенции, предусмотренные стандартом ФГОС ВПО. В ходе организации сопровождения осуществляется сотрудничество учебных заведений разных уровней, обеспечивающее качество подготовки дошкольников и младших школьников.The article describes the experience of the organization of the support of the competitions of children’s researches (children of pre-school and primary school age). When organizing the support of the competitions bachelors of pedagogics have the opportunity to improve their training, to acquire competences required by the FSES HPE. During the organization of the support the interaction of educational institutions of different levels is carried out, ensuring the quality of preschool and primary school children’s training

ЭКСПЕРТНЫЙ ВЗГЛЯД НА РОЛЬ ЖИРОВ В ДЕТСКОМ ПИТАНИИ

The lecture presents data on various types of fats comprising saturated and unsaturated fatty acids and their trans-isomers, describes the main families of fatty acids (omega-6 and omega-3) and their bioactive derivatives, dwells upon an important role of fats as essential pediatric nutrition factors for normal neuropsychological development of children, features data on the composition of breast milk fatty acids as the standard for feeding neonates and considers medical and technological issues of breast milk fat regeneration in pediatric nutrition formulas.В лекции приведены данные о различных видах жиров, входящих в их состав насыщенных и ненасыщенных жирныхкислотах и их трансизомерах. Даны представления об основных семействах жирных кислот (омега-6 и омега-3) и ихбиологически активных производных. Обсуждается важная роль жиров как эссенциальных факторов детского питания для нормального нервно-психического развития ребенка. Приводятся данные о составе жирных кислот грудного молока как эталона для вскармливания младенца первых месяцев жизни и обсуждаются медицинские и технологические проблемы воспроизводства жирового компонента грудного молока в смесях для детского питания