Functional capabilities of cardiovascular system of adolescents

We have studied functional capabilities of cardiovascular system in young men of service age in terms of indicators of сardiointervalography. It was stated that people who are 18-21 years old demonstrate increase of values of systolic, diastolic pressure and heart rate after physical activity in comparison with the values obtained in the rest state, while range values of Р, Q, R, S and Т deflections, interval sizes of P-Q, QRS and Q-T, reference and actual reference systole and systolic indicator decrease. Vagosympathetic index of the test persons after the functional test increased as compared with the rest state, which provides evidence of increase in tonus of sympathetic nervous system after physical activit

Coercion, Violation of Privacy and Everyday Difficulties as the Cause of Patient Refusal Treatment in Psychiatric Hospitals in Russia

Treatment in a psychiatric hospital is accompanied by a restriction of independence, violation of privacy, coercion, which causes displeasure of patients. The aim of the study was to verify the scale of everyday problems, violations of privacy and coercion in a psychiatric hospital to develop recommendations for the organization of a therapeutic environment. The study included 191 patients in a psychiatric hospital. Anonymous questionnaire was used. Statistical processing of the database was carried out by nonparametric methods. The majority of patients (67%) estimated the conditions of stay in a psychiatric hospital at 7-10 points (10-point scale), but half of them complained about the need for self-purchase of drugs. A full night's sleep was disturbed by the snoring of others (56.5%), an uncomfortable bed (36.6%), bright light (26.2%). The poor diet was indicated by 45.5% of patients. Patients indicated coercion by medical staff: retention (11.5%), forced administration of drugs (12%), coercion to consent to treatment (22%), refusal to discharge from hospital (35.1%). It was reported that there was a violation of privacy in the toilet (36.6%), difficulties to observe the intimate hygiene (16.8%). These problems caused patients to refuse inpatient treatment if there was the possibility of outpatient treatment (65.2% of men and 52.6% of women). Despite the low level of claims of patients to living conditions, it is important to respect their rights in psychiatric hospitals to privacy, creating a comfortable living space, the organization of differentiated methods of observation by medical staff

Psychiatric coercion and violence: ethical, legal and preventive aspects

The objective of this review was to provide an analysis of the ethical, legal, and preventive aspects of coercion and violenc

Coercion, violation of privacy and everyday difficulties as the cause of patient refusal treatment in psychiatric hospitals in Russia

Treatment in a psychiatric hospital is accompanied by a restriction of independence, violation of privacy, coercion, which causes displeasure of patients. The aim of the study was to verify the scale of everyday problems, violations of privacy and coercion in a psychiatric hospital to develop recommendations for the organization of a therapeutic environment. The study included 191 patients in a psychiatric hospital. Anonymous questionnaire was used. Statistical processing of the database was carried out by nonparametric method

Attitude to diseases and social distance of persons with mental disorders

The stigma of a mental illness negatively affects the social status of patients, compliance, quality of life, and leads to self-stigmatization. The medical sociological method and the modified Bogardus social distance scale were used to examine 271 psychiatric patients in 3 regions of Russi

Prevalence and dynamics of depression and anxiety in local and foreign medical students for a 6-year training period

The academic load in medical institutes is 2 times higher than in other universities, and the training itself is emotionally stressful, which affects the students' health. A continuous sample of 1045 medical students from 1 to 6 year of education was examine

Prevalence and dynamics of depression and anxiety in local and foreign medical students for a 6-year training period

The academic load in medical institutes is 2 times higher than in other universities, and the training itself is emotionally stressful, which affects the students’ health. A continuous sample of 1045 medical students from 1 to 6 year of education was examined: 724 local (Russian) and 321 foreign students (India). Depression was more common among Russian (28.7%) than foreign students (17.8%

ОПРЕДЕЛЕНИЕ ТОКОВ УТЕЧКИ ЧЕРЕЗ ИЗОЛЯЦИОННОЕ ПОКРЫТИЕ ПРОВОДОВ ВЛП 10 кВ ПРИ КАСАНИИ ДЕРЕВЬЕВ И ДРУГИХ ЗАЗЕМЛЕННЫХ ПРЕДМЕТОВ ПОД ДОЖДЕМ

Investigations that were conducted with the help of overhead distribution line model reflected such situations as wire swinging cross, their contact with fallen trees and other earthed objects have shown that the overhead lines may operate rather long under such conditions. However leakage current may lead to dangerous high potentials on these objects and around them.The results of calculations and experimental research have revealed that in the rain leakage current on an earthed object and insulation resistance depends on the width of moistened zone and practically does not depend on an object size and shape. Leakage current does not exceed 3 mA at an operating voltage and 15mA at possible internal overvoltage and full insulation resistance is not less than 3…4 MW for actual overhead distribution line spans.Исследования, проведенные на макете ВЛП при схлестывании проводов и попадании на них упавших деревьев и других заземленных предметов, показали, что в таком режиме ВЛП может работать длительное время. Однако за счет токов утечки опасные высокие потенциалы могут появиться на этих предметах и вокруг них. Приводятся результаты расчетов и экспериментальных исследований, которые показывают, что под дождем ток утечки на заземленный предмет и сопротивление изоляции зависят от ширины увлажненной зоны и практически не зависят от размеров и формы предмета. Для реальных пролетов ВЛП ток утечки не превышает 3 м × А при рабочем напряжении и 15 м × А – при возможных внутренних перенапряжениях, а полное сопротивление изоляции – не менее 3…4 м × Ом

ПЕРВЫЙ ОПЫТ УСПЕШНОЙ ТРАНСПЛАНТАЦИИ ТОНКОЙ КИШКИ В ИНСТИТУТЕ СКОРОЙ ПОМОЩИ ИМ. Н.В. СКЛИФОСОВСКОГО

ABSTRACT. The paper describes the first experience of successful small bowel transplantation in the Sklifosovsky Research Institute for Emergency Medicine. It contains a brief review of literature on essential aspects of small bowel transplantation, presents the donor’s case history, specific features of anesthesia, surgical procedure, and postoperative course, including the immunosuppression scheme, diagnosis and treatment of evolved complications. The paper provides in-detail results of morphological control over rejection development, presents the data of ultrasonographic observation of the changes in the transplanted intestine in the course of its adaptation to new requirements, covers the tactics of parenteral and enteral nutrition.РЕЗЮМЕ. Статья посвящена описанию первого опыта успешной трансплантации тонкой кишки (ТТК) в Институте скорой помощи им. Н.В. Склифосовского. Содержит краткий обзор литературы по основным проблемам ТТК, описание истории болезни донора, особенностей проведения наркоза, операции и течения послеоперационного периода, включая тактику иммуносупрессии, диагностики и лечения развившихся осложнений. Подробно описаны результаты морфологического контроля за развитием реакции отторжения, приведены данные УЗ-наблюдения за изменениями трансплантированной кишки по ходу ее адаптации к новым условиям, тактика парентерального и энтерального питания.

Functional capabilities of cardiovascular system of adolescents

We have studied functional capabilities of cardiovascular system in young men of service age in terms of indicators of сardiointervalography. It was stated that people who are 18-21 years old demonstrate increase of values of systolic, diastolic pressure and heart rate after physical activity in comparison with the values obtained in the rest state, while range values of Р, Q, R, S and Т deflections, interval sizes of P-Q, QRS and Q-T, reference and actual reference systole and systolic indicator decrease. Vagosympathetic index of the test persons after the functional test increased as compared with the rest state, which provides evidence of increase in tonus of sympathetic nervous system after physical activit