Depth psychology of parents' experiences of pathological forms of guilt (for example, families with children with disabilities)

The feelings of guilt by parents of children with limited health and functional disorders are the deep-psychological formation of interpersonal genesis caused by moral suffering as a result of the disability of the child, determined by the intensity of the mechanisms of psychological protection, intrapersonal conflicts; mediated by the personal qualities of the parents. Pathologization of the experience of guilt reveals a relationship with the types of attitude to the disease and the status of the child, has an ambivalent nature and tendency to hypercompensation. It is conceptualized and empirically proven that the sense of guilt of parents of children with disabilities is complex, primary in relation to intrasymeological traumatization by an experience that has a deep psychological determination associated with a specific set of mechanisms of psychological defenses, the presence of appropriate intrapersonal conflicts and irrational attitudes. The features of the experience of interpersonal guilt in terms of their conjunctive and disjunctive effects are analyzed. A set of moral traumatization of parents is defined, which describes the moral suffering from the recognition of a child’s disability and the phenomenon of secondary trauma due to the conviction of guilt before the child (family members, society, etc.). Moral trauma from guilt has two rational attributes: moral harm–moral losses associated with moral and physical suffering, limitations, losses, and moral suffering–negative experiences that manifest themselves in the form of fear, shame, humiliation, a state of mental pain, depression and apathy. Behavioral trends and obsessive thoughts about compensation and

The study of personality traits that affect the formation of coping strategies

O.Y. Khudobin, O.V. Tsarkova. The study of personality traits that affect the formation of coping strategies. The paper studies the personality traits that primarily affect the formation of coping strategies and overtaking human behavior in the case of a difficult life situation. Mental coping strategies in situations of danger and the level of their appearance are analyzed. Personality traits that affect the formation of adaptive and non-adaptive coping strategies in a situation of stress are also analyzed. The components of self-concept of the individual, which contribute to the formation of overtaking behavioral strategies are highlighted. The main features of identity (genetic, psychological, social) that influence the formation and development of coping strategies of personality are determine

Modern forms of career guidance with senior pupils

The urgency of the study lie in the fact that, despite political and social changes, the economic crisis and instability in society in general, the choice of profession is one of the important processes of human life. The purpose of the study is to identify features and determine the role of modern methods of career guidance in the professional orientation of senior pupils. Methods of observation, questionnaires, interviews with senior pupils for detailed consultation on the choice of profession on the basis of the results of career guidance with students were used. The person rarely has inclination only to one of the spheres of professional activity, as the profession can not belong to only one group of professions. Therefore, it is necessary to draw conclusions not only on the basis of one of the career guidance types. It is important to consider all aspects of the choice and make the fi nal conclusions purposefully and deliberately. So, we suggest such an approach to be taken to the classifi cation of professions: it must be understood that a profession can be characterized simultaneously by signs of different types, but equally. The article outlines the ways of further studying the research problem. Key words: choice, profession, professional orient

Comprehensive Approach to Multi Comfort Urban Space Design in High-Density of Milan Development

Relevance of the research is conditioned by the necessity to search for a new model of urban planning formation of housing estates in the constrained conditions of already established cities. With the modern cities' expansion, investors, urban planners, architects and developers face a difficult task to develop urban areas that are in a dense ring of buildings and structures. Herein it should consider that large cities require multicomfortable apartment buildings, although they are in high-density areas. This paper represents the results of project work upon a social residential complex that meets the criteria of energy efficiency and multi-comfort in high-density development of the Crescenzago district (Milan, Italy). The project is based on the principles of eco-certification according to the BREEAM standard. As part of the project, to ensure the sustainable development of the territory under consideration, climatic, urban, social and cultural factors were analyzed; urban planning and architectural concepts of the site development, as well as constructive and engineering solutions for residential multi-apartment buildings have been created. The paper provides the author's design solution for a complex of residential buildings, organically integrated into the existing urban space development. This is a qualitatively new residential development format that meets all modern requirements for providing thermal, visual, acoustic comfort, safety standards, as well as the concept of sustainable development.. © 2020 IOP Publishing Ltd. All rights reserved

Organization of preventive medical examinations of minors in the Sverdlovsk region: ways to improve quality

The goal is to analyze the health indicators of the children's population and assess the quality of preventive examinations of minors in the Sverdlovsk region. Materials of the research. Data on the health status of the children of the Sverdlovsk region on the results of preventive medical examinations (PE) for the period 2013-2017 are presented. for different age groups. A sample analysis of the primary medical records of children's polyclinics is performed. Results of the study. The analysis of the structure of pathological affection, depending on the age of the newly diagnosed diseases, the definition of the needs for additional consultations, studies, treatment, as well as the coverage of the data after the completion of the preventive examination. Deficiency of doctors of the experts participating in carrying out of preventive medical examinations of children is established. Identified defects in making conclusions on the results of medical examination by specialists, referral to additional consultations, treatment and treatment. Conclusions. A high level of coverage of the child population of the software was registered. Tendencies in changes in morbidity rates were typified by a decrease in pathological affection in most classes of diseases. The leading causes of morbidity in children 0-14 years old are as follows: diseases of the nervous system, digestive organs, musculoskeletal system, in adolescents - eye diseases, musculoskeletal system and digestive organs. In order to improve the quality of preventive examinations in the region, it is necessary to strengthen internal control over the completeness of the software, the correctness of recording the results, and the direction of the needy for the second stage of medical examination.Цель -провести анализ показателей здоровья детского населения и оценку качества профилактических осмотров несовершеннолетних в Свердловской области. Материалы исследования. Представлены данные о состоянии здоровья детского населения Свердловской области по результатам профилактических медицинских осмотров (По) за период 2013-2017 гг. по различным возрастным группам. Выполнен выборочный анализ первичной медицинской документации детских поликлиник. результаты исследования. Проведен анализ структуры патологической пораженности в зависимости от возраста, впервые выявленных заболеваний, распределения детей по группам здоровья и уровню физического развития, определена нуждаемость в дополнительных консультациях, исследованиях, лечении, а также охват данными услугами после завершения профилактического осмотра. Установлен дефицит врачей специалистов, участвующих в проведении профилактических медицинских осмотров несовершеннолетних. Выявлены дефекты при вынесении заключений по результатам осмотра врачами специалистами, направлении на дополнительные консультации, лечение и реабилитацию. Выводы. Зарегистрирован высокий уровень охвата детского населения По. тенденции в изменениях показателей заболеваемости характеризовались снижением патологической пораженности по большинству классов заболеваний. Ведущими причинами заболеваемости у детей 0-14 лет по-прежнему являются болезни нервной системы, органов пищеварения, костно-мышечной системы, у подростков – болезни глаза, костно-мышечной системы и органов пищеварения. В целях повышения качества проведения профилактических осмотров в регионе необходимо усилить внутренний контроль за полнотой проведения По, правильностью регистрации результатов и направлением нуждающихся на второй этап диспансеризации

Plants with genetically encoded autoluminescence

Autoluminescent plants engineered to express a bacterial bioluminescence gene cluster in plastids have not been widely adopted because of low light output. We engineered tobacco plants with a fungal bioluminescence system that converts caffeic acid (present in all plants) into luciferin and report self-sustained luminescence that is visible to the naked eye. Our findings could underpin development of a suite of imaging tools for plants

Long term effects of adenotomy children of Kuzbass

Objective: to compare the outcomes of surgical and conservative treatment in children with chronic adenoiditis, according to the frequency of recurrences of adenoid vegetations. Materials and methods: the study involved 202 children suffering from chronic adenoiditis, 103 of them had atopy (allergic rhinitis, atopic dermatitis), 99 children without an aggravated allergic background. The assessm ent of the state of local immunity of nonspecific factors of protection of the mucous membrane of the upper respiratory tract, cytological analysis of nasal secretions, bacteriological infection of the nasopharynx were performed. Results: In half (48.8%) of children with atopy, who underwent adenotomy, recurrences of adenoid vegetations were detected during the first year after surgery. Children with atopy during the first year after adenotomy were significantly more likely to have obstructive bronchitis (53.8%). 17.3% of children during the first year after adenotomy were first diagnosed with Bronchial Asthma, which may indicate the preservation and strengthening of bronchial hyperresponsiveness after adenotomy surgery. Children after adenotomy had significantly more days of non-attendance of educational institutions per year (38.3 ± 1.87) compared with children on the background of conservative treatment (27.2 ± 1.74) (P <0.05). Conclusion: adenotomy in patients with aggravated allergic background contributes to the deterioration of the course of the underlying disease, the transition to the chronic form.Цель: сопоставить исходы хирургического и консервативного лечения у детей, больных хроническим аденоидитом, по частоте рецидивов аденоидных вегетаций. Материалы и методы: в исследовании участвовали 202 ребенка, страдающие хроническим аденоидитом, из них 103 имели атопию (аллергический ринит, атопический дерматит), 99 детей без отягощенного аллергического фона. Выполнялась оценка состояния местного иммунитета неспецифических факторов защиты слизистой верхних дыхательных путей, цитологический анализ назального секрета, бактериологическая обсемененность носоглотки. Результаты: У половины (48,8%) детей с атопией, которым была проведена аденотомия, выявлены рецидивы аденоидных вегетаций в течение первого года после проведенной операции. Достоверно чаще болели обструктивными бронхитами дети с атопией в течение первого года после аденотомии (53,8%). 17,3% детей в течение первого года после аденотомии был впервые поставлен диагноз «Бронхиальная астма», что может свидетельствовать о сохранении и усилении гиперреактивности бронхов после операции аденотомии. Дети после аденотомии имели достоверно больше дней непосещения образовательных учреждений в году (38,3+1,87) по сравнению с детьми на фоне консервативного лечения (27,2+1,74) (Р<0,05). Вывод: аденотомия у пациентов с отягощенным аллергическим фоном способствует ухудшению течения основного заболевая, переходу в хроническую форму

Optimization methods for prophylaxis of recurrent respiratory tract infections in organized children’s groups

Preschoolchildrenweredividedintom ain (medium and high morbidity rate. i.e. those who received ultrasonic cavitation) and control (those who did not receive ultrasonic cavitation) groups. A non-invasive method of ultrasonic cavitation with a sim ultaneous action on nasal and nasopharynx mucosa was applied to children during 10 days.There are significant differences in values of the local immunity before and after prophylaxis in all main children’s groups who received ultrasonic cavitation compared to the control group who did not receive ultrasonic cavitation. For children from the control group, factors of local immunity and non-specific resistance of upper airway were not significantly different in the dynamics of research (p>0.05). One year morbidity analysis after application of ultrasonic cavitation has shown significant reduction in upper respiratory tract infection rate (p0,05). Анализ заболеваемости на протяжении года после ультразвуковой кавитации показал достоверное снижение случаев ОРВИ (р<0,001) в группах детей со средним и высоким уровнем заболеваемости, получавших ультразвуковую кавитацию

Peculiarities of chronic adenoititis complicated by allergic rhinitis in children of Kuzbass

То assess the state of local immunity factors, upper respiratory tract mucosa microbiocinosis; to study peculiarities of chronic adenoititis complicated by allergic rhinitis in children of Kuzbass. Materials and methods. 724 children aged 6 -9 years old (624 children often suffering chronic adenoititis complicated by allergic rhinitis) took part in the research. Control group was made up of 100 occasionally ill children. The assessment of local im m unity of non-specific factors of upper respiratory tract mucosa state, cytologic analysis of nasal secret, nasopharynx bacterial load were assessed. Results: Often reasons for adenoidal vegetation in examined children were habitual SARS, high level of pathogenic and opportunistic pathogenic microflora bacterial load of respiratory tract, constitutional peculiarities, allergic rhinitis. 84,1% of patients showed II stage pharyngeal tonsil hypertrophy and 15,9% - 1 stage pharyngeal tonsil hypertrophy at endoscopy. Morbidity was high making the average of 2667,67+0.03 cases and 18307,8+0,06 days of parents’ disability per 1000 children. The morbidity level was mostly made up by SARS. Conclusion: Increase in acute morbidity level among children with allergic adenoiditis was accompanied by nonspecific protection factors inhibition and eosinophils number increase.Цель: оценить состояние местных факторов защиты, микробиоценоза слизистой верхних дыхательных путей, изучить особенности течения хронического аденоидита на фоне аллергического ринита у детей Кузбасса. Материалы и методы: в исследовании участвовали 724 ребенка 6-9 лет, из них 624 ребенка страдали хроническим аденоидитом на фоне аллергического ринита. Группу сравнения составили 100 эпизодически болеющих детей. Выполнялась оценка состояния местного иммунитета неспецифических факторов защиты слизистой верхних дыхательных путей, цитологический анализ назального секрета, бактериологическая обсемененность носоглотки. Результаты: Частыми причинами разрастания аденоидных вегетаций у обследованных детей были повторные острые респираторные вирусные инфекции, высокая степень обсеменения патогенной и условно-патогенной микрофлорой респираторного тракта, конституциональные особенности, аллергический ринит. При проведении эндоскопии гипертрофия глоточной миндалины II степени выявлена у 84,1% пациентов. I степени - у 15,9%. Заболеваемость, по обращаемости, была высокой, составив в среднем 2667.67±0,03 случаев и 18307.8±0,06 дней нетрудоспособности родителей на 10ОО детей. Уровень заболеваемости формировался преимущественно за счет ОРВИ. Вывод: повышение уровня острой заболеваемости у детей с аллергическим аденоидитом сопровождалось угнетением неспецифических факторов защиты, повышением количества зозинофилов