Организация и анализ работы комиссии по отбору и направлению пациентов в медицинские организации для проведения лечения с использованием вспомогательных репродуктивных технологий на территории Челябинской области

For the purpose of improvement of quality of delivery of health care to women with infertility at Ministry of Health of Chelyabinsk region the Commission on selection and the direction of patients in the medical organizations for carrying out treatment works with use of auxiliary reproductive technologies at the expense of means of regional and federal budgets. In the work the Commission considers indications, contraindications and restrictions to application of extracorporal fertilization, exercises control of sequence of receiving medical care and efficiency of treatment. С целью улучшения качества оказания медицинской помощи женщинам с бесплодием при Министерстве здравоохранения Челябинской области работает Комиссия по отбору и направлению пациентов в медицинские организации для проведения лечения с использованием вспомогательных репродуктивных технологий за счет средств областного и федерального бюджетов (далее – Комиссия). В своей работе Комиссия учитывает показания, противопоказания и ограничения к применению экстракорпорального оплодотворения, осуществляет контроль за очередностью получения медицинской помощи и эффективностью лечения.

Individual approach in treating patients with pulmonary and tracheobronchial tuberculosis, with a long history of tobacco smoking and decompensated diabetes mellitus

The aim of the work was to demonstrate the high effectiveness of an individualized approach to the treatment of a patient with pulmonary tuberculosis with a comorbid background.Цель работы – продемонстрировать высокую эффективность индивидуализированного подхода к лечению пациента с туберкулезом легких с отягощенным коморбидным фоном

ORGANIZATION AND ANALYSIS OF THE COMMISSION'S WORK ON THE SELECTION AND REFERRAL OF PATIENTS IN A MEDICAL INSTITUTION FOR TREATMENT USING ASSISTED REPRODUCTIVE TECHNOLOGIES ON THE TERRITORY OF THE CHELYABINSK REGION

For the purpose of improvement of quality of delivery of health care to women with infertility at Ministry of Health of Chelyabinsk region the Commission on selection and the direction of patients in the medical organizations for carrying out treatment works with use of auxiliary reproductive technologies at the expense of means of regional and federal budgets. In the work the Commission considers indications, contraindications and restrictions to application of extracorporal fertilization, exercises control of sequence of receiving medical care and efficiency of treatment

Диффузионная способность легких и газообмен у лиц, подвергшихся радиационному воздействию после аварии на Чернобыльской АЭС

Respiratory function of 9 males at the age of 33—43 who participated in Chernobyl katastrophe consequences liquidation was studied. 4 at them suffered from chronic obstructive bronchitis, 4 — from chronic obstructive bronchitis with purulent sputum and 1 — from asthma.Different ventilatory alterations were found in 4 cases: mild obstruction (1), moderate obstruction (1), mild hyperinflation (1), mild restriction (1). Three variants of mixed ventilatory defects were also observed in other cases: moderate obstructive defect combined with mild hyperinflation — in 2 cases, combination of moderate obstruction and hyperinflation — in 1 case and mild obstruction with moderate hyperinflation in 1 case. Diffusing lung capacity investigation showed that the most frequent type of alterations (6 cases) was an isolated decrease of DLCO/Va ratio without decrease in DLCO.Gas exchange studies during the exercise test demonstrated a marked decrease of exercise tolerance. In 3 cases the maximal oxygen uptake was less than 50% pred., and in 5 cases this index was 50—70% pred. An increased dead space volume to the tidal volume ratio and the ventilatory equivalent for O2 demonstrated the gas exchange inefficiency and confirmed the results of DLCO measurement.The results obtained suggest that these patients have a wide spectrum of respiratory function impairment. Atipical pattern of lung diffusing capacity disorders among the majority of patients can be explained by the nature of radionuclide lung damage.В настоящей работе проведено исследование респираторной функции 9 мужчин в возрасте от 33 до 43 лет, участвовавших в ликвидации последствий аварии на Чернобыльской АЭС, из которых 4 страдали хроническим обструктивным бронхитом, 4 — хроническим гнойно-обструктивным бронхитом (ХГОБ), 1 — смешанной формой бронхиальной астмы (СБА).Показано функциональное разнообразие вентиляционных нарушений в данной группе. Изолированные нарушения вентиляционной функции отмечались у 4 человек (обструкция легкой степени — у 1, обструкция средней степени — у 1, гипервоздушность легкой степени — у 1, рестрикция легкой степени — у 1). Кроме того, среди обследуемых было выявлено и три варианта сочетанных вентиляционных расстройств (комбинация различных степеней обструкции и гипервоздушности).Результаты исследования диффузионной способности легких показали, что наиболее частым типом нарушения для них оказалось изолированное снижение так называемой «удельной диффузии» (у 6 пациентов) — отношения показателей общ ей диффузии и альвеолярной вентиляции (DLCO/Va) при нормальном уровне общ ей диффузионной способности легких.Исследование газообмена во время теста с физической нагрузкой продемонстрировало в целом значительное снижение толерантности к физической нагрузке. У 3 пациентов максимальное потребление кислорода составило менее 50%, у 5 — 50—70% от должного. Повышение фракции мертвого пространства и вентиляционного эквивалента по кислороду свидетельствовало о неэффективности газообмена и подтверждало результаты исследования диффузионной способности легких.Полученные результаты свидетельствуют о функциональном разнообразии респираторных расстройств у данной категории пациентов. Атипичный характер изменений диффузионной способности легких у большинства пациентов может быть обусловлен спецификой радиационного и, в частности, радионуклидного поражения

Personality Profiles and the "Russian Soul": Literary and Scholarly Views Evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul. The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians

Personality Profiles and the "Russian Soul": Literary and Scholarly Views Evaluated

Many domestic and foreign observers have claimed that Russians have a unique constellation of personality traits that mirrors their distinctive historical and cultural experience. To examine the hypothesized uniqueness of Russian personality, members of the Russian Character and Personality Survey collected data from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7,065) identified an ethnically Russian adult or college-aged man or woman whom they knew well and rated the target using the Russian observer-rating version of the Revised NEO Personality Inventory. The mean personality profile of Russians was very similar to the international average based on 50 different countries, debunking the myth of a unique Russian soul. The small variations from world norms did not converge with depictions of Russian national character in fiction and the scholarly literature. New items intended to capture distinctive, emic aspects of Russian personality provided no new information beyond the familiar Big Five dimensions. Religion, ethnicity, and beliefs about the uniqueness of the Russian character and the malleability of personality traits had little effect on personality ratings. Perceptions of the Russian soul do not seem to be based on the personality traits of Russians