ЭКСПЕРИМЕНТАЛЬНОЕ ИССЛЕДОВАНИЕ ПАРАМЕТРОВ ЦИРКУЛЯЦИИ КРОВИ И ТКАНЕВОЙ ЖИДКОСТИ В МЯГКОЙ МОЗГОВОЙ ОБОЛОЧКЕ В НОРМЕ И ПРИ ИШЕМИИ ГОЛОВНОГО МОЗГА

Ischemic brain lesions are one of the most pressing problems of modern medicine. In this context, the study of the Virchow-Robin space is of interest. The aim of the study is to compare the parameters of blood flow in the soft meninges and the parameters of the movement of tissue fluid in the perivascular space in normal, and 14 days after total unilateral cerebral ischemia. The result of the study demonstrates that by the end of the subacute period of cerebral ischemia, there is a violation of microcirculation processes in the soft meninges, consisting in the activation of the flow of interstitial fluid through the GRP.Ишемические поражения головного мозга - одна из наиболее актуальных проблем современной медицины. В данном контексте представляет интерес изучение пространства Вирхова-Робина. Целью исследования является сравнение параметров кровотока в мягкой мозговой оболочке и параметров движения тканевой жидкости в периваскулярном пространстве в норме, и через 14 суток после тотальной односторонней ишемии головного мозга. Результат проведенного исследования демонстрирует, что к концу подострого периода ишемии головного мозга происходит нарушение процессов микроциркуляции в мягкой мозговой оболочке, заключающиеся в активации тока межтканевой жидкости через ВРП

PSYCHOLOGICAL CARE FOR SCHOOL-AGE PATIENTS WITH CORONAVIRUS INFECTION IN THE HOSPITAL

For the first time in pediatric practice, the psychological state of 100 children (7-17 years old) with COVID-19 in the state of hospitalization was studied on the basis of the Scientific Medical Research Center of Children's Health of the Russian Ministry of Health Care and the directions of psychological and pedagogical assistance were determined. Analysis of medical and psychological-pedagogical documentation, conversation, observation, screening diagnostics were conducted. It was established that according to the totality of physical and psychological factors (the main psychological difficulty) patients can be grouped into the following groups: children in a severe physical state, with unstable manifestations of mental activity (n = 4; 4%); children in a predominantly moderately severe state with significant distress related to the disease (n = 48; 48%); children in a satisfactory physical state, with mild and mostly situational difficulties in adapting to the situation of hospitalization (n = 46; 46%); children in a satisfactory physical state, in a relatively stable positive psychological state (n = 2; 2%). Consideration of the severity of their physical and psychological condition and their basic psychological difficulties allows differentiated psychological aid to be rendered to children and teenagers in special conditions of the «red zone»