The Problem of the Development of Civil Society in Russia: Regional Aspect

In this article, an analysis of the main problems and obstacles in the formation of a civil society in modern Russia is presented based on empirical research. They are marked as all-Russian trends in the assessments of experts of the authorities, non-profit public organizations, mass media, science and business, and regional features of the Sverdlovsk region.На основе эмпирических исследований представлен анализ основных проблем и препятствий в формировании гражданского общества в современной России. Отмечаются как общероссийские тенденции в оценках экспертов ГМУ, НКО, СМИ, науки и бизнеса, обозначены региональные особенности Свердловской области

The relationship of arrhythmias with structural and functional heart changes according to the echocardiography data in the adult population of the Arctic

Aim. To study the relationship of arrhythmias, registered by the electrocardiography (ECG) and ECG Holter monitoring, with the changes of the heart and disorders of its function detected by echocardiography in the adult population of the Arctic, living in unfavorable environmental conditions.Material and methods. Patients (n=348) of both sexes, aged 20 years and older, were randomly selected and examined. All participants were carried out ECG recording in 12 standard leads, Holter monitoring and transthoracic echocardiography.Results. Statistically significant associations between certain types of arrhythmias and echocardiographic changes were observed. There were revealed correlations of medium strength: between atrial fibrillation (AF), registered by ECG and dilatation of the left (r=0.3215) and right (r=0.3275) atrium; between AF, registered by Holter monitoring, and left ventricular (LV) systolic dysfunction (r=0.3216); between premature ventricular contractions, registered by Holter monitoring, and LV hypertrophy (r=0.3332).Conclusion. The аassociation between arrhythmias and structural and functional changes of the heart in individuals living in adverse climatic conditions were confirmed

Ventricular arrhythmia prevalence and treatment with omega-3 polyunsaturated fatty acids in patients who suffered myocardial infarction within the last year

Aim. To study the prevalence of ventricular arrhythmias (VA) in the patients who suffered myocardial infarction (MI) within the last year; to evaluate the effects of the treatment with omega-3 polyunsaturated fatty acids (PUFA) for 6 months. Material and methods. In total,370 MI patients underwent 24-hour Holter monitoring of electrocardiogram (ECG), with the subsequent VA analysis by age and gender. Fifty six patients had 500-100 ventricular extrasystoles (VE) registered in 24 hours. Group I (n=30) received omega-3 PUFA (1 g/d) for 6 months; Group II patients (n=26) were controls.Results. In patients with VA, the mean number of VE reached 374,6. The daily VE number increased with age: from 185,4 in people aged 30-59 years to 574,3 in participants aged 60 years or older (р=0,002). In men aged ≥60 years, the daily VE number was greater than in men aged 30-59 years (р=0,001). After 6 months of the omega-3 PUFA treatment, Group I demonstrated reduced prevalence of all VE (from 699 to 139; р=0,004), as well as a decrease in the percentage of frequent VE (from 93,3 % to 40 %; р=0,00001), paired VE (from 83,3 % to 46,7 %; р=0,003), Grade 4B VE (from 50 % to 20 %; р=0,02), and all high-grade (3-5) VE (from 83,3 % to 50 %; р=0,006). No positive dynamics was observed for the control Group II. Conclusion. In most patients who suffered MI within the last year, the prevalence of VE was relatively low. The VA prevalence and daily VE number increased with age, both in all examined patients and in men only. In women, advanced age was linked to an increased VA prevalence. Omega-3 PUFA treatment for 6 months was associated with a reduction in the daily VE number and the prevalence of Grade 2, 3, 4A, 4B, and all high-grade VE. In the controls, the prevalence of Grade 4B VE increased