Medicine Pediatrics, Perinatology and Child Health

Human Health and Disease

Description

This cluster of papers focuses on the assessment and management of health risks in children and adolescents, covering factors such as environmental exposure, oxidative stress, educational technologies, nutrition, and physical development. The research also delves into hygienic assessments, epidemiological wellbeing, and the impact of socioeconomic factors on child health.

Keywords

Child Health; Risk Assessment; Environmental Factors; Oxidative Stress; Educational Technologies; Hygienic Assessment; Nutrition; Adolescent Health; Epidemiological Wellbeing; Physical Development

Contents: R. Clifton, P. Berman, Preface. P.J. Long, R.F. Simons, M.T.Balaban, Part I:Current Investigations of the Classical Theory of Orienting and Defense. E. Sokolov, J. Cacioppo, Orienting and Defense Reflexes: … Contents: R. Clifton, P. Berman, Preface. P.J. Long, R.F. Simons, M.T.Balaban, Part I:Current Investigations of the Classical Theory of Orienting and Defense. E. Sokolov, J. Cacioppo, Orienting and Defense Reflexes: Vector Coding the Cardiac Response. D. Siddle, O. Lipp, Orienting, Habituation and Information Processing: The Effects of Omission, the Role of Expectancy, and the Problem of Dishabituation. Part II:Biological and Evolutionary Foundations of Orienting, Startle, and Defense: Motivational and Emotional Factors That Modulate Attention. B. Campbell et al., Origins of Orienting and Defensive Responses: An Evolutionary Perspective. M. Davis, The Neurophysiological Basis of Acoustic Startle Modulation: Research on Fear Motivation and Sensory Gating. P. Lang, M. Bradley, B. Cutbert, Motivated Attention: Affect, Activation, and Action. E. Cook, G. Turpin, Differentiating Orienting, Startle, and Defense Responses: The Role of Affect and Its Implications for Psychopathology. A. Ohman, As Fast as the Blink of an Eye: Evolutionary Preparedness for Preattentive Processing of Threat. Part III:Startle Reflex and Electro-Cortical Studies of Attention and Stimulus Gating. H. Hoffman, Attentional Factors in the Elicitation and Modification of the Startle Reaction. S. Hackley, A.J.W. Boelhouwer, The More or Less Startling Effects of Weak Prestimulation -- Revisited: Prepulse Modulation of Multicomponent Blink Reflexes. R.F. Simons, W.M. Perlstein, A Tale of Two Reflexes: An ERP Analysis of Prepulse Inhibition and Orienting. M.E. Dawson, A.M. Schell, N.R. Swerdlow, D.L. Filion, Cognitive, Clinical and Neurophysiological Implications of Startle Modification. C.H.M. Brunia, Gating in Readiness. R. Naatanen, R. Ilmoniemi, K. Alho, Magnetoencephalography in Studies of Attention. Part IV:Studies of Attention, Affect, and Action in Child Development. M. Posner, M.K. Rothbart, G. Gerardi, L. Thomas-Thrapp, Functions of Orienting in Early Infancy. K. Berg, J. Richards, Attention Across Time in Infant Development. M.T. Balaban, N. Snidman, J. Kagan, Attention, Emotion, and Reactivity in Infancy and Early Childhood. J. Campos, R. Kermoian, D. Witherington, H. Chen, Q. Dong, Activity, Attention, and Developmental Transitions in Infancy. F.K. Graham, Afterword: Preattentive Processing and Passive and Active Attention.
CHILD PSYCHOPATHOLOGY. Contents: D. Cantwell, Foreword. Preface. R.E. Mattison, S.R. Hooper, The History of Modern Classification of Child and Adolescent Psychiatric Disorders: An Overview. A.T. Russell, Schizophrenia. J.P. Newman, B.D. … CHILD PSYCHOPATHOLOGY. Contents: D. Cantwell, Foreword. Preface. R.E. Mattison, S.R. Hooper, The History of Modern Classification of Child and Adolescent Psychiatric Disorders: An Overview. A.T. Russell, Schizophrenia. J.P. Newman, B.D. Garfinkel, Major Depression in Children and Adolescents. D.K. Routh, T.K. Daugherty, Conduct Disorders. D.C. Guevremont, R.A. Barkley, Attention Deficit-Hyperactivity Disorder in Children. R.E. Mattison, Anxiety Disorder. S.D. Mayes, Eating Disorders of Infancy and Early Childhood. D.M. Garner, C.L. Shafer, L.W. Rosen, Critical Appraisal of the DSM-III-R Diagnostic Criteria for Eating Disorders. K.J. Zucker, Gender Disorder. K.E. Towbin, M.A. Riddle, J.F. Leckman, D.J. Cohen, The Diagnosis and Assessment of Tic Disorders. W.E. MacLean, Jr., R.M. Brayden, Elimination Disorders. S.R. Hooper, T.D. Linz, Elective Mutism. S.R. Hooper, Epilogue: Child Psychopathology. DEVELOPMENTAL DISORDERS. Contents: D. Cantwell, Foreword. Preface. S.R. Hooper, The Classification of Developmental Disorders: An Overview. D.J. Reschly, Mental Retardation. G.B. Mesibov, M.E. Van Bourgondien, Autism. M. Semrud-Clikeman, G.W. Hynd, Developmental Arithmetic Disorder. N. Gregg, Expressive Writing Disorders. K.E. Stanovich, Developmental Reading Disorders. R. Paul, Language and Speech Disorders. R.K. Deuel, Motor Skills Disorder. S.R. Hooper, Epilogue: Developmental Disorders.
Contents: The Issue of Biological-Psychosocial Interaction. The General Approach and the Basic Model. Data. Psychological Adaptation and Self-Concept. Interpersonal Relations. Social and Emotional Adjustment. The Short-Term Consequences. Developing Girls in … Contents: The Issue of Biological-Psychosocial Interaction. The General Approach and the Basic Model. Data. Psychological Adaptation and Self-Concept. Interpersonal Relations. Social and Emotional Adjustment. The Short-Term Consequences. Developing Girls in a Developing Environment. Mediators of the Influence of Pubertal Timing. The Long-Term Consequences. Some Final Reflections.
Part I: Introduction. Mash, Terdal, Assessment of Child and Family Disturbance: A Behavioral-Systems Approach. Part II: Behavior Disorders. Barkley, Attention-Deficit/Hyperactivity Disorder. McMahon, Estes, Oppositional and Conduct Disorders. Part III: Emotional … Part I: Introduction. Mash, Terdal, Assessment of Child and Family Disturbance: A Behavioral-Systems Approach. Part II: Behavior Disorders. Barkley, Attention-Deficit/Hyperactivity Disorder. McMahon, Estes, Oppositional and Conduct Disorders. Part III: Emotional and Social Disorders. Compas, Depression in Children and Adolescents. Barrios, Hartmann, Fears and Anxieties. Bierman, Welsh, Social Relationship Deficits. Part IV: Developmental and Health-Related Disorders. Handen, Mental Retardation. Newsom, Hovanitx, Autistic Disorder. Fletcher, Taylor, Children with Brain Injury. Johnson, Rodrigue, Health-Related Disorders. Part V: Children at Risk. Wolfe, McEachran, Child Physical Abuse and Neglect. Wolfe, Birt, Child Sexual Abuse. Part VI: Problems of Adolescence. Foster, Robin, Family Conflict and Communication in Adolescence. Foreyt, Mikhail, Anorexia Nervosa and Bulimia Nervosa. Vik, Brown, Myers, Adolescent Substance Use Problems.
The Index of ADL was developed to study results of treatment and prognosis in the elderly and chronically ill. Grades of the Index summarize over-all performance in bathing, dressing, going … The Index of ADL was developed to study results of treatment and prognosis in the elderly and chronically ill. Grades of the Index summarize over-all performance in bathing, dressing, going to toilet, transferring, continence, and feeding. More than 2,000 evaluations of 1,001 individuals demonstrated use of the Index as a survey instrument, as an objective guide to the course of chronic illness, as a tool for studying the aging process, and as an aid in rehabilitation teaching. Of theoretical interest is the observation that the order of recovery of Index functions in disabled patients is remarkably similar to the order of development of primary functions in children. This parallelism, and similarity to the behavior of primitive peoples, suggests that the Index is based on primary biological and psychosocial function, reflecting the adequacy of organized neurological and locomotor response.
30 years of data directed to the study of the temporal characteristics of the human menstrual cycle and some of its associated phenomena are presented. Approximately 2700 record-keeping collaborators and … 30 years of data directed to the study of the temporal characteristics of the human menstrual cycle and some of its associated phenomena are presented. Approximately 2700 record-keeping collaborators and their daughters were enrolled. Only records of greater than 6 months uninterrupted recording are included. A record of all surgery illness or medication which might influence menstruation was recorded as well. Age of the patient and age since menarche are recorded. By 1961 this study had accumulated 25825 person-years of menstrual experience with 2750 intervening pregnancies. Justification of the belief that women normally vary in menstrual interval around a value of 28 days was unsupported. Each woman has her own central trend and variation which changes with age. The menstrual interval should be expected to average within a few days of 28 when assembled in large groups. Variation as opposed to regularlity is the rule in the menstrual cycle. The early and late years of menstrual life have the greatest variation in pattern of both long and short cycles and tend to mirror each other. The middle years of menstruation is characterized by linear change in both central tendency and variation; falling 2-3 days in this age span. Variation in menstrual cycle reaches its minimum at around 36 years of age. Determining the pattern of variation in menstrual history for anticipated intervals needs further study. The practice of birth control through the use of rhythm methods alone must introduce elements of uncertainty which are serious problems.
<JATS1:p>The second edition of Growth, Maturation, and Physical Activity has been expanded with almost 300 new pages of material, making it the most comprehensive text on the biological growth, maturation, … <JATS1:p>The second edition of Growth, Maturation, and Physical Activity has been expanded with almost 300 new pages of material, making it the most comprehensive text on the biological growth, maturation, physical performance, and physical activity of children and adolescents. The new edition retains all the best features of the original text, including the helpful outlines at the beginning of each chapter that allow students to review major concepts. This edition features updates on basic content, expanded and modified chapters, and the latest research findings to meet the needs of upper undergraduate and graduate students as well as researchers and professionals working with children and young adults. The second edition also includes these new features: </JATS1:p> <JATS1:p>- 10 lab activities that encourage students to investigate subject matter outside of class and save teachers time </JATS1:p> <JATS1:p>- A complete reference list at the end of each chapter </JATS1:p> <JATS1:p>- Chapter-ending summaries to make the review process easy for students </JATS1:p> <JATS1:p>- New chapters that contain updates on thermoregulation, methods for the assessment of physical activity, undernutrition, obesity, children with clinical conditions, and trends in growth and performance </JATS1:p> <JATS1:p>- Discussions that span current problems in public health, such as the quantification of physical activity and energy expenditure, persistent undernutrition in developing countries, and the obesity epidemic in developed countries </JATS1:p> <JATS1:p>The authors are three of the world's foremost authorities on children's growth and development. In 29 chapters, they address introductory concepts and prenatal growth, postnatal growth, functional development, biological maturation, influencing factors in growth, maturation and development, and specific applications to public health and sport. In addition, secular trends in growth, maturation, and performance over the past 150 years are considered. You'll be able to recognize risk factors that may affect young athletes; you'll also be able to make informed decisions about appropriate physical activities, program delivery, and performance expectations. </JATS1:p> <JATS1:p>Growth, Maturation, and Physical Activity, Second Edition, covers many additional topics, including new techniques for the assessment of body composition, the latest advances in the study of skeletal muscle, the human genome, the hormonal regulation of growth and maturation, clarification of dietary reference intakes, and the study of risk factors for several adult diseases. This is the only text to focus on the biological growth and maturation process of children and adolescents as it relates to physical activity and performance. With over 300 new pages of material, this text expertly builds on the successful first edition.</JATS1:p>
Fetal and Neonatal Physiology . 2nd Ed. Vols 1 and 2. Richard Polin and William Fox eds. [Pp 2504 hardback]. WB Saunders Co, 1998. ISBN 0-7216-6016-9. It is difficult to … Fetal and Neonatal Physiology . 2nd Ed. Vols 1 and 2. Richard Polin and William Fox eds. [Pp 2504 hardback]. WB Saunders Co, 1998. ISBN 0-7216-6016-9. It is difficult to know where to start reviewing a book of 228 chapters, and some 355 contributors, all but a handful of whom come from North America, and most …
Abstract Objective: The British Nutrition Foundation was recently commissioned by the Food Standards Agency to conduct a review of the government's research programme on Antioxidants in Food . Part of … Abstract Objective: The British Nutrition Foundation was recently commissioned by the Food Standards Agency to conduct a review of the government's research programme on Antioxidants in Food . Part of this work involved an independent review of the scientific literature on the role of antioxidants in chronic disease prevention, which is presented in this paper. Background: There is consistent evidence that diets rich in fruit and vegetables and other plant foods are associated with moderately lower overall mortality rates and lower death rates from cardiovascular disease and some types of cancer. The ‘antioxidant hypothesis’ proposes that vitamin C, vitamin E, carotenoids and other antioxidant nutrients afford protection against chronic diseases by decreasing oxidative damage. Results: Although scientific rationale and observational studies have been convincing, randomised primary and secondary intervention trials have failed to show any consistent benefit from the use of antioxidant supplements on cardiovascular disease or cancer risk, with some trials even suggesting possible harm in certain subgroups. These trials have usually involved the administration of single antioxidant nutrients given at relatively high doses. The results of trials investigating the effect of a balanced combination of antioxidants at levels achievable by diet are awaited. Conclusion: The suggestion that antioxidant supplements can prevent chronic diseases has not been proved or consistently supported by the findings of published intervention trials. Further evidence regarding the efficacy, safety and appropriate dosage of antioxidants in relation to chronic disease is needed. The most prudent public health advice remains to increase the consumption of plant foods, as such dietary patterns are associated with reduced risk of chronic disease.
Part 1 Theoretical developments: personality, stress arousal, and cognitive processes in stress transactions. Part 2 Experimental studies of psychological stress: laboratory research on control of stress an examination of defence … Part 1 Theoretical developments: personality, stress arousal, and cognitive processes in stress transactions. Part 2 Experimental studies of psychological stress: laboratory research on control of stress an examination of defence mechanisms. Part 3 Field studies: techniques for data acquisition and analysis in field investigations of stress. Part 4 Clinical studies: forms of stress-relevant symptoms of psychopathology. Part 5 Overview and outstanding issues. (Part contents).
ON THE RESPIRATORY FUNCTIONS.afterwards, this truth is disputed, and even then not generally believed; so that from Galen to Robert Boyle, naturalists, physicians, and philosophers, explained the simple operation of … ON THE RESPIRATORY FUNCTIONS.afterwards, this truth is disputed, and even then not generally believed; so that from Galen to Robert Boyle, naturalists, physicians, and philosophers, explained the simple operation of breathing in three ways:First,-" That by the dilatations of the chest, the contiguous air is thrust away, and that, pressing upon the next air to it, and so onwards, the propulsion is continued till the air is ' driven into the lungs' and so dilates them."Second,-That the chest is like to a pair of common bellows, " which becomes to be filled because it is dilated."Third,-" That they are like a bladder, which is therefore dilated because it is filled."Boyle, the greatest philosopher in his day, adopts the view of the bellows action, and that the lungs are filled with air, because the chest is dilated, and that without the motion of the thorax they would not be filled." Indeed," says Boyle, "the diaphragm forms the principal instrument of ordinary and gentle respiration, although to restrain respiration (if I may so call it), the intercostal muscles, and perhaps some others, may concur."* About this time (1667), Richard Lowert correctly describes the respiratory act, and makes a dog breathe like a brokenwinded horse, by dividing the phrenic nerve.These truths were not then relished, so that for nearly 100 years afterwards, a number of unfounded hypothetic and contradictory specn- lations continued to prevail.A Latin tract t appeared in 1671, and was noticed in the 5th volume of the Transactions of the Royal Society, p. 2141, wherein the author contends that the "lungs do not follow the motion of the thorax and diaphragm, nor are moved and plied like bellows, and that the diaphragm cannot move up and down ;" but the breath- ing operation is accounted for by curious motions, termed "Extrosum, Introsum, Intumescence, Propulsion," &c.There appears no proof that Galen believed in the exist-
The composition of the snow cover in different geomorphological zones of the Kabardino-Balkarian Republic (KBR) characterized as zones of background and impact effects is studied. The spatial distribution of component … The composition of the snow cover in different geomorphological zones of the Kabardino-Balkarian Republic (KBR) characterized as zones of background and impact effects is studied. The spatial distribution of component concentrations was analyzed, and the resulting data were compared with regulatory and technical documents regulating hygienic requirements. The studies showed that the snow cover in accordance with the classification of O.A. Alekin belongs to the following types: sodium bicarbonate type I, calcium bicarbonate, and ammonium bicarbonate. The total hardness characterizes the snowmelt water as soft. The agrochemical calculated parameters ‒ the sodium adsorption coefficient (SAR) and the Stebler irrigation coefficient ‒ characterized the samples as the ones having a low risk of soil salinization and good for irrigation applications. It was revealed that the high-altitude and mountainous territories are background ones, for which the determining factor in the formation of the snow cover composition is the long-range and regional transfer of soluble forms of components. The predominant influence on the snow cover chemistry in the background high-altitude and mountainous territories is exerted by the transboundary transport of sea salts through the Main Caucasian Ridge. The chemistry of the snow cover of the lowland zones of the KBR is associated with local pollution, mainly with poorly soluble compounds.
BACKGROUND: Socially significant diseases are conditions that pose a threat to public health because of their high prevalence, temporary or permanent disability rates, elevated mortality, and substantial costs associated with … BACKGROUND: Socially significant diseases are conditions that pose a threat to public health because of their high prevalence, temporary or permanent disability rates, elevated mortality, and substantial costs associated with prevention, treatment, and rehabilitation. In military healthcare, comprehending the trends of infectious morbidity among female servicemembers is still a critical concern. AIM: This study aimed to analyze clinical characteristics of selected socially significant infectious diseases—tuberculosis, viral hepatitis, and human immunodeficiency virus (HIV) infection—among female servicemembers during a ten-year period (2012–2021). METHODS: Using data from medical reports (Form 3/MED) and annual reports (Form 4/MED) from 2012 to 2021, the Department of Public Health and Healthcare Organization at the S.M. Kirov Military Medical Academy analyzed the primary and hospital morbidity, work loss, and discharge rates among female servicemembers diagnosed with tuberculosis, viral hepatitis, and HIV infection. The study also analyzed open-access statistical data on morbidity in the Russian Armed Forces. Diseases and diagnostic categories were coded in accordance with the International Statistical Classification of Diseases and Related Health Problems, 10th Revision. RESULTS: Tuberculosis, viral hepatitis, and HIV infection together accounted for approximately 4.7% of primary morbidity due to class I diseases. The average long-term incidence rates per 100,000 were 13.9 for tuberculosis, 34.9 for viral hepatitis, and 6.1 for HIV infection, corresponding to 1.2%, 3%, and 0.5% of the class I disease structure, respectively (4.7% in total). Primary morbidity among female service members was lower by factors of 4.2 (tuberculosis), 2.2 (hepatitis), and 10.3 (HIV) than the Russian general population. The average long-term discharge rates per 100,000 servicewomen were 3.7 for tuberculosis, 9.7 for viral hepatitis, and 4.1 for HIV infection, accounting for 13.9%, 34.2%, and 15.2% of total discharges within class I diseases, respectively—63.3% in total. CONCLUSION: According to reportable morbidity types, a relatively low incidence of socially significant diseases was observed among female servicemembers. A disproportionately high percentage of discharges and deaths were caused by HIV infection. The documented rise in hospital morbidity, work loss, and mortality among female servicemembers due to HIV infection suggests delayed access to medical care. Key strategies for preventing these socially significant diseases include enhancing personal moral and medical literacy, promoting healthy lifestyles and health-preserving behavior, maintaining general hygiene, using barrier contraception, avoiding drug use, and ensuring timely access to medical care.
Проблема подростковой наркомании приобретает все более масштабный и опасный характер как в мире, так и в нашей стране, затрагивая как города, так и села. Это сложное явление, которое стремительно распространяется. … Проблема подростковой наркомании приобретает все более масштабный и опасный характер как в мире, так и в нашей стране, затрагивая как города, так и села. Это сложное явление, которое стремительно распространяется. Однако эффективная профилактика возможна и необходима. Для этого нужно объединить усилия всех заинтересованных сторон и использовать все доступные методы воспитания и обучения. Ключевую роль в предотвращении наркомании среди подростков играет образовательная профилактика, направленная на формирование у детей и подростков здорового образа жизни и негативного отношения к наркотикам. Только комплексный подход, объединяющий усилия семьи, школы, социальных служб и государства, может дать ощутимые результаты в борьбе с этим опасным явлением. Для разработки наиболее эффективных воспитательных программ необходимо также проанализировать опыт зарубежных стран, таких как Китай и Франция, так как именно данные государств ещё в XX веке начали разрабатывать различного рода воспитательные программы антинаркотической работы среди несовершеннолетних. Рассматривая две совершенно разные страны с точки зрения своего внутреннего устройства и менталитета, можно выделить общее и различное в специфике профилактических педагогических мер антинаркотического характера среди несовершеннолетних. Сходства и различия в антинаркотическом воспитании несовершеннолетних в Китае и Франции позволят выявить наиболее эффективные способы борьбы с наркоманией в подростковом возрасте. The problem of teenage drug addiction is becoming increasingly large-scale and dangerous both in the world and in our country, affecting both cities and villages. This is a complex phenomenon that is rapidly spreading. However, effective prevention is possible and necessary. To do this, it is necessary to combine the efforts of all interested parties and use all available methods of education and training. Educational prevention, aimed at forming a healthy lifestyle and a negative attitude towards drugs in children and adolescents, plays a key role in preventing drug addiction among adolescents. Only a comprehensive approach that combines the efforts of the family, school, social services and the state can give tangible results in the fight against this dangerous phenomenon. To develop the most effective educational programs, it is also necessary to analyze the experience of foreign countries, such as China and France, since these countries began to develop various types of educational programs for anti-drug work among minors back in the 20th century. Considering two completely different countries from the point of view of their internal structure and mentality, it is possible to identify common and different features in the specifics of preventive pedagogical measures of an anti-drug nature among minors. Similarities and differences in anti-drug education of minors in China and France will help to identify the most effective ways to combat drug addiction in adolescence.
Introduction. Bronchial asthma (BA) is the most common chronic pathology in children. The basis of medical rehabilitation is currently a “multidisciplinary approach”, which includes, among other things, a personalized approach. … Introduction. Bronchial asthma (BA) is the most common chronic pathology in children. The basis of medical rehabilitation is currently a “multidisciplinary approach”, which includes, among other things, a personalized approach. Aim. Тo develop a comprehensive targeted program for medical rehabilitation of children with bronchial asthma, and to study the effectiveness of a comprehensive targeted program selected taking into account the individual characteristics of the child. Materials and methods. For each patient participating in the study, an individual targeted program of medical rehabilitation was developed in accordance with the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinary approach and rehabilitation methods, namely: climatotherapy, physiotherapy, speleotherapy, aromatherapy, inhalation therapy, oxygen therapy, hypoxic therapy, mechanotherapy, psychocorrection, massage, therapeutic exercise, phytotherapy. Patients were randomized into three groups, without reference to the treatment method or other factor. All three groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxide baths, speleotherapy and therapeutic exercise. Results. Positiveindicators of clinical and laboratory results and subjective data as a result of rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complex treatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individually selected targeted medical rehabilitation programs in patients with bronchial asthma. Conclusion. The use of an individual rehabilitation complex of procedures and treatment methods in pediatric patients with bronchial asthma is effective, it allows improving the condition and well-being of patients according to subjective sensations, as well as clinical and diagnostic indicators. It is possible to recommend the introduction of the use of these programs in medical rehabilitation of this group of patients.
Background. In patients with bronchoobstructive pathology (BP), coronavirus infection (CI) can lead to an exacerbation of the underlying disease or increase its severity. Therefore, conducting research in long-term cases of … Background. In patients with bronchoobstructive pathology (BP), coronavirus infection (CI) can lead to an exacerbation of the underlying disease or increase its severity. Therefore, conducting research in long-term cases of CI on BP is relevant and requires an analysis of the effectiveness of various methods of a pulmonary rehabilitation. Aim. To determine optimal approaches to medical pulmonary rehabilitation in patients with chronic BP who suffered pneumonia associated with COVID-19. Materials and methods. Thirty four patients who suffered coronavirus pneumonia were included. Of these, 21 people had bronchial asthma, 13 had COPD. 18 patients received a course of pulmonary rehabilitation and formed the main group (MG); the remaining 16 patients, without pulmonary rehabilitation, were included in the comparison group (CG). Investigations such as markers of inflammation; indicators of thromboembolic complications, humoral immunity; functional indicators of external respiration, CT-scan of the lungs, international questionnaires were performed twice: at baseline and after 3 months. Results. In patients with MG, unlike CG, the total number of leukocytes and lymphocytes decreased by 2.4 times; ESR normalized, C-reactive protein decreased by 24%. D-dimer and fibrinogen levels came to the reference values. IgA in the main group increased by 1.83 times (p0.001). In patients with MG, the dyspnea index according to mMRS decreased by 0.65 points (p0.001), CAT-test – by 1.28 (p0.001). The average volume of lung tissue damage in the MG changed from 43.5% (±10.1) to 16% (±9.21) (p0.001), and in the CG changed from 39.6% (±8.87) to 37.8% (±7.24). In the main group, vital capacity and FEV1 increased by 1.5 times (p0.001) compared to the control group. Conclusion. The course of pulmonary rehabilitation turned out to be effective: patients showed positive dynamics in terms of blood test parameters, humoral immunity, external respiration function, and their quality of life improved and the risk of developing pulmonary fibrosis has decreased.
Beginning higher education is regarded as one of the most important transitions in the lives of a first-year university student. Some students integrate into this new environment rather quickly; others … Beginning higher education is regarded as one of the most important transitions in the lives of a first-year university student. Some students integrate into this new environment rather quickly; others face emotional stress, psychosomatic symptoms, and social isolation. While some students adapt to this new environment very easily, others suffer emotional upset, psychosomatic illness, and social isolation. For some, this failure to adapt can result in withdrawal from university. This may result in negative attitudes towards university, poor family relationships and career failures. The purpose of this paper is to theoretically address the psychosocial determinants of university adaptation like gender, social support, financial status, locus of control, homesick-ness, and personality traits.
Objective: The aim of this study is to compare the relative risk prevalence of noncommunicable diseases (NCDs) in the countries of the European Region as defined by WHO (World Health … Objective: The aim of this study is to compare the relative risk prevalence of noncommunicable diseases (NCDs) in the countries of the European Region as defined by WHO (World Health Organization) using WASPAS (Weighted Aggregated Sum Product Assessment) and MULTIMOORA (Multi-Objective Optimization by Ratio Analysis plus the full Multiplicative Form) multi-criteria decision-making (MCDM) methods. Materials and Methods: The cross-sectional study’s target population consisted of 50 countries in the WHO European Region with complete observations. The study utilizes NCDs data that the WHO publicly released. Analysis was performed using the R programming language and Microsoft Excel. Results: Based on the CRITIC (CRiteria Importance Through Intercorrelated Corrected) weighted WASPAS analysis, it was observed that 24 European countries exhibited Q scores above the average, while 26 countries displayed Q scores below the average. Finland, Cyprus, Switzerland, Spain, Iceland, Iceland, Sweden, Slovenia, Italy, Norway, Latvia, Portugal, Luxembourg, Belgium, France, Greece, the Netherlands, Germany, Malta, Austria, Ireland, Israel, Lithuania, Israel, Lithuania and Estonia have the highest Q scores. Twenty-four countries with above-average Q scores have lower NCD prevalence than twenty-six European countries. In Türkiye, the prevalence of NCDs is above the European average. However, Switzerland, Finland, Iceland, Spain, Cyprus, Slovenia, Sweden, Portugal, Norway, and Luxembourg are among the top 10 European countries with the lowest NCD prevalence in the overall MULTIMOORA ranking. According to the overall ranking, Turkmenistan, Tajikistan, and Kyrgyzstan have the highest NCD prevalence. Conclusions: The findings from the CRITIC based WASPAS method and the CRITIC based MULTIMOORA indicate that the prevalence of NCDs generally varies according to income level. Higher-income countries note a lower prevalence of NCDs compared to those with lower income levels. Nonetheless, the prevalence of NCDs may differ among various socioeconomic groups.
Introduction . It is relevant to develop and implement innovative methods for identifying the initial stages of functional stress in modern children and adolescents, determining the reserve capabilities of the … Introduction . It is relevant to develop and implement innovative methods for identifying the initial stages of functional stress in modern children and adolescents, determining the reserve capabilities of the body using regional evaluation centile tables, calculating integral standardized indices, to optimize the level of both medical and pedagogical control and population monitoring. The aim of the study : is to assess the functional reserves of children and adolescents in the Nizhniy Novgorod region in different exoenvironments using the index of the body′s reserve capabilities. Materials and methods . Determination of the index of reserve capacity of the body (IRCB) of 5034 children and adolescents aged 7–17 years (2 332 boys, 2 702 girls), based on the results of measuring physiometric indicators with the conversion of their absolute values into the range of centile intervals of the regional standard, logarithmization according to the innovative formula. Results. The presented physiometric indicators of children and adolescents signifi cantly ( p &lt;0,05) correlate with the index of reserve capabilities of the body IRCB: weak connections ( r =0,2–0,3) with vital capacity of the lungs, hand dynamometry, negative averages ( r =–0,4–0,5) with functional tests of Stange, Genchi, body weight. Dispersion analysis of IRCB showed average values of the IRCB index in the range of 0,6–0,81, a signifi cant difference ( p &lt;0,05) between age was revealed, homogeneity of this characteristic was shown between sex groups ( p =0,861). Good and excellent IRCB indices were found in 55,78 and 20,44 % of cases, satisfactory in 20 % and unsatisfactory in 5 % of cases, respectively. IRCB indices signifi cantly ( p &lt;0,05) rank with the level of environmental stress in the areas of residence, their values are reduced in 7,38 % of children of all ages in areas with critical environmental stress. Signifi cant ( p &lt;0,001) differences in IRCB index values were found in the context of areas of residence, according to social (urban/rural: χ 2 =40,29; Df=3; p =0,001) and geographical (north/south: χ 2 =41,54; Df=3; p =0,001) characteristics. Conclusion . The results of the study showed that a comprehensive assessment of the body′s functional reserve characterizes the physical development of children and adolescents as a refl ection of the combined manifestation of their hereditary properties, living environment conditions, Frequency distributions of IRCB scores in the range from unsatisfactory to excellent demonstrate the sensitivity of the index to a complex of environmental factors. IRCB as a unifi ed normalized index complements the standard arsenal of indicators, improves the quality of assessing the level of functional state of modern students in real time, without the use of additional instrumental examinations when conducting scientifi c population monitoring and in the implementation of current medical and pedagogical control.
U radu se ispituje doprinos odabranih prediktora u objašnjavanju rizičnosti za zlostavljanje kod očeva djece mlađe adolescentne dobi. U istraživanju je sudjelovalo 378 očeva, prosječne dobi 45 godina (SD = … U radu se ispituje doprinos odabranih prediktora u objašnjavanju rizičnosti za zlostavljanje kod očeva djece mlađe adolescentne dobi. U istraživanju je sudjelovalo 378 očeva, prosječne dobi 45 godina (SD = 5,836), dok su djeca u odnosu na koju se procjenjivala rizičnost za zlostavljanje u prosjeku imala 13 godina (SD = 0,756). Kao kriterijska varijabla koristio se Inventar rizičnosti za zlostavljanje djeteta (Child Abuse Potential Inventory; Milner, 1986). Pokazalo se da je 13,4 % očeva prema blažem, odnosno 7,8 % prema strožem kriteriju, rizično za tjelesno zlostavljanje djece. Viša životna dob, niži mjesečni prihodi kućanstva, percipirana lošija kvaliteta partnerskog odnosa, češća primjena psihičke agresije u partnerskom odnosu, veći broj visoko stresnih događaja u posljednje tri godine te veća uznemirenost svakodnevnim stresom povećavaju rizičnost za zlostavljanje djeteta, dok bolje strategije nošenja sa stresom te donekle i veći doživljaj socijalne podrške smanjuju rizičnost. Nalazi su raspravljeni pod vidom izrade programa za osnaživanje pojedinaca i obitelji s djecom koji žive u ekonomskim teškoćama i imaju više sukoba u partnerskim odnosima te promjena u području socijalnih politika koje to mogu olakšati.
Approximately 95% of skeletal size, bone, and muscle mass is achieved by the age of 18, with a rapid acceleration in bone mineral accumulation and muscle growth during the adolescent … Approximately 95% of skeletal size, bone, and muscle mass is achieved by the age of 18, with a rapid acceleration in bone mineral accumulation and muscle growth during the adolescent growth spurt. Bone mineral status in children and adolescents in Kazakhstan is a relevant subject for both clinical and fundamental research. The aim of this study was to investigate the prevalence of low bone mineral density (BMD) and the factors associated with it in children and adolescents living in the Abay region of Kazakhstan. The target group consisted of children and adolescents aged 5 to 17 years (n = 509) who had been residing in the Abay region of Kazakhstan since birth. Based on physiological age, participants were divided into two groups: 5-10 years (preschool and early school age) and 11-17 years (adolescence). All participants completed a questionnaire and underwent bone mineral density assessment using dual-energy X-ray absorptiometry (DXA). Comparisons were made between two age groups (5-10 and 11-17 years) and based on the presence or absence of reduced bone mineralization. Regression analysis identified four factors independently associated with reduced bone mineralization: ionized calcium (AOR 2099.9; p = 0.007), age (AOR 1.21; p = 0.013), body weight (AOR 0.97; p = 0.047), and green vegetables (AOR 0.46; p = 0.017). Conclusions: Our study demonstrated that 50.5% of children aged 5-10 years and 57.4% of adolescents aged 11-17 years had BMD below the age-specific norm. The study identified several risk factors that are associated with a decrease in BMD. These include blood ionized calcium, age, inadequate consumption of fruits and vegetables and dairy products, low physical activity, and insufficient sun exposure. These findings highlight the importance of early prevention of osteopenic conditions beginning in childhood and adolescence.
The aim of this study was to investigate sleep disorders among students of the Medical Faculty of the Kyrgyz-Russian Slavic University and to establish the relationship between sleep quality and … The aim of this study was to investigate sleep disorders among students of the Medical Faculty of the Kyrgyz-Russian Slavic University and to establish the relationship between sleep quality and cardiovascular system reactivity. The study was conducted based on the Sleep Quality Questionnaire by Ya. I. Levin (1995), the Sleepiness Scale, and the results of Danielopolu’s Clinostatic Test. A total of 197 first- and second-year students of the medical faculty participated in the study.Hyposomnia was identified in 31% of the students, while hypersomnia was observed in 16.4% of the participants. The main factors affecting sleep quality included high academic workload, night-time work, anxiety, and the use of electronic devices before sleep. According to the results of Danielopolu’s test, students with insomnia exhibited a non-reactive cardiovascular response, with pulse rates of approximately 83±0.24 beats per minute in the standing position and 82±0.27 beats per minute in the supine position. The study results emphasize the importance of developing healthy habits and maintaining regular physical activity to improve students' sleep quality.
Timely identification of risk factors is an important step towards reducing morbidity, since it will allow for the timely development of a set of treatment and preventive measures with minimal … Timely identification of risk factors is an important step towards reducing morbidity, since it will allow for the timely development of a set of treatment and preventive measures with minimal resource and economic costs, with minimal reduction in the quality of life of both the patient and his immediate environment. The main target guidelines are early detection of people with high risks of cardiovascular pathology, reduction of the level of impact of these factors, and maintenance of the highest possible percentage of people with a minimum level of risk of developing CVD. It is necessary to single out in a separate category people who have a history of diseases that can become a trigger for cardiovascular pathology. To study the current state of the problem of cardiovascular diseases (CVD) in rural and urban residents. The presented article is of a review nature, which determines the use of theoretical research methods. In writing the work, we used the following methodological approaches: meta-analysis of literary sources, critical and conceptual analysis. High blood pressure (BP), high glucose and cholesterol levels in the blood of patients are grounds for increased monitoring. It is important to identify the risk of developing atherosclerosis long before the first signs appear. Conclusions: risk factors should be assessed continuously and should be carried out whenever a patient seeks medical care. It is also important to involve local therapists in systematic monitoring of the cardiovascular system based on specially developed criteria for express diagnostics.
Habitual excessive accommodation tension (HEAT) in children is associated with ciliary muscle spasm, reduced distance visual acuity, and asthenopic symptoms. Studies highlight the role of the autonomic nervous system (ANS) … Habitual excessive accommodation tension (HEAT) in children is associated with ciliary muscle spasm, reduced distance visual acuity, and asthenopic symptoms. Studies highlight the role of the autonomic nervous system (ANS) in accommodation regulation, while an imbalance between sympathetic and parasympathetic activity, triggered by stress and visual load, may contribute to the development of HEAT. Modern diagnostic methods, such as heart rate variability and pupillometry, enable the study of ANS influence on accommodation. Various correction approaches are considered, including pharmacological and physiotherapeutic methods, as well as restoring autonomic balance. Further research is needed to explore the impact of the ANS on accommodation in children.
Relevance of the study. Given that in recent years the situation in Ukraine is characterized by continuously growing demands and psychological stress on the younger generation, which are determined by … Relevance of the study. Given that in recent years the situation in Ukraine is characterized by continuously growing demands and psychological stress on the younger generation, which are determined by the action of various mass psychogenic factors, studies were conducted among "socially isolated" social and biological orphans, "socially neglected" adolescents due to the "migration boom" and in asocial families. The purpose of the study is to identify and systematize the factors that led to the growth of disorders in the mental sphere. The novelty of the work is to argue the mechanism that causes changes in the structure of the individual's mental activity, when an unformed personality (adolescent), remaining emotionally isolated in society from a person close to him (most often his mother), for different periods of his life in terms of duration, finds himself in conditions of psychological discomfort, which contributes to the emergence of non-psychotic and psychotic mental disorders and behavioral disorders. Conclusion. Considering that there are no generally accepted epidemiological data on the prevalence of social functioning disorders (ICD-10. F 94) due to: emotional social deprivation (ESD), which arose in children deprived of parental care; biological deprivation (BD) due to true orphanhood; social and maternal deprivation (SMD) due to labor migration of an emotionally important person in their life, most often a mother; family deprivation (SD) due to misunderstanding in the family and social and psychological deprivation (SPD) due to disruption in interpersonal relationships with peers or elders among children of different ages in Ukraine. All this determined the relevance and prospects of the conducted studies in the dynamics (2002-2006)
Introduction and Objective: A retrospective review of nuclear blood pool images acquired from 200 patients who had undergone whole-body bone scans showed a significant correlation between their nasal blood pool … Introduction and Objective: A retrospective review of nuclear blood pool images acquired from 200 patients who had undergone whole-body bone scans showed a significant correlation between their nasal blood pool activity (nasal turbinate vasodilation) and components of metabolic syndrome. Regions of Interest (ROI) permitted the determination of nasal/heart max pixel ratios (NHMRs). The triglyceride/HDL ratio has been described as a marker of insulin resistance. The objective of our study was to correlate triglyceride, HDL, and the triglyceride/HDL ratio with NHMRs to determine if NHMRs are associated with insulin resistance. Methods: Of our 200 patients with calculated NHMRs, 168 had both HDL and triglyceride laboratory values available. A Pearson’s correlation test was performed using the lipid ratios vs NHMRs. Results: There was a significant positive association between triglycerides (p=0.011, R=0.019), and the triglyceride/HDL ratio (p=0.0173, R=0.183) vs NHMRs. (See attached figure) HDLs alone were not significantly correlated (p=0.095, R=-0.129). Conclusion: Patients with elevated NHMRs have a positive correlation with triglycerides and triglyceride/HDL ratios suggesting NHMRs can be used as a marker of insulin resistance; however, the correlation is weaker with NHMRs when compared to other components of metabolic syndrome including BMI, glucose, diabetes, sleep apnea, and hypertension. Disclosure W.T. Phillips: None. J. Chmielecki: None. A. Vemula: None. J.G. Schwartz: None.
Introduction and Objective: Children with T1DM may experience alterations in growth. The aim was to compare growth trajectories assessed by z-Height and z-BMI over three years between children with new-onset … Introduction and Objective: Children with T1DM may experience alterations in growth. The aim was to compare growth trajectories assessed by z-Height and z-BMI over three years between children with new-onset T1DM and a control group without T1DM across multiple Latin American centers. Methods: In a retrospective analysis of medical records, age, sex, and anthropometric measures were collected over three years (2021-2024) in children with T1DM onset and their controls from ten Latin American centers. A mixed-effect model was used to analyze z-height and z-BMI over three years. Results: The study involved 534 children (48.3% F) aged 8.4 y, comprising 245 with T1DM onset and 289 controls. Children with T1DM had a significantly lower z-BMI than controls, with mean differences of -0.71, -0.33, and -0.28 in years 0, 1, and 2, respectively. However, by year 3, the difference (-0.18) was no longer significant. While the z-height of the controls remained stable over time, the T1DM group experienced a sharp decline, resulting in a significantly lower z-height (-0.25) in year 3. Conclusion: Our z-BMI findings indicate that diagnostic delay may still affect children with T1D in Latin America, while our z-Height findings indicate that even with treatment and equalization of z-BMI, children with T1D in Latin America experience some growth retardation compared to their peers. Disclosure V. Hirschler: None. C. Molinari: None. D.R. Witte: None.
The current research seeks to identify the effect of using the strategy of accommodating diaspora in developing scientific thinking among students of the Technical Medical Institute / Baghdad in the … The current research seeks to identify the effect of using the strategy of accommodating diaspora in developing scientific thinking among students of the Technical Medical Institute / Baghdad in the subject of physiology. The study was based on the quasi-experimental approach through two groups, the first experimental and the second control. A random sample of students from the Technical Medical Institute was selected. In Baghdad, there were (50) male and female students. A scale of scientific thinking in the subject of physiology was prepared, in addition to verifying the psychometric properties of validity and stability. Before conducting the experiment, the researcher conducted a series of equivalences between the two groups in order to ensure that they were equivalent before conducting the experiment. After conducting the experiment, the researcher conducted Applying the dimensional scientific thinking scale to both groups, the results were: The diaspora harmony strategy has a clear impact on developing scientific thinking among first-year students at the Medical Technical Institute in Baghdad. There are statistically significant differences between both the experimental and control groups, and these differences are in favor of the experimental group.
Relevance . Russia’s national security is constantly exposed to military threats from a number of unfriendly states. The current international realities compel modern Russia to focus on defense capacity building … Relevance . Russia’s national security is constantly exposed to military threats from a number of unfriendly states. The current international realities compel modern Russia to focus on defense capacity building as its major strategic priority. Since December 1, 2024, the Russian Armed Forces (AF) have increased the army and navy corps by 180,000 military professionals through contract service recruitment. The study objective is to assess the health indicators, physical development and fitness among the Orenburg region citizens applying for contract military service in the Armed Forces of Russia. Methods . The study analyses medical data provided by the Military Commissariat of the Orenburg region for the 2014 to 2023 timespan. Medical examinations were conducted in accordance with the Regulation on Military Medical Examination. June 1, 2023 through October 1, 2023, physical development and fitness was assessed in 500 randomly selected applicants for contract military service. The results were evaluated according to the Manual on Physical Training in the Russian Armed Forces. The evaluation criteria included proportional chest development, strength and vitality indices, body fat content, and overall physique strength. Physical fitness was tested through pull–ups and running exercises over distances of 100 and 1,000 meters. The representativeness of the sample was determined using the A.M. Merkov and L.E. Polyakov formula. Results and discussion . As a result of medical examinations conducted over a decade, a total of 12,902 individuals (88.8 %) were identified as fit for contract military service (i. e. A and B categories), including 68.8 % as A category and 20 % as B category. In general, the key physical development parameters were positive, with applicants meeting or outperforming the physical fitness standards, especially when performing exercises requiring muscle strength, speed, and endurance. Conclusion . Medical assessment results showed a generally good health status, adequate physical development and fitness of citizens applying for contract military service in the Russian Armed Forces.
Objective: To determine the detection rate of myopia among primary and secondary school students in Hunan Province in 2022 and to analyze the influencing factors at both the school and … Objective: To determine the detection rate of myopia among primary and secondary school students in Hunan Province in 2022 and to analyze the influencing factors at both the school and individual levels, thereby providing a scientific basis for developing myopia prevention and control strategies. Methods: From October to November 2022, a multi-stage stratified cluster random sampling method was employed to select students from Year 4 of primary school to Year 3 of senior high school across 14 prefecture-level (autonomous prefecture) cities in Hunan Province for vision screening and questionnaire surveys. A multilevel regression model was utilized to analyze the influencing factors of myopia at both the school and individual levels. Results: A total of 189 343 primary and secondary school students were included in this study. The overall myopia detection rate was 55.56%, with a significantly higher prevalence observed in female students (60.49%) compared to males (51.03%) and in urban students (59.12%) versus those from rural areas (53.50%). A marked upward trend in myopia prevalence was identified with advancing grade levels (trend test χ²=16 246.13, P<0.001). Multilevel regression analysis revealed that at the individual level, female gender, higher grade level, parental myopia history, daily homework duration ≥2 hours after school, improper reading/writing postures, and taking breaks only after more than 15 minutes of near work were associated with an increased risk of myopia. Conversely, adequate sleep duration, outdoor activity ≥2 hours, and outdoor breaks during recess demonstrated protective effects. At the school level, non-compliant blackboard illumination uniformity emerged as a significant risk factor for myopia development. Conclusions: The detection rate of myopia among primary and secondary school students in Hunan Province remains relatively high and is associated with multiple factors at both the school and individual levels. Targeted interventions should be implemented at different levels to mitigate the risk of myopia.
Tetyana Melnychuk , Viacheslav Lukianchuk | Організаційна психологія Економічна психологія
Introduction. The war in Ukraine has become an extreme challenge for the mental health of both military personnel and the civilian population. Under these circumstances, stress resistance becomes particularly important, … Introduction. The war in Ukraine has become an extreme challenge for the mental health of both military personnel and the civilian population. Under these circumstances, stress resistance becomes particularly important, which is closely related to the use of effective coping strategies. The analysis of such strategies allows for a deeper understanding of the psychological mechanisms of stress management and adapting to crisis situations. Aim. To carry out a theoretical analysis of the main approaches to understanding coping strategies as a stress resistance factor. Methods: analysis, synthesis, generalization and systematization of scientific findings on the psychology of stress, stress coping and stress resistance. Results. The article examined the essence of coping strategies, their adaptive and maladaptive nature, relationship with stress resistance as well as their role in regulating behavior under conditions of prolonged stress. A comparative analysis of coping reactions in military personnel and civilians was carried out with a focus on their effectiveness in wartime conditions. Conclusions. Psychological coping strategies are a key resource for the formation and maintenance of stress resistance and they have their distinctive features in the context of military experience and civilian life during war.
Assessing such drivers as high rates of mental health disorders, overmedicalization, food allergies and obesity as contributors to the childhood chronic disease crisis, the president's Make America Healthy Again (MAHA) … Assessing such drivers as high rates of mental health disorders, overmedicalization, food allergies and obesity as contributors to the childhood chronic disease crisis, the president's Make America Healthy Again (MAHA) Commission last month issued a report with the aim of developing a comprehensive strategy based on the findings from its assessment.
In the course of this work, aimed at developing and testing psychoeducational interventions in personalized therapy of depressive disorders in persons affected by combat actions, a comprehensive clinical-psychopathological and psychodiagnostic … In the course of this work, aimed at developing and testing psychoeducational interventions in personalized therapy of depressive disorders in persons affected by combat actions, a comprehensive clinical-psychopathological and psychodiagnostic examination of 148 patients with depressive disorders was conducted. Group I included 83 residents of frontline territories, Group II consisted of 65 internally displaced persons. A personalized therapy system was developed and tested using psychopharmacotherapy and personalized gender-differentiated psychotherapeutic and psychoeducational interventions adapted to the specific needs of persons affected by combat actions. It was established that personalized psychoeducational interventions demonstrate high effectiveness in the comprehensive therapy of depressive disorders in combat-affected individuals. The gender-differentiated approach, taking into account the specificity of traumatic experience, provides 1.6—2.2 times higher effectiveness compared to standard treatment and contributes to significant improvement in patients’ quality of life.
The objective: to determine the readiness of students to lead a healthy lifestyle (HL), to analyze the motivational mechanisms of forming a HL in students, as well as the factors … The objective: to determine the readiness of students to lead a healthy lifestyle (HL), to analyze the motivational mechanisms of forming a HL in students, as well as the factors influencing them.Materials and methods. A sociological study was conducted by surveying 446 students of different courses and faculties, including 217 students of medical faculties, 105 students of stomatological faculties and 124 students of non-medical facul-ties. The questionnaire included questions related to demographic indicators, the place of personal health in the hierarchy of values, motivational mechanisms and sources of information on the formation of a HL. Data processing was carried out using Microsoft Excel, StatSoft Statistica and SPSS programs.Results. The study examined the relationship between social, demographic indicators and factors of readiness of students to lead a HL, in particular, according to the health rating in the hierarchy of life values. A mathematical analysis of the relation-ships and the degree of influence on the ranking place of health in the value system of respondents was conducted. The relation-ship between the specified indicators and the personal assessment of the place of health in the value hierarchy was analyzed by determining the parameters that reflect the subjective assessment of the place of health in this hierarchy. The analysis of the relationship between the parameters was carried out taking into account the faculty of study. The relationship and the degree of influence of individual factors and their combinations on increasing the health rating in the value hierarchy of respondents was determined. Thus, the most significant motivational factors influencing the formation of a HL were identified. Conclusions. A higher tendency to prioritize one’s health was observed among respondents from non-medical faculties, in whom this indicator was significantly higher by almost 3.9 times compared to respondents from medical faculties (p &lt; 0.001). Among the reasons that reduce the value of health, the reluctance to get rid of bad habits, the presence of serious chronic diseases, lack of financial conditions, as well as failure of family members and friends to adhere to the rules of a HL was revealed. Respondents identified the advice of family members and educational programs as the priority source of information about a HL.
Alexander V. Zhidkov | Science Education and Innovations in the Context of Modern Problems
In the past ten years, Moldova has seen a rise in chronic pathologies. Among these diseases, thyroid gland pathology has stood out, influenced by the ecological state, as a consequence … In the past ten years, Moldova has seen a rise in chronic pathologies. Among these diseases, thyroid gland pathology has stood out, influenced by the ecological state, as a consequence of environmental pollution with chemical waste and iodine deficiency. The concentration level of sodium and potassium ions in the blood is minimally altered in the early stages of diffuse thyrotoxicosis. However, in patients with diffuse thyrotoxicosis associated with fibrillatory arrhythmias, these changes are more noticeable. In all stages of thyrotoxicosis, an increased level of thyroid hormones has been observed. The evolution of diffuse thyrotoxicosis shows changes in cardiac activity, which involve the increased tension of the regulatory mechanisms and the reduction of the functional reserves of the body. A reduced functional reserve coefficient indicates a decrease in the body's adaptive capacity and its "physiological output".
Татьяна КОЗМАН | Psihologia Revista științifico-practică = Psychology Scientific-practical journal
The article presents the definition of the concept of “lifestyle”, as well as typologies proposed by different authors. The experimental study involved 195 students in grades 10-12 (91 boys, 104 … The article presents the definition of the concept of “lifestyle”, as well as typologies proposed by different authors. The experimental study involved 195 students in grades 10-12 (91 boys, 104 girls). The results of the study revealed that high school students prefer such lifestyles as: pragmatic, careerist, intellectual. and demonstrate a pronounced rejection of such lifestyles as: marginal, learned helplessness style, mental insolvency and “glamorous” style. The gender aspect of the manifestation of lifestyles among high school students indicates that girls are more likely to choose an intellectual style, which indicates gender specificity in the approach to solving life problems, personal development and social adaptation. Both boys and girls predominantly choose pragmatic and careerist lifestyles. Analysis of the gender variable identified statistically significant differences.
Smoking continues to be a major preventable contributor to global morbidity and mortality. Conventional prevention strategies have not fully succeeded in reducing smoking rates among youth. Digital interventions (DI) present … Smoking continues to be a major preventable contributor to global morbidity and mortality. Conventional prevention strategies have not fully succeeded in reducing smoking rates among youth. Digital interventions (DI) present an innovative approach to engage and educate this demographic. This systematic review evaluates the effectiveness of digital interventions in preventing smoking among school-aged children (6-12 years). PubMed/MEDLINE, Scopus, and PsycINFO were searched on April 4, 2024, and updated on April 10, 2025. PRISMA 2020 guidelines were followed to conduct the review. Protocol was registered in PROSPERO (CRD 42024534528). From 3330 identified records, 19 studies were reviewed. These studies utilized DIs, such as mobile applications, web-based programs, and multimedia campaigns, targeting knowledge enhancement, attitude shifts, and behavioral changes related to tobacco use. The findings reveal that DIs significantly improve knowledge about smoking risks and positively influence attitudes, particularly through interactive and gamified approaches. However, the effectiveness varied depending on factors such as intervention design, participant demographics, and follow-up duration. Behavioral outcomes, such as reduced smoking intentions and prevalence, showed mixed results, with sustained engagement being a critical factor for long-term success. Family-based and culturally tailored interventions demonstrated additional potential for reinforcing preventive behaviors. Despite methodological diversity and moderate bias risks in some studies, the evidence supports DI as a scalable and accessible strategy for tobacco prevention among youth, particularly in underserved populations.