12 research outputs found
Russel — Silver syndrome a 7-month-old child: case report
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N.R. Khafizova, D.R. Merzlyakova, Yu.F. Safina
Bashkir State Medical University, Ufa, Russian Federation
Russel – Silver syndrome (RSS) is a hereditary disease manifesting with intrauterine growth retardation, dwarfism, and other stigmas of embryopathy. We describe this rare genetic condition in a 7-month-old baby. The changes in physical condition and neurological status, clinical signs, laboratory tests, and management strategy are addressed. A genetic condition was suggested through an arrested development and stigmas of embryopathy only at the age of 7 months. At the age of 5 months, hydrocephaly was suspected due to asymmetrical proportions of the body (the relatively large size of head compared to a small body). However, neurosonography ruled out this diagnosis. Genetic testing for microsatellite loci on chromosome 7, which identified abnormal methylation of H19 gene verified the final diagnosis.
Keywords: Russel – Silver syndrome, child, intrauterine growth retardation, pseudohydrocephalus, dwarfism, genetic counseling.
For citation: Khafizova N.R., Merzlyakova D.R., Safina Yu.F. Russel – Silver syndrome a 7-month-old child: case report. Russian Journal of Woman and Child Health. 2021;4(1):103–105. DOI: 10.32364/2618-8430-2021-4-1-103-105.
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Preterm infant born after in vitro fertilization: case report
No full textPreterm infant born after in vitro fertilization: case report
N.A. Druzhinina, L.D. Panova, D.R. Merzlyakova, G.P. Shiryaeva
Bashkir State Medical University, Ufa, Russian Federation
Recent studies demonstrate that children born after in vitro fertilization (IVF) are at higher risks of various unfavorable conditions including low Apgar scores, complications of neonatal adaptation, and intraventricular hemorrhage, a disorder specific for preterm children. The results are greater hospital stay and further hospital admissions. Factors provoking these complications are still controversial. Among them are medications and methods for infertility, or reproductive system disorders accompanying pregnancy after IVF. It is still disputable whether health impairments in children result from mothers’ extragenital and gynecological comorbidities or IVF itself.
The paper addresses clinical case illustrating management strategy of a preterm infant born after IVF considering the issues of extreme morphological and functional immaturity. Preterm infant management and providing favorable conditions for their feeding considering corrected age are the primary task for pediatricians. Knowing of the specifics of growth and development of preterm infants is of particular importance in daily clinical practice.
Keywords: children health, assisted reproductive treatment, IVF, prematurity, extremely low birth weight.
For citation: Druzhinina N.A., Panova L.D., Merzlyakova D.R., Shiryaeva G.P. Preterm infant born after in vitro fertilization: case report. Russian Journal of Woman and Child Health. 2019;2(2):151–154.<br
The assessment of bone strength based on the results of ultrasound densitometry in infants born after in vitro fertilization (IVF) weighing less than 1500 g
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D.R. Merzlyakova1,2, N.R. Hafizova1, G.A. Vakhitova1, Z.A. Shangareeva1, G.G. Gilyazova2, A.I. Nazarova1
1Bashkir State Medical University, Ufa, Russian Federation
2Republican Children's Clinical Hospital, Ufa, Russian Federation
Aim: to assess the status of bone mineral density (BMD) using the ultrasound densitometry as a screening technique in premature in vitro fertilization (IVF) and non-IVF infants weighing less than 1500 g at birth.
Patients and Methods: the study included 189 premature babies who stayed in the department for newborns and premature infants with health problems. The infants were divided into two groups, depending on the IVF use: born through the IVF or conceived naturally. Each of the groups was divided into two subgroups based on the infant weight at birth: subgroups A consisted of very low birth weight (VLBW) babies and subgroups B consisted of extremely low birth weight (ELBW) babies. The first group (n=101) consisted of IVF-infants, 52 and 49 of them were included in subgroups 1A and 1B, respectively. The second group (comparison, n=88) consisted of the naturally conceived infants, 46 and 42 of them were included in subgroups 2A and 2B, respectively. BMD was measured using the ultrasound densitometry method. The evaluated parameters comprised the speed of sound (SOS) and Z-score, representing the difference in BMD between the studied infants and the mean BMD of other children of the same age and gender (standard deviation (SD) for the tibia). Z-score <-1 SD (SOS <10‰ and >3‰) was associated with a low bone density and Z-score <-2 SD (SOS <3‰) – with a clinically significant low bone density.
Results: the normal values of bone density were found in 39 (38.6%) infants of group 1 and 58 (65.9%) infants of group 2 (p>0.05). In the group 1 infants a decrease in bone density was found more frequently than in the group 2 infants: 49 (48.5%) and 21 (23.8%), respectively, p<0.05, and the difference was statistically significant (<-1SD). A clinically significant low bone density (SOS <3‰) found in 13 (12.8%) IVF-babies. The extremely low birth weight (ELBW) in IVF-babies is a risk factor for osteopenia and osteoporosis.
Conclusion: a significant decrease in the bone density values (SOS <10‰ and >3‰) was found in IVF-infants as compared to those in naturally conceived infants. A clinically significant decrease in bone density in premature IVF-infants with ELBW was reported in 12.8% of cases. The early diagnosis of osteopenia can be established by using a safe technique — the ultrasound densitometry.
Keywords: bone mineral density, densitometry, in vitro fertilization, IVF, premature babies, osteopenia, bone tissue, screening, very low birth weight, extremely low birth weight.
For citation: Merzlyakova D.R., Hafizova N.R., Vakhitova G.A. et al. The assessment of bone strength based on the results of ultrasound densitometry in infants born after in vitro fertilization (IVF) weighing less than 1500 g. Russian Journal of Woman and Child Health. 2023;6(1):34–38 (in Russ.). DOI: 10.32364/2618-8430-2023-6-1-34-38.
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Regional strategy of preservation and strengthening of the psychological health of participants of educational relations
No full textThe problem of saving and improving psychological health of educational relations' participants can be considered crucial. This article looked at several approaches to systemic analysis of various factors influencing psychological health of educational relations' participants in a negative way. We identified these factors by the levels they emerge at, namely: the level of learner himself/herself, the level of his/her social environment (teachers and parents), as well as educational institution, municipality and region. It is only possible to save and improve psychological health of educational relations' participants if systemic risk factors are eliminated at every level. Unsolved contradictions of the higher level "descend" to lower levels and require additional efforts to eliminate their effect. The article introduces the notion of learners’ “psychological health standards” that implies a system of socio-psychological, pedagogical, administrative, and technical conditions for saving and improving psychological health
Regional strategy of preservation and strengthening of the psychological health of participants of educational relations
No full textThe problem of saving and improving psychological health of educational relations' participants can be considered crucial. This article looked at several approaches to systemic analysis of various factors influencing psychological health of educational relations' participants in a negative way. We identified these factors by the levels they emerge at, namely: the level of learner himself/herself, the level of his/her social environment (teachers and parents), as well as educational institution, municipality and region. It is only possible to save and improve psychological health of educational relations' participants if systemic risk factors are eliminated at every level. Unsolved contradictions of the higher level "descend" to lower levels and require additional efforts to eliminate their effect. The article introduces the notion of learners’ “psychological health standards” that implies a system of socio-psychological, pedagogical, administrative, and technical conditions for saving and improving psychological health.</jats:p
Role of historic consciousness in interculture communication
No full textIn this article the author dwells the historical consciousness, its elements and sources of formation as well as the factors which influence the process of intercultural communications
Role of historic consciousness in interculture communication
No full textIn this article the author dwells the historical consciousness, its elements and sources of formation as well as the factors which influence the process of intercultural communications
Economic Assessment of HSE Risk Management and Raising Efficiency of Financial Resources
No full textSummary
In modern world the well acknowledged tool for management in industrial and environmental safety, and occupational health are the management systems conforming to ISO 14001 "Environmental Management System" and OHSAS 18001 "Occupational Health and Safety Management Systems" International Standards.
Amid the increasing competitive ability and global financial crisis, it is very important to be able to assess the efficiency of investments in HSE activities aimed at mitigation of Company’s negative impact upon the environment and personnel.
When developing such a system of economic assessment, the author has analyzed different methods applied for environmental performance assessment and has studied thoroughly the requirements of ISO 14031 "Environmental Performance Evaluation" International Standard.
Based on mathematical and statistical methods, the author has elaborated an HSE performance evaluation system which enables to assess efficiency of HSE activities performed in the company. This evaluation system assumes differentiated approach to assessing all kinds of negative impact on the environment and the personnel of the company with application of input and output cost indicators. In compliance with ISO 14001:2004 and OHSAS 18001:2007 two kinds of impact on the environment and the personnel have been sorted out in Udmurtneft - environmental aspect and hazard to the personnel, correspondingly.
The research paper contains the detailed calculation of efficiency of financial investments in the personnel hazard management "Feral-herd infections" in N company. This hazard is a top priority risk in the company since such infections are located in the region.
High efficiency of the personnel infection risk mitigation activities was proved on the basis of mathematical method and risk mitigation results were demonstrated by the model risk matrix.
Thus the developed HSE performance evaluation system enables to assess the effectiveness of HSE Integrated Management System on the whole and to allocate the financing wisely and implement risk management activities in the most successful way.
Objectives of the research paper: –development of the HSE Integrated Management System efficiency evaluation system which would allow fulfilling several tasks:–optimization of planning the activities and financing;–providing visuality of HSE activity planning and assessment for the management team;–improvement of HSE management system;–providing transparency of HSE activity in the company.</jats:p
Interrelation of mental "burn out" level and psychological health in athletes with different qualification
No full textPurpose: to reveal features of psychological health and characteristics of personal development and mental "burn out" of athletes with different qualification. Material: the comparative analysis of mental expression of "burn out" in samples of athletes with different qualification (n=187). We tested men (n=110) and women (n=77) aged from 15 up to 29 years old. Athletes represented the following kinds of sport: boxing, fight, basketball, gymnastics, swimming, volleyball. They were divided into 2 groups: high qualification (Candidates and Masters of Sports, n=89) and low qualification (n=98). Results: it is observed a lot of positive correlation interrelations between indicators of psychological health and mental "burn out" of athletes. In the group of high qualification athletes, the indicators of psychological health are connected with reduction of achievement feeling and depreciation of achievements. In the group of low qualification athletes they were mainly connected with reduction of achievement feeling. The high qualification athletes are more subject to mental "burn out". It is connected with higher psychophysiological loads. These athletes are more inclined to creativity, humanity, are more intellectually developed. For low qualification athletes, the family sphere of life is more important. Conclusions: the received results testify to need of psychological support of training of athletes with different qualification to prevention and correction of mental "burn out" and maintenance of psychological health
Moral orientations as a factor of family selfdetermination development of modern students
No full textIntroduction. The phenomena of the family-demographic crisis in modern society make it necessary to study socio-psychological factors determining the actualisation and development of family self-determination of young people in the context of digital socialisation. Within the framework of digital socialisation, an open and contradictory information space determines the nature of marriage and family ideas, which are the indicative basis for the implementation of family behaviour by young men and women. Aim. The aim of the research is to identify the features of family self-determination of Russian students, who have different moral orientations and personality types in adolescence and early adulthood. Methodology and research methods. The theoretical and methodological basis of the study consists of: cultural-historical theory of psychological development and the doctrine of a psychological age by L. S. Vygotsky; age and psychological approach to the analysis of mental development in ontogenesis; theories of family self-determination of the individual; the concept of personality orientation by B. S. Bratus; concepts of moral self-determination by A. B. Kupreichenko, A. E. Vorobieva, Q. Guo, P. Sun, M. Cai, X. Zhang, K. Song; theories of prosocial behaviour by K. R. Bell, C. J. Showers; L. Kamas, A. Preston. The study involved 490 students, mostly enrolled in the humanities educational programmes. To achieve the goal, the author applied theoretical and methodological analysis of scientific literature; methods of comparison, generalisation, concretisation; psychodiagnostic method and mathematical and statistical methods of data processing. Results. The conducted research has shown that the dominant moral orientation of the personality in adolescence and early adulthood is a peace-building orientation. As a result of comparative analysis of the structural and content characteristics of family self-determination depending on personal moral orientation at different stages of age development, general and specific features were identified. The invariant characteristic is manifested in the fact that in the humanistic orientation there is a high importance of the value of happy family life; in the peace-building orientation – the strength of roles claims in the sphere of social activity for the stability of marriage and family relations, the importance of such marriage motives as self-actualisation and security; the probability of marriage regulated by unproductive feelings of revenge increases in the egocentric orientation. Adolescence is a sensitive period to form a cognitive component of family self-determination of student youth through the development of spiritual and moral sphere. The period of early adulthood is the most sensitive for the development of value-emotional and regulatory-behavioural component of family self-determination as a result of purposeful education of humanistic and peace-building orientation of students’ personality. Scientific novelty of the research lies in the establishment of the connection between the moral orientation of the personality and meaningful characteristics of family self-determination of students in adolescence (17–19 years) and early adulthood (20–22 years). Practical significance. The research materials and findings can be used for creating the education programmes in the organisations of higher education and for planning measures to preserve and develop traditional family values in the youth environment.Введение. Явления семейно-демографического кризиса в современном обществе обуславливают необходимость изучения социально-психологических факторов, детерминирующих актуализацию и развитие семейного самоопределения молодежи в условиях цифровой социализации, в рамках которой открытое и противоречивое информационное пространство определяет характер брачно-семейных представлений, являющихся ориентировочной основой при реализации семейного поведения юношами и девушками. Цель исследования – выявить особенности семейного самоопределения студентов РФ, различающихся по характеру нравственной ориентации личности в юношеском возрасте и ранней зрелости. Методология и методики. Теоретико-методологическую основу работы составляют культурно-историческая теория развития психики и учение о психологическом возрасте Л. С. Выготского; возрастно-психологический подход к анализу психического развития в онтогенезе; теории семейного самоопределения личности; концепция направленности личности Б. С. Братуся, концепции нравственного самоопределения А. Б. Купрейченко, А. Е. Воробьевой, Q. Guo, P. Sun, M. Cai, X. Zhang, K. Song; теории просоциального поведения K. R. Bell, C. J. Showers; L. Kamas, A. Preston. В исследовании приняли участие 490 студентов, в основном обучающихся по образовательным программам гуманитарного профиля. Для достижения поставленной цели использовались теоретико-методологический анализ научной литературы; методы сравнения, обобщения, конкретизации; психодиагностический метод и математико-статистические методы обработки данных. Результаты. Проведенное исследование показало, что доминирующей нравственной ориентацией личности в юношеском возрасте и ранней зрелости является миросозидательная направленность. В результате сравнительного анализа структурно-содержательных характеристик семейного самоопределения студентов РФ в зависимости от нравственной ориентации личности на разных этапах возрастного развития выявлены общие и специфические особенности. Инвариантная характеристика проявляется в том, что при гуманистической ориентации наблюдается высокая значимость ценности счастливой семейной жизни, при миросозидательной ориентации – выраженность ролевых притязаний в сфере социальной активности для стабильности брачно-семейных отношений, важность таких брачных мотивов, как самоактуализация и безопасность, при эгоцентрической ориентации возрастает вероятность заключения брака из непродуктивного чувства мести. Юношеский возраст является сенситивным периодом для формирования когнитивного компонента семейного самоопределения студенческой молодежи посредством развития духовно-нравственной сферы. Период ранней зрелости оказывается наиболее чувствительным для развития ценностно-эмоционального и регулятивно-поведенческого компонентов семейного самоопределения в результате целенаправленного воспитания у студентов гуманистической и миросозидательной ориентации личности. Научная новизна исследования заключается в установлении связи нравственной ориентации личности и содержательных характеристик семейного самоопределения студентов в юношеском возрасте (от 17 до 19 лет) и ранней зрелости (от 20 до 22 лет). Практическая значимость. Материалы проведенного исследования и сделанные выводы могут быть использованы при разработке рабочей программы воспитания в образовательной организации высшего образования и планировании мер по сохранению и развитию традиционных семейных ценностей в молодежной среде.The research was carried out with the financial support of the Russian Foundation for Basic Research (RFBR) within the scientific project № 20-013-00072 “Personal Factors in the Development of Family Self-Determination in Adolescence and Early Adulthood”. The author expresses her gratitude to the anonymous reviewers for their valuable comments and recommendations, which helped to significantly improve the quality of the article.Исследование выполнено при финансовой поддержке Российского фонда фундаментальных исследований (РФФИ) в рамках научного проекта № 20-01300072 «Личностные факторы развития семейного самоопределения в юношеском возрасте и ранней зрелости». Автор выражает благодарность анонимным рецензентам за ценные замечания и рекомендации, которые помогли существенно улучшить качество статьи
