Vol 20, No 10 (2013)

We have assessed cognitive functions in 103 able-bodied men (66 men were drivers; 37 men were in the control group, their profession was not connected with vibration). In each group, healthy patients and patients with arterial hypertension (AH) were separated. The cognitive functions were studied with use of the Montreal Cognitive Assessment Scale (MoCA-test). Cognitive disorders were found in 45.5 % of the drivers and in 29.7 % of the men from the control group. A correlation between the level of the MoCA-test index and the profession of the drivers has been found. Statistically significant between-group differences in the state of delayed memory, attention, orientation, verbal fluency of the drivers and the control group (with the significance level of p < 0.05) have been found.

A study of manifestations of etiological, age and morbidity aspects of intussusception has been carried out in Arkhangelsk and the Arkhangelsk region in different periods of time of observation and development of the disease’s model in the region. A retrospective analysis of 270 cases of IS in 264 children treated in the Arkhangelsk Children's Hospital from 1980 to 2011 has shown that age and etiological aspects and clinical manifestations of the disease changed with time. The average age of patients increased in the last period of 12.5 (7.0; 30.0) months; Me (Q1; Q3). IS often develops in autumn months (p = 0.001) and in more than a half of the cases - in connection with other diseases. The classical «triad» of the symptoms including abdominal pain, abdominal intussusception and blood from the rectum is detected less frequently, currently in 34.5 % of cases, more often, there is monitored the «diad» of the symptoms (vomiting and abdominal pains) (p < 0.001). Conclusion: the etiology, pathogenesis and clinical manifestations of intussusception have changed with time and have their own characteristics in a particular region. Creating a model of the disease will improve quality of intussusception diagnosis.

In the article, efficiency of the synergetic approach to development of mental ecology and mental medicine has been grounded on the conceptual-methodological level. It has been shown that quality of life and a health level are 20 % predetermined by the mentality factor. There has been proposed the «Index of personality mental ecology» allowing to take qualitative and quantitative measurements of its biopsychosocial and spiritual-moral potential and to assess and predict a destiny course. There have been systematized the issues of the crisis in psychiatry and the significance of antipsychiatry for a startup of the contemporary Era of Psychotherapy that has made a revolutionary breakthrough to the prenosological field of public health and public conscience and changed radically the focus of the Ψ-mission of the state and the society from mental illnesses to mental health. That has provided dynamic development of the whole complex of neurosciences, forced establishment of social psychiatry and narcology and lead to birth of mental ecology and mental medicine. Separation of mental medicine as a unified theory of mental health promotion and treatment of mental illnesses has been grounded.

During a year (winter, spring, summer and autumn) the spirographic survey of one and the same group of healthy children (33 boys and 32 girls of primary school age, natives of Arkhangelsk) was conducted. It is established that in the period of transition from warm to cold season (autumn) children of 8-9 years old have increase in system functional capacities and the level of respiratory breathing. Reduction of IRV and increase of ERV in absolute indicators in comparison with proper values, as well as in relative indicators in relation to VC in all seasons of year was revealed.