No 12 (2018)

Articles
ECO-TERRORISM - PHENOMENOLOGY, TYPES, FACTORS, PREVENTION
Aleksanin S.S., Bogoslovskii M.M., Rybnikov V.Y., Rogalev K.K., Gudz Y.V., Drygina L.B., Shapovalov S.G.
Abstract
An overview of the current status of the eco-terrorism problem based on domestic and foreign research has been presented. Its phenomenology, types, factors and prevention have been considered. The basic definitions of eco-terrorism have been stated. Despite numerous publications contemporary international scientific community has not yet come to a common understanding of the term "eco-terrorism", has not developed a comprehensive and universally acceptable definition. It has been stated that various international documents gave different definitions of terrorism. The national legislation of the Russian Federation, as well as the other countries has no a clear definition of "eco-terrorism". Eco-terrorism is understood as various facts of forced impact on environment including change in physical, chemical and electrical properties of the oceans and seas. Backgrounds of environmental aggression and eco-terrorism have been presented. Public danger factors of eco-terrorism have been described. Transformation of the terrorism's basic paradigms as well as actual facts and specific character of ecological terroristic acts have been presented. Problems of safety in emergency situations of ecological nature, antiterrorist protection and the eco-terrorism organization in Russia and other countries have been considered.
Ekologiya cheloveka (Human Ecology). 2018;(12):4-11
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THE SYSTEM OF PROVIDING EMERGENCY MEDICAL CARE TO THE VICTIMS OF THE ROAD TRAFFIC ACCIDENTS AT THE PREHOSPITAL PHASE IN THE ARCTIC ZONE OF THE RUSSIAN FEDERATION
Petchin I.V., Barachevskiy Y.E., Menshikova L.I., Baranov A.V.
Abstract
The review of domestic and foreign research on leveling problematic of medical and sanitary consequences of traffic accidents has been carried out. Scientific articles were extracted from specialized scientific search systems (eLibrary.ru, PubMed.gov, Scopus Database) using keywords: emergency medical care, prehospital phase, road traffic injuries and road traffic accidents. Increase in the frequency of road traffic accidents (RTA) in absolute number of injured persons, mainly with polytrauma, caused by high-energy collisions of motor vehicles on highways require the development of new methods and forms of providing medical care. The aim of the study was to identify and analyze the ways of improvement of emergency medical care system for victims of RTA at the pre-hospital phase of medical evacuation. New methods in this sphere have been suggested. The most relevant ways to improve the system of emergency medical care to the RTA victims are the following: improvement of professional competence of specialists providing first aid to RTA victims; cooperation optimization of Emergency Medicine Service with similar forces of departmental healthcare and other regional emergency services; creation conditions for immediate movement of emergency teams to the scene of a traffic accident for provision victims medical care; standards optimization on providing medical care to the victims of traffic accidents at the pre-hospital phase of medical evacuation; increase of personnel training, working in the regional operations control centers of emergency medicine; emergency wards and leading municipal hospitals by means of conducting incident command team exercise; renovation of vehicle fleet for aerovac of RTA victims to widen opportunities to provide specialized medical care. These proposals, in our opinion, are the most important ways for development of emergency system provision to RTA victims. Its implementation will allow to reduce mortality in prehospital phase.
Ekologiya cheloveka (Human Ecology). 2018;(12):12-19
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INFLUENCE OF LOCAL CRUSTAL HETEROGENEITY ON THE RESIDENTS’ MORBIDITY OF THE NORTHERN URBANIZED TERRITORIES
Karpin V.A., Gudkov A.B., Usinin A.F., Stolyarov V.V., Shulenin K.S.
Abstract
The aim: to reveal the influence of local crustal heterogeneity peculiarities on the course of visceral diseases in the conditions of the northern urbanized territory in the context of Surgut city. Methods. Frequency of patients' medical aid appealability depending on their residence - upper local crustal heterogeneity or upper solid was studied. Besides, comparative average monthly frequency of patients' appealability with acute coronary syndrome and acute cerebrovascular accident, residents of upper local crustal heterogeneity or upper solid was also studied. Medical records of 6 932 patients were analyzed (cardiovascular diseases included). Results. A significant predominance of frequency of appealability among patients with cerebrovascular accident (in 1,5 times), angor pectoris (in 1,4 times), myocardial infarction (in 1,4 times), hypertensive disease attack (in 1,3 times) (p < 0,001), living in the zones of local crustal heterogeneity in comparison with those living upper solid was revealed. Frequency of patients' appealability with acute coronary syndrome and acute cerebrovascular accident living upper local crustal heterogeneity prevails in the periods of geomagnetic activity increase (p < 0,05 and p < 0,01 respectively). Conclusions. Negative effect of geomagnetic field of the Earth's fault zones on cardiovascular system morbidity of the population was revealed. The results of the carried out medico-ecological study open a prospect for a more enhanced study of the ecologically dependent public health from a new perspective of the organism's interaction with geophysical factors.
Ekologiya cheloveka (Human Ecology). 2018;(12):20-25
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CHARACTRISTICS OF PHOSPHORIC-CALCIUM METABOLISM AT VARIOUS LEVELS OF 25(OH)D IN CHILDREN AND ADOLESCENTS RESIDENTS OF THE ARCTIC ZONE OF THE RUSSIAN FEDERATION
Malyavskaya S.I., Kostrova G.N., Strelkova A.V., Lebedev A.V.
Abstract
The aim: to reveal dependence of phosphoric-calcium metabolism рarameters from 25(OH)D level in children and adolescents living in the conditions of Arctic Zone of Russia. Methods: Sampling included 430 children and adolescents (age from 7 to 16 years), 192 (45 %) boys, 238 (55 %) girls. 25-OH vitamin D, parathyroid hormone, total calcium, phosphorus, alkaline phosphatase in blood serum concentration was estimated. Results: Normal findings of D vitamin were found in 95 (22 %) surveyed, 25(OH)D deficiency in the blood plasma = 20-30 ng / ml was found in 61 (14 %) surveyed, 25(OH)D deficit = 10-19 ng / ml was detected in 205 (48 %) and 25(OH)D strong deficit < 10 ng / ml - in 68 (16 %) of the examined patients. The absence of parathyroid hormone increase in case of D vitamin deficit was revealed in 96,1 % of surveyed. Conclusion: Low levels of vitamin D were found in children and adolescents in the region, whereas no increase in the level of parathyroid hormone typical for rickets was found.
Ekologiya cheloveka (Human Ecology). 2018;(12):26-31
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DIFFERENCES IN PERCEPTION OF DAILY STRESSORS AMONG RESIDENTS OF ARKHANGELSK AND SAINT PETERSBURG
Golovey L.A., Murtazina I.R., Strizhitskaya O.Y., Simonova N.N.
Abstract
Aim: to study daily stress (DS) in adults by gender and city of residence. Methods: the study involved 334 adults aged 20-60, 158 subjects from Arkhangelsk, 176 - from St.-Petersburg. Instruments: Inventory of daily stressors, Scale of Perceived Stress-10 (FWS) and the survey. Results revealed high level of DS in all studied domains. Professional domain was the most stressful (М = 27,23 for Arkhangelsk and М = 26,07 fro St.-Petersburg). We identified a greater amount of DS in all domains, higher levels of stress (М = 16,8; SD = 5,09) and perceived stress (М = 31,2; SD = 5,46) in women compared to men (М = 13,7; SD = 4,74 и М = 28,3; SD = 5,58). In men, the most stressful were the professional (М = 23,69; SD = 22,74), financial domain (М = 17,02; SD = 21,00), the domain of interpersonal communication (М = 14,87; SD = 18,98) and the domain of the external environment problems (М = 15,05; SD = 15,01); for women - professional (М = 28,29; SD = 21,92), emotional, personal (М = 27,58; SD = 27,48) and economic domains (М = 22,71; SD = 24,57). The differences were found in a larger number of stressors in the domain of family interaction and household needs for Arkhangelsk; and more stressful financial, emotional and personal domains and domain of the external environment - for St.-Petersburg. Conclusions: comparison of the DS showed that for Arkhangelsk domains of family interaction and household were more stressful, while for St.-Petersburg financial problems, environmental problems and a sense of loneliness were more urgent. The correlation analysis showed that individual psychological features play an important role in the perception of stressors. The further directions of the research in this field should be focused on the comparison of stressors with the parameters of psychophysiological and personal functioning.
Ekologiya cheloveka (Human Ecology). 2018;(12):32-38
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ABOUT THERAPEUTIC RELATIVISM IN ADDICTOLOGY
Mendelevich V.D., Miroliubov A.V., Popov V.I.
Abstract
The problem of off-label therapy of addictive disorders is analyzed in the article. It has been noted that such a practice became widespread due to the position of narcologists called "therapeutic relativism" according to which establishing a "nosological" diagnosis on ISD or DSM was not basic and significant for making a therapeutic decision. Significant is a determination of a psychopathologic syndrome / phenomenon level and existence of the patient's subjective inquiry. It is estimated that the doctor has the right to prescribe a therapy depending on "inquiry" of the person seeking for a medical attention not only in case of disorders detection, but also in cases of the preclinical states. The discussion history on the limits of addictive norm and pathology has counted more than thirty years when there was an opinion that addictive disorders represented the continuum built as disorders increase and excluded existence of differential criteria between the norm and pathology. The problem of diagnostics and therapy intensified with the introduction of ICD-10 which besides the dependence contained nosologically undetermined heading "harmful (with harmful consequences) use of surfactant" (F1x.1). The article makes a conclusion that off-label therapy in a modern addictology can be considered as justified, but only concerning drugs with the proved safe action profile and in case of unfailing adherence to the informed consent principle.
Ekologiya cheloveka (Human Ecology). 2018;(12):39-45
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PREGNANCY AND ADAPTATION IN THE CONDITIONS OF THE SUBARCTIC REGION
Ttyornaya E.E., Popov A.D., Kasparova A.E., Yurina M.A., Shumilov S.P.
Abstract
The aim of study: investigation of the physiological parameters of gestational adaptation depending on the region, residence duration and migration composition of the population. Methods. In the dynamics of gestation heart rate variability, neurovegetative, metabolic, morphological indices, types of adaptation reactions were studied in 280 young women of the Sic-Ural region and the subarctic region of the Middle Ob Area. Results. The conjugation of the processes of population and gestational adaptation is typical for the migrants of the subarctic region, in comparison with the residents of the Sic-Ural region: in the first trimester of pregnancy a significant increase in the heart rate is recorded at 7-12/min, p = 0.010-0.015; the systolic blood pressure value is 6-8 mm Hg, p = 0.010-0.015; alternation of regulatory mechanisms with increasing needs of resource provision and the prevalence of parasympathetic influences, an increase of pregnant women in the state of adaptation stress to 26-36 %, p = 0.035-0.040; formation of the "northern" type of metabolism (borderline hypoproteinemia in the third trimester of pregnancy: 61.0-64.0 g/l, p = 0.0001, shifted parameters of carbohydrate metabolism: glucose level 4.2-4.3 mmol/l; p = 0.2; difference in anthropometric indicators of newborns: body weight 3 450-3 555 g, p = 0.002, body length 52-53 cm, p = 0.0001). The alternation of urgent and long-term adaptation processes chronologically associated with the dominant states, the predominant sympathicotonic free reactivity were revealed in women, residents of the Sic-Ural region, during the physiological course of the process ("pregnancy norm "). These processes were accompanied by a balance of homeostasis and resource provision parameters. Conclusions. The parameters of gestational and population adaptation in the subarctic region are connected, reflect regional peculiarities of the range "norm of pregnancy" and determine the necessity for preconceptional preparation and rehabilitation activities.
Ekologiya cheloveka (Human Ecology). 2018;(12):46-54
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CORRELATION AND SIMPLE REGRESSION ANALYSIS USING R
Egoshin V.L., Ivanov S.V., Savvina N.V., Ermolaev A.R., Mamyrbekova S.A., Zhamaliyeva L.M., Grjibovski A.M.
Abstract
The article presents basic algorithms of R software using for correlation analysis and simple linear regression. Basic approaches to the interpretation of the results of analysis and evaluation of statistical regression models are presented.
Ekologiya cheloveka (Human Ecology). 2018;(12):55-64
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