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Жилищно-коммунальное хозяйство. Домоводство. Бытовое обслуживание (0)
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Сельское хозяйство. Лесное хозяйство. Охота. Рыболовное хозяйство (0)
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Строительство. Строительные материалы. Строительно-монтажные работы (0)
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Управление предприятиями. Организация производства, торговли и транспорта (0)
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Химическая технология. Химическая промышленность. Родственные отрасли (0)
Количество страниц: 4 с.
Seasonal variations in the levels of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3) and free thyroxine (fT4) in young men in Yakutia were studied, where strong changes in climatic parameters in the winter-spring period (from -41.8°C to -0.2°C) were noted. Seasonal variations between winter and spring were found for fT3, where in winter its levels were lower - 6.48±0.31 pmol/L than in spring - 6.88±0.1 pmol/L (p=0.005). There were no statistically significant seasonal variations for TSH (U=97; p=0.914) and sv.T4 (U=47; p=0.112). Winter-spring seasonal variations of fT3 detected in this study there are signs of polar T3 syndrome in young men in Yakutia. To search for the causes of the detected seasonal variation, a correlation analysis of the levels of TSH, fT3 and fT4 was carried out depending on daylength and atmospheric air temperature. As a result, a correlation between fT3 and fT4 with the daylight (fT3: R=0.339, p=0.03; fT4: R=-0.346, p=0.01) and with air temperature (fT3: R=0.295, p=0.05; fT4: R=-0.296, p=0.04). No correlations were found with TSH levels (daylight: R=-0.06, p=0.69; air temperature: R=-0.09, p=0.559). Thus, the residents of Yakutia have signs of polar T3 syndrome, which can be associated with both a short light day and low atmospheric temperatures in winter. The results obtained may indicate an increase in the absorption of T3 at the tissue level when exposed to cold.
Признаки полярного Т3 синдрома у молодых мужчин в Якутии / А. А. Никанорова, Н. А. Барашков, В. Г. Пшенникова [и др.] ; Якутский научный центр комплексных медицинских проблем, Северо-Восточный федеральный университет им. М. К. Аммосова, Институт естественных наук // Якутский медицинский журнал. - 2024. - N 1 (85). - C. 5-8. - DOI: 10.25789/YMJ.2024.85.01
DOI: 10.25789/YMJ.2024.85.01
Количество страниц: 6 с.
Determining the variability of the proportions of the human body living in extreme climatic and geographical conditions of the North is relevant for understanding the topography of internal organs, the ratio of body components, and the proportionality of the body surface to body weight. In Yakutia, there are not enough scientific papers on body proportions, which determined the relevance of this work. The aim of the work was to identify the ethnic and gender characteristics of the body proportions of Yakutian students. A total of 314 girls aged 16-20 and 156 boys aged 17-21 of Yakut ethnicity were examined. Somatometric examination was carried out according to the method of V.V. Bunak, with the determination of body length and body weight. The diameter of the shoulders, the diameter of the pelvis, the transverse diameter of the chest and the anterior-posterior diameter of the chest were measured. The following heights were determined on the upper limb: acromial, radial, styloid and finger point. The trochanter, upper tibial height and lower tibial point were measured on the lower limb. An index assessment of physical development was carried out (index of relative width of shoulders, pelvis, index of arm and leg length, pelvic-shoulder index, Brugsch index). Statistical processing was performed using the SPSS application software package for Windows (version 22.0). Parametric and nonparametric methods of statistical analysis were applied. Gender differences in all studied anthropometric parameters among the Yakuts were established. Indicators of body length and weight, arm index, leg index, index of relative shoulder width in the boys were significantly higher than the parameters of the girls. The index of the relative width of the pelvis and the pelvic index were significantly higher in girls. According to the index of relative pelvic width, metriopyelia was significantly more often registered among the girls, and stenopyelia among the boys. The predominant body shape for the girls was a rectangular shape, for the boys - the average body shape. Ethnic characteristics were expressed in lower body length, shoulder diameter and leg length in Yakut girls compared to Russian girls living in Yakutia. In boys, among the compared parameters, the ethnic difference is observed only in the parameter of shoulder diameter, which was significantly smaller in Yakut boys.
Гурьева, А. Б. Половая и этническая характеристика пропорций тела студенческой молодежи Якутии (от 16 лет до 21 года) / А. Б. Гурьева, В. А. Алексеева, Н. В. Ксенофонтова ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт, Медицинский центр г. Якутска // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки. - 2024. - N 2 (35). - C. 84-89. - DOI: 10.25587/2587-5590-2024-2-84-89
DOI: 10.25587/2587-5590-2024-2-84-89
Количество страниц: 8 с.
Suicide prevention is a topical issue in modern healthcare. There are northern regions in the Russian Federation where the suicide rate exceeds Russian indicators by 2.8-3 times. The purpose of this study is a comparative analysis of the suicidal index (SI) in the Arctic zone of the Republic of Sakha (Yakutia) and among American Indians - residents of Alaska, to identify the main factor contributing to the widespread suicidal behavior among residents of the Far North. Materials and methods of research. A comparative analysis of the materials of the organizational and methodological department of the State Budgetary Institution of the RS(Ya) “Yakut Neuropsychiatric Dispensary”, as well as data from the territorial body of the Federal State Statistics Service for the Republic of Sakha (Yakutia) on the mortality of the population of the Arctic zone of the RS(Y) from suicide and statistical data on suicides of the Center for Disease Prevention and Control of the USA - CDC (Centers for Disease Control and Prevention) for 2018 and 2021 . It was found that from 2018 to 2021, the SI increased among residents of the Arctic zone of the Republic of Sakha (Yakutia) by 34 %. For American Indians living in Alaska, the SI increased by 23 % over the same period of time. The SI for 2018 for residents of the Arctic zone of the Republic of Yakutia is 2.6 times higher than for residents of the Russian Federation. The suicide index (SI) for 2018 among American Indians - residents of Alaska is 1.6 times higher than that of residents of the United States. The SI for 2021 for residents of the Arctic zone, the RS(Ya) is 4 times higher than for residents of the Russian Federation. The SI for 2021 the American Indian population of Alaska is 2 times higher than that of the residents of the United States. It was established that there are two regions in the world with extremely high suicide rates - Greenland and Chukotka Autonomous District in the Russian Federation. Both regions differ from other parts of the world in that they are located at the highest geographical latitudes. These are territories with the most extreme living conditions. The Arctic zone of the RS(Ya) belongs to the coldest regions of the Russian Federation. Remoteness from the central regions and extreme living and working conditions lead to a shortage of personnel in the Arctic zone of the RS(Ya) of psychiatrists. Consequently, the extremely high suicide rate in the Arctic zone of the RS(Ya) is influenced by the difficulty of accessing necessary psychiatric care and the lack of preventive mental health work.
Дуткин, М. П. Суициды в Арктической зоне Республики Саха (Якутия) и среди американских индейцев - жителей Аляски / М. П. Дуткин ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия "Медицинские науки". - 2024. - N 2 (35). - C. 76-83. - DOI: 10.25587/2587-5590-2024-2-76-83
DOI: 10.25587/2587-5590-2024-2-76-83
Количество страниц: 6 с.
Pearson syndrome (PS) is a rare multisystem disease with predominant involvement of the hematopoietic organs, pancreas and liver, developing due to a defect in mitochondrial DNA. Most often, the first clinical manifestations of Pearson syndrome in the form of anemia of varying severity appear in the first year of life. The disease was first described in 1979 by Howard Pearson, who included in this syndrome sideroblastic anemia, vacuolation of hematopoietic progenitor cells in the bone marrow, exocrine pancreatic dysfunction, and early onset of the disease, usually before the age of 1 year. According to the literature, the incidence of Pearson syndrome is 1:5000. This article presents a clinical case of a boy diagnosed with Pearson syndrome at the age of 6 months. The child had pale skin from birth and a general blood test showed severe anemia. In the myelogram: Moderate increase in proliferation of the erythroid germ with impaired maturation, diserythro and dysmegakaryocytopoiesis, moderate monocytosis, ring-shaped sideroblasts 45 %. In a molecular genetic study: on DNA material isolated from the patient’s blood cells and urinary sediment using the polymerase chain reaction of very long fragments, the patient was analyzed for the presence of mitochondrial DNA deletions in the region where most of the major changes were described (m.6380-m. 16567). DNA isolated from the patient’s blood cells and urine sediment revealed a deletion of about 3000 bp. in a homoplasmic state. The boy also has neurological disorders. Currently, the child is admitted monthly to the oncology department of the pediatric center for replacement therapy with blood components. He has been observed by hematologists together with neurologists. He also receives chelation therapy and methylprednisolone therapy on an ongoing basis. For anticonvulsant purposes: vigabatrin. Symptomatic therapy, according to the recommendations of the federal center: Courses of Riboflavin, Tocopherol (vitamin E), Coenzyme Q, Succinic acid, L-carnitine, Thiamine.
Клинический случай синдрома Пирсона у ребенка в Республике Саха (Якутия) / О. В. Ядреева, Е. М. Харабаева, В. Б. Егорова [и др.] ; ГАУ РС (Я) "Республиканская больница N 1 им. М. Е. Николаева", Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки. - 2024. - N 2 (35). - C. 70-75. - DOI: 10.25587/2587-5590-2024-2-70-75
DOI: 10.25587/2587-5590-2024-2-70-75
Количество страниц: 8 с.
The article presents the results of a retrospective analysis of hemotransfusion complications according to the acts of official investigations of the commissions of the Ministry of Health that arose during the transfusion of blood components in hospitals of the Republic of Sakha (Yakutia) in the period 1991-2023. The structure, causes and outcomes of hemotransfusion complications are presented. The most common mistakes leading to the development of posttransfusion complications, up to a fatal outcome, were identified. It was found that in the vast majority of the cases, violations during hemotransfusion were observed in district hospitals (70.3 %). Hemotransfusion complications in 12 cases (44.4 %) were associated with of ABO-incompatible transfusion; in 7 (25.9 %) cases - with transfusion of media infected with infection transmitted by hemotransmissive route; in 4 (14.8 %) cases - with transfusion of Rh-factor-incompatible; and in 4 (14.8 %) cases - with transfusion of hemolysed erythrocyte-containing blood components. It was shown that the most common complications of transfusion occurred in surgical (37.1 %) and obstetric departments (29.6 %). In 22.2 % of the cases, complications were detected in therapeutic departments; in 11.1 % - in departments of anesthesiology, intensive care and intensive care. Complications developed more often with transfusion of erythrocyte suspension and were observed in 21 (77.7 %) patients. The occurrence of posttransfusion complications was timely detected in 17 (85 %) patients who received emergency medical care, which led to a successful outcome. In 3 cases, a fatal outcome was recorded, which accounted for 11.1 % of the total number of complications. The causes of hemotransfusion complications are more often non-compliance with the rules for determining the blood group and Rh-factor, as well as non-compliance with the rules for conducting blood compatibility tests of the donor and recipient provided for in the instructions on hemotransfusion; therefore, it was concluded that it is necessary to increase the knowledge and training of medical personnel on transfusion therapy.
Гемотрансфузионные осложнения в медицинских организациях Республики Саха (Якутия) / В. В. Ефремова, Л. А. Апросимов, Л. Е. Давыдова [и др.] ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки. - 2024. - N 2 (35). - C. 45-52. - DOI: 10.25587/2587-5590-2024-2-45-52
DOI: 10.25587/2587-5590-2024-2-45-52
Количество страниц: 6 с.
- Математика. Естественные науки > Общая биология. Антропология. Вирусология. Микробиология,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина > Инфекционные заболевания,
- НАУКА ЯКУТИИ > МАТЕМАТИКА. ЕСТЕСТВЕННЫЕ НАУКИ > Общая биология. Антропология. Вирусология. Микробиология,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Патология. Клиническая медицина > Инфекционные заболевания.
This article presents the results of studying the course of tuberculosis infection in children and adolescents who have suffered COVID-19 according to a study of ELISA with the presence of Ig G in the blood. The follow-up included 54 patients aged 2 to 16 years with local forms of tuberculosis who were treated in the inpatient conditions of the children’s department of the E.N. Andreev Scientific and Practical Center of Phthisiology from 2020 to 2022. The patients were divided into two groups: the first group – children who had suffered from COVID-19 according to the results of IgG in the blood – 17 patients; the second group – those who had not had COVID-19 with negative results in IgG blood – 37 patients. A comparative medical and social analysis revealed that children who had had COVID-19 had both social and medical risk factors, as well as a burdened epidemiological history, contact with adult patients with acute progressive and destructive forms of pulmonary tuberculosis. Methods of detecting the tuberculosis process in the first group, 88 % of children were detected by contact, 6 % by treatment, 6 % by immunodiagnostics; in the second group, 51 % by contact, 8 % by treatment and 41 % by immunodiagnostics of the patients. In the study of the tuberculosis process in children of the first group, the infiltration phase was recorded in 80 % patients in the reverse development phase: resorption– 10 % and in the calcification phase – 10 %. In the second group, the infiltration phase was in 50 % of children, the resorption phase was in 14 %, and the calcification phase was in 36 % of patients. It should be noted that the effect of a previously transmitted new coronavirus infection on the course and outcomes of the tuberculosis process was not revealed, no correction of chemotherapy was required, and there was no need to increase the duration of treatment.
Гуляева, Н. А. Течение туберкулеза у детей и подростков, перенесших COVID-19 в условиях Якутии / Н. А. Гуляева, К. Р. Мигалкина, С. С. Саввина ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки. - 2024. - N 2 (35). - C. 30-35. - DOI: 10.25587/2587-5590-2024-2-30-35
DOI: 10.25587/2587-5590-2024-2-30-35
Количество страниц: 8 с.
- Математика. Естественные науки > Астрономия. Астрофизика. Исследование космического пространства. Геодезия,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Управление предприятиями. Организация производства, торговли и транспорта,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Управление предприятиями. Организация производства, торговли и транспорта,
- НАУКА ЯКУТИИ > МАТЕМАТИКА. ЕСТЕСТВЕННЫЕ НАУКИ > Астрономия. Астрофизика. Исследование космического пространства. Геодезия.
A spatial analysis of intra-regional transport accessibility of settlements in the Arctic districts of the Sakha Republic (Yakutia) by GIS is an urgent task and can become a necessary support for the processes of decision-making and planning of sustainable development of these territories. The purpose of the study is to perform a spatial analysis of intra- regional transport accessibility of settlements in remote Arctic regions of Yakutia on the example of Anabarsky and Nizhnekolymsky districts. On the basis of the GIS network analysis and calculated coe cients of density of the transport network, the assessment of transport accessibility of the study areas according to winter and summer scenarios was carried out. The automobile and river networks were built on the basis of data from open cartographic sources: OpenStreetMaps and Google Earth Engine, the atlas of highways of the Sakha Republic (Yakutia). On the basis of satellite images of Landsat 5, 8 and Sentinel 2, non- o cial (informal) roads that play an important role in communications between settlements were decrypted and digitized. QGIS and ArcGIS programs were used to perform network analysis and build a map of time availability of the settlements using isochronous method. The created maps clearly show the availability of settlements by time interval. The conducted research made it possible to determine that remote sensing and geoinformation systems are key tools for a spatial analysis of transport infrastructure. Using this tools, it is possible to conduct network analysis of various levels of complexity, as well as build graphs of the transport network, greatly simplifying the counting procedure. The paper tested a method that allows to identify uno cial roads in the Arctic, and the presented methods of GIS analysis and modeling that can be used for further deeper network analytics and graph theory to improve the methodology for studying the transport accessibility of the Republic of Sakha (Yakutia).
Обутов, К. А. Пространственный анализ внутрирайонной транспортной доступности с использованием сетевого ГИС-анализа (на примере Анабарского и Нижнеколымского улусов) / К. А. Обутов, А. Н. Саввинова ; Северо-Восточный федеральный университет им. М. К. Аммосова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Науки о земле. - 2023. - N 4 (32). - C. 111-118. - DOI: 10.25587/2587-8751-2023-4-111-118
DOI: 10.25587/2587-8751-2023-4-111-118
Количество страниц: 9 с.
The article describes a case of the development of a severe form of bronchopulmonary dysplasia in a premature newborn. Globally, about 15 million children are born prematurely every year. On average, it is every tenth child. In Russia, more than 110 thousand children are born prematurely every year, which is about 5.7 % of all newborns per year. [8] This confirms the relevance of the chosen topic. The ABS test falls under the category of express studies, since its parameters change rapidly with any shifts in the patient’s condition (respiratory indicators, body temperature, physical activity, kidney function, etc.). [9] The study of blood pH revealed subcompensated metabolic acidosis, confirming the literature data. The gas composition of the blood varied from hypocapnia to hypercapnia, which indicated a severe degree of respiratory failure with a picture of hypoventilation of the lungs in premature newborns. The revealed decrease in electrolytes was associated with diuretic and steroid therapy used for the patients with bronchopulmonary dysplasia. Due to prematurity, compensatory mechanisms were insufficient to maintain homeostatic parameters (pH, gas and electrolyte composition of blood). When conducting oxygen therapy with a ventilator, it is necessary to be guided by the dynamics of ABS tests to calibrate the parameters of the device and adjust infusion therapy.
Динамика изменения параметров кислотно-основного состояния как основной метод контроля лечения при бронхолегочной дисплазии (на примере клинического случая) / Алексеева С. Н., Макарова А. В., Капитонова А. И. [и др.] ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия "Медицинские науки". - 2024. - N 1 (34). - C. 5-13. - DOI: 10.25587/2587-5590-2024-1-5-13
DOI: 10.25587/2587-5590-2024-1-5-13
Количество страниц: 7 с.
Хафизова, А. М. Когнитивные нарушения при наследственных атаксиях (обзор литературы) / Хафизова А. М., Давыдова Т. К., Варламова М. А. ; Якутский научный центр комплексных медицинских проблем // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия "Медицинские науки". - 2024. - N 1 (34). - C. 49-55. - DOI: 10.25587/2587-5590-2024-1-49-55
DOI: 10.25587/2587-5590-2024-1-49-55
Количество страниц: 8 с.
Smoking and vaping are common bad habits, especially among young people. Studying this phenomenon among students is important for developing programs to prevent smoking initiation and help in quitting it. These programs can help improve youth health and reduce the risk of serious illnesses. Purpose: to study the prevalence of smoking traditional cigarettes and electronic cigarettes (including vaping) among 1st-year students of the Ammosov North-Eastern Federal University. The study covered 152 1st-year students of one of the educational departments of the North-Eastern Federal University aged 17 to 30 years (average age 20.62±2.97). A data analysis was performed using the IBM SPSS Statistics software package. A comparison of two groups according to a quantitative indicator with a normal distribution, provided that variances were equal, was performed using Student’s t-test. The share of non-smoking respondents slightly prevailed - 61.8 % (94). The proportion of smokers was 39.2 % (58), of which 35 women (60.34 %), 23 men (39.65 %), the average age of women and men was 20.6 ± 3.03 and 20.65 years, respectively. The smoking experience in men was significantly higher: the average smoking experience in men was 6.48±5.18 years, in women -3.17±2.53 (p=0.002). Thus, men started smoking on average at 14.17±3.96 years, women - at 17.43±3.62 (p=0.002). The smoking index ranged from values close to zero to 7.2 pack/years (mean value - 1.23±1.62 pack/years). The results showed that the majority of respondents noted an increased desire to smoke in a state of stress - 40 (69 %), shortness of breath - 30 (51.7 %), skin problems - 26 (44.8 %), fatigue - 25 (43.1 %), gastrointestinal disorders - 16 (27.6 %), “lump” in the throat - 15 (25.9 %), cough - 22 (37.9 %), frequent headaches 20 (34.5 %), blurred vision - 14 (24.1 %), and attacks of suffocation - 5 (8.6 %). None of the symptoms were noticed in 6 out of 58 (10 %) respondents. The majority of students who combine smoking with vaping do not plan to give up the bad habit (73.07 %), students smoking traditional cigarettes also showed a high percentage of adherence to the bad habit, with 50 % not planning to give up smoking. Thus, this study highlights the need to develop programs to prevent smoking initiation and help to quit among students, which can help improve the health of young people and reduce the risk of serious diseases.
Распространенность курения среди студентов СВФУ / Соловьева Ю. А., Трифонова Е. Н., Романова А. А. [и др.] ; Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. - 2024. - N 1 (34). - C. 62-69. - DOI: 10.25587/2587-5590-2024-1-62-69
DOI: 10.25587/2587-5590-2024-1-62-69