Kyiv Perinatal Center: Let pregnancy become motherhood

2020 ◽  
pp. 48-53
Author(s):  
O.S. Zahorodnya ◽  
◽  
V.V. Bila ◽  
Y.O. Yarotska ◽  
O.I. Klyushanova ◽  
...  

The article presents the experience of the project on physical and psychological recovery of families after reproductive losses. The concept of fetal loss syndrome was chosen as a principle of the project, which provides both common pathogenetic mechanisms of early and late miscarriage, spontaneous and induced premature birth, which lead to neonatal death, and similar mechanisms of psychological experience of reproductive loss due to the lack of formed connection between parents and child. The main etiological factors of miscarriage, the principles of their diagnosis and the applied algorithm of treatment are considered. In particular, a detailed description of the role of progesterone deficiency in the mechanisms of miscarriage and severe obstetric complications is given, the debatability of the effectiveness of unjustified prescribing of exogenous progesterone, both from a molecular and epidemiological point of view. Attention is paid to thrombophilias of various origins, which is currently one of the recognized factors of miscarriage. The results of the project are presented, which include more than 20 meetings held in 3 years, as a result of which 20 couples were planned to have the next pregnancy and its observation. All 20 cases were completed in the Perinatal Center by timely delivery with the birth of a living healthy child, so all pregnancies became maternity. Keywords: Kyiv Perinatal Center, miscarriage, reproductive losses, pregnancy, thrombophilia, progesterone deficiency, psychology.

Author(s):  
I.B. Manukhin , N.F. Kuneshko , G.M. Turgunova et all

Objective. Defining the role and frequency of acquired and genetic thrombophilia in the genesis of fetal loss syndrome. Methods. 49 pregnant women with a syndrome of reproductive losses and 27 pregnant women with normal reproductive function were examined. The identification of genetic forms of thrombophilia was performed by the method of molecular genetic analysis in 3 phases. Results. In 31 pregnant women of the main group (63,3 %) and 9 pregnant women in the control group (33,3 %) were the presence of acquired, genetically determined or multigeneration. Conclusion. Our analysis of clinical material showed a high frequency of complications and outcomes of pregnancy in women with thrombophilia and fetal loss syndrome and a possibility to avoid the above complications and poor pregnancy outcomes.


Author(s):  
Е.С. Коростелева ◽  
О.Ю. Иванова ◽  
М.В. Хруслов ◽  
Н.А. Пономарева

Введение. Тромбогенные мутации и полиморфизмы являются этиопатогенетическим триггером репродуктивных потерь и осложнений беременности: синдрома задержки внутриутробного роста плода, преэклампсии, преждевременной отслойки нормально расположенной плаценты. Имплантация, инвазия трофобласта и дальнейшее функционирование плаценты объективно нарушаются в случае генетических дефектов свертывания. Цель исследования: оценка распространенности, роли врожденных тромбогенных мутаций и полиморфизмов и их сочетаний в генезе синдрома потери плода у женщин Курской области за 20122017 гг. Материалы и методы. Изучена клиникоанамнестическая характеристика, морфология плаценты, распространенность полиморфизма генов фолатного цикла и системы гемостаза у женщин, проживающих на территории Курской области, с синдромом потери плода: один или более самопроизвольных выкидышей или неразвивающихся беременностей на сроке 10 и более недель мертворождение неонатальная смерть 3 и более самопроизвольных выкидыша до 8 нед эмбрионального развития. Результаты. Наше исследование показало, что у женщин данного региона с ранними потерями беременности практически в 60 наблюдений выявлено 3 и более тромбогенных полиморфизмов, преимущественно генов фолатного цикла (р 0,001). Для пациенток с репродуктивными потерями во второй половине беременности характерно наличие 2 полиморфизмов, в основном, генов фолатного цикла и ингибитора активатора плазминогена 1 (р 0,001). Заключение. Необходима разработка индивидуальных подходов к тактике ведения женщин с синдромом потери плода в Курской области. Introduction. Thrombophilic mutations and polymorphisms are ethiopathological triggers of reproductive losses and pregnancy complications: intrauterine growth restriction, preeclampsia, premature abruption of normally located placenta. Implantation, trophoblast invasion and further placental functioning are objectively impaired in the presence of genetic coagulation defects. Aim: to assess the prevalence and role of congenital thrombogenic mutations and polymorphisms and their combinations in the genesis of fetal loss syndrome in women of Kursk region for 20122017. Materials and methods. We studied clinical and anamnestic characteristic, placental morphology, prevalence of genetic polymorphisms in folate cycle and hemostasis in women with fetal loss syndrome (one or more spontaneous miscarriages or undeveloped pregnancies for 10 or more weeks stillbirth neonatal death 3 or more spontaneous miscarriages up to 8 weeks of embryonic development) in Kursk region. Results. Our study showed that 3 and more thrombophilic polymorphisms (mainly genes of the folate cycle) were revealed in 60 women with early pregnancy losses in this region (р 0,001). The presence of 2 polymorphisms (mainly genes of the folate cycle and plasminogen activator inhibitor 1) were characteristic of patients with reproductive losses in the second half of pregnancy (р 0,001). Conclusion. It is necessary to develop individual approaches to the management of women with fetal loss syndrome in Kursk region.


Author(s):  
N.V. Belov ◽  
U.I. Papiashwili ◽  
B.E. Yudovich

It has been almost universally adopted that dissolution of solids proceeds with development of uniform, continuous frontiers of reaction.However this point of view is doubtful / 1 /. E.g. we have proved the active role of the block (grain) boundaries in the main phases of cement, these boundaries being the areas of hydrate phases' nucleation / 2 /. It has brought to the supposition that the dissolution frontier of cement particles in water is discrete. It seems also probable that the dissolution proceeds through the channels, which serve both for the liquid phase movement and for the drainage of the incongruant solution products. These channels can be appeared along the block boundaries.In order to demonsrate it, we have offered the method of phase-contrast impregnation of the hardened cement paste with the solution of methyl metacrylahe and benzoyl peroxide. The viscosity of this solution is equal to that of water.


2009 ◽  
pp. 4-27
Author(s):  
A. Cohen ◽  
G. Harcourt

The article written by the well-known theorists and historians of economic thought contains a detailed overview of the Cambridge capital controversy, which had raged from the mid-1950-s through the mid-1970-s. The authors track the origins of the controversy and cover arguments of both sides in chronological order. From their point of view, the discussion hasnt been resolved, and its main underlying aspects were ideological beliefs and fundamental methodological controversies on the nature of equilibrium and on the role of time in economic theory. The article is published with comments written by other leading theoreticians.


2019 ◽  
pp. 22-29
Author(s):  
Н. В. Фрадкіна

The purpose and tasks of the work are to analyze the contemporary Ukrainian mass culture in terms of its value and humanistic components, as well as the importance of cultural studies and Ukrainian studies in educational disciplines for the formation of a holistic worldview of modern youth.Analysis of research and publications. Scientists repeatedly turned to the problems of the role of spirituality in the formation of society and its culture. This problem is highlighted in the publications by O. Losev, V. Lytvyn, D. Likhachev, S. Avierintsev, M. Zakovych, I. Stepanenko and E. Kostyshyn.Experts see the main negative impact of mass culture on the quality approach, which determines mass culture through the market, because mass culture, from our point of view, is everything that is sold and used in mass demand.One of the most interesting studies on this issue was the work by the representatives of Frankfurt School M. Horkheimer and T. Adorno «Dialectics of Enlightenment» (1947), devoted to a detailed analysis of mass culture. Propaganda at all socio-cultural levels in the form is similar in both totalitarian and democratic countries. It is connected, according to the authors, with the direction of European enlightenment. The tendency to unify people is a manifestation of the influence of mass culture, from cinema to pop. Mass culture is a phenomenon whose existence is associated with commerce (accumulation in any form – this is the main feature of education), in general, the fact that it exists in this form is related to the direction of the history of civilization.Modern mass culture, with its externally attractive and easily assimilated ideas and symbols, appealing to the trends of modern fashion, becomes a standard of prestigious consumption, does not require intense reflection, allows you to relax, distract, not teach, but entertains, preaches hedonism as the main spiritual value. And as a consequence, there are socio-cultural risks: an active rejection of other people, which leads to the formation of indifference; cruelty as a character trait; increase of violent and mercenary crime; increase in the number of alcohol and drug addicts; anti-patriotism; indifference to the values of the family and as a result of social orphanhood and prostitution.Conclusions, perspectives of research. Thus, we can conclude that modern Ukrainian education is predominantly formed by the values of mass culture. Namely, according to the «Dialectic» by Horkheimer and Adorno, «semi-enlightenment becomes an objective spirit» of our modern society.It is concluded that only high-quality education can create the opposite of the onset of mass culture and the destruction of spirituality in our society. It is proved that only by realizing the importance of cultivating disciplines in the educational process and the spiritual upbringing of the nation, through educational reforms, humanitarian knowledge will gradually return to student audiences.Formation of youth occurs under the influence of social environment, culture, education and self-education. The optimal combination of these factors determines both the process of socialization itself and how successful it will be. In this context, one can see the leading role of education and upbringing. It turns out that the main task of modern education is to spread its influence on the development of spiritual culture of the individual, which eventually becomes a solid foundation for the formation of the individual. Such a subject requires both philosophical and humanitarian approaches in further integrated interdisciplinary research, since the availability of such research will provide the theoretical foundation for truly modern educational and personal development.


2020 ◽  
pp. 75-79
Author(s):  
R. M. Gambarova

Relevance. Grain is the key to strategic products to ensure food security. From this point of view, the creation of large grain farms is a matter for the country's selfsufficiency and it leading to a decrease in financial expense for import. Creation of such farms creates an abundance of productivity from the area and leads to obtaining increased reproductive seeds. The main policy of the government is to minimize dependency from import, create abundance of food and create favorable conditions for export potential.The purpose of the study: the development of grain production in order to ensure food security of the country and strengthen government support for this industry.Methods: comparative analysis, systems approach.Results. As shown in the research, if we pay attention to the activities of private entrepreneurship in the country, we can see result of the implementation of agrarian reforms after which various types of farms have been created in republic.The role of privateentrepreneurshipinthedevelopmentofproduction is great. Тhe article outlines the sowing area, production, productivity, import, export of grain and the level of selfsufficiency in this country from 2015 till 2017.


2019 ◽  
Vol 16 (2-3) ◽  
pp. 161-179
Author(s):  
Outi Paloposki

The article looks at book production and circulation from the point of view of translators, who, as purchasers and readers of foreign-language books, are an important mediating force in the selection of literature for translation. Taking the German publisher Tauchnitz's series ‘Collection of British Authors’ and its circulation in Finland in the nineteenth and early twentieth century as a case in point, the article argues that the increased availability of English-language books facilitated the acquiring and honing of translators' language skills and gradually diminished the need for indirect translating. Book history and translation studies meet here in an examination of the role of the Collection in Finnish translators' work.


2005 ◽  
Vol 55 (2) ◽  
pp. 201-221 ◽  
Author(s):  
Andrea Szalavetz

This paper discusses the relation between the quality and quantity indicators of physical capital and modernisation. While international academic literature emphasises the role of intangible factors enabling technology generation and absorption rather than that of physical capital accumulation, this paper argues that the quantity and quality of physical capital are important modernisation factors, particularly in the case of small, undercapitalised countries that recently integrated into the world economy. The paper shows that in Hungary, as opposed to developed countries, the technological upgrading of capital assets was not necessarily accompanied by the upgrading of human capital i.e. the thesis of capital skill complementarity did not apply to the first decade of transformation and capital accumulation in Hungary. Finally, the paper shows that there are large differences between the average technological levels of individual industries. The dualism of the Hungarian economy, which is also manifest in terms of differences in the size of individual industries' technological gaps, is a disadvantage from the point of view of competitiveness. The increasing differences in the size of the technological gaps can be explained not only with industry-specific factors, but also with the weakness of technology and regional development policies, as well as with institutional deficiencies.


Author(s):  
Oksana Galchuk

The theme of illegitimacy Guy de Maupassant evolved in his works this article perceives as one of the factors of the author’s concept of a person and the plane of intersection of the most typical motifs of his short stories. The study of the author’s concept of a person through the prism of polivariability of the motif of a bastard is relevant in today’s revision of traditional values, transformation of the usual social institutions and search for identities, etc. The purpose of the study is to give a definition to the existence specifics of the bastard motif in the Maupassant’s short stories by using historical and literary, comparative, structural methods of analysis as dominant. To do this, I analyze the content, variability and the role of this motive in the formation of the Maupassant’s concept of a person, the author’s innovations in its interpretation from the point of view of literary diachrony. Maupassant interprets the bastard motif in the social, psychological and metaphorical-symbolic sense. For the short stories with the presentation of this motif, I suggest the typology based on the role of it in the structure of the work and the ideological and thematic content: the short stories with a motif-fragment, the ones with the bastard’s leitmotif and the group where the bastard motif becomes a central theme. The Maupassant’s interpretation of the bastard motif combines the general tendencies of its existence in the world’s literary tradition and individual reading. The latter is the result of the author’s understanding of the relevant for the era issues: the transformation of the family model, the interest in the theory of heredity, the strengthening of atheistic sentiments, the growth of frustration in the system of traditional social and moral values etc. This study sets the ground for a prospective analysis of the evolution the bastard motif in the short-story collections of different years or a comparative study of the motif in short stories and novels by Maupassant.


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