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Natural and medical sciences

Medicine

KANET: application in ultrasonography and challenges of protocoling

Abstract

KANET is an abbreviation that stands for Kurjak Antenatal Neurobehavioral Test, the test of antenatal neurologic development proposed by A. Kurjak. KANET is widely used for the differentiated assessment of the fetus during a normal and high-risk pregnancy. The test helps to identify antenatal deviations in the development of the central nervous system of the fetus. The authors describe their experience of doing the test and offer a new technique of the KANET automated protocoling.

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The role of the family physician in the implementation of the interdisciplinary approach to specialized primary dental care

Abstract

The article examines the role of the family physician in the implementation of the interdisciplinary approach to primary specialized dental care. The authors use SWOT analysis as the main research method, which allows them to determine the feasibility of introducing the interdisciplinary approach. Delegating some of the advisory and diagnostic functions to a general practitioner (family doctor) has its strengths and weaknesses. It has risks of reducing the quality of primary and secondary dental care. However, this approach provides new opportunities for early diagnosis of dental as well as many systemic diseases. In general, this approach helps minimize the volume and cost of primarily dental care in low-mobility elderly and senile age groups.

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Epidemiology of tuberculosis in the Kaliningrad region

Abstract

The article considers the epidemiological situation of tuberculosis in the Kaliningrad region for the period 2008—2015. The author analyzes annual reports for the last eight years. Main tendencies in the TB dynamics show a decrease in TB mortality and prevalence. Alongside with this, the number of patients having multi-drug resistance and recurrent patients having bacterial excretion have been increasing. The assessment of the endemic stage was done using a diagnostic algorithm proposed by I. M. Son (2002). The obtained results characterize the epidemiological situation in the region as stable. The author concludes that further monitoring of the epidemiological indicators is required. To confirm the objectivity of the obtained results the author assesses the validity of the basic TB indicators.

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Assessment of the functional and dynamic state of the autonomic nervous system and the regulation of the tone of the peripheral blood vessels of the upper extremities

Abstract

Research into the functional and dynamic state of the vegetative nervous system, namely the autonomic tone and reactivity, makes it possible to single out groups of sympaticotonics and vagotonics. Using the Doppler flowmetry method, the author identifies significant indicators of microcirculation in the peripheral blood vessels of the upper extremities.

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Socio-economic development of the Kaliningrad region

The development of the industrial port complex of the Kaliningrad region

Abstract

Socio-economic development of the Kaliningrad region requires new scenarios and ways of functioning of the regional economy. Based on recent regional studies, the author proposes to resume the discussion of alternative strategies for the development of the Kaliningrad region. One of the most promising ideas is the marine economic strategy proposed V. V. Ivchenko. On the basis of this strategy, the author defines various possibilities of establishing an industrial port complex in the region. The main goal of the work is the analysis of the dynamics of the modern fishing industry and the infrastructural development of the seaport of Kaliningrad. The author attempts to assess the current potential of the regional port infrastructure and the fishing industry of the region as well as highlights the most important mechanisms for the further development of the port as a part of industrial port complex.

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The implementation of the federal economic policy in the Kaliningrad region

Abstract

Coherent federal economic policy is one of the most important tools for an effective social and economic development of such a unique region as Kaliningrad. The article describes the main stages of its formation over several decades and offers an assessment of the activities of the federal government. The author highlights the main challenges associated with the new political and economic reality that the region faces now.

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