In terms of anthropogenic impact of mining and processing enterprises, the adjacent territories are contaminated by upstream tailings dams. The contamination is developed by active seepage of liquid waste through the body of the dams. The authors have analyzed water balance at the Kachkanar Mining and Processing Plant tailings dump (Russia, Ural Region). The company develops vanadium-containing titanium-magnetite iron ores with low ore (15%). This, along with high productivity, has determined the formation of a large number of tailings and significant amount of wastewater. The purpose of the studies is to substantiate the need to manage the seepage discharge process by means of enclosing dams to ensure environmentally safe operation of the tailings dump. The research objectives included field measurements of seepage volumes, their evaluation by computational methods and analysis of anthropogenic geochemical load on natural waters. The obtained results show an increase in seepage discharge volume from 41.91 million m3 (in 2017) to 81.44 million m3 (in 2026) as the height of the dams increases. These losses will lead to water shortages in the enterprise’s water recycling system. Calculation of pollutants in wastewater with the exception of natural component showed the leading role of technogenic factor in the content of Ti (up to 84%), V (up to 96%), Co (up to 86%) and Mo (up to 93%). Increasing the volume of seepage discharge will lead to an increase in natural water pollution within the area. Ecologically efficient management of the enterprise’s water balance is ensured by the use of tailings thickening technology and implementation of closed water supply systems.
There is a high incidence of the comorbid non-psychotic anxiety disorders in oncology patients. The choice of psychopharmacological treatment for this group of patients is a difficult task needing consideration of the complex of clinical psychosocial factors, peculiarities of the tumor process course, illness prognosis and pharmacological interactions. The article proposes the anxiolytic therapy algorithm, describes the psychopharmacological treatment in the framework od the complex healthcare services and oncology illnesses rehabilitation.
IntroductionAnalytical-cathartic therapy (ACTA), a modern model of psychotherapy, the theoretical basis of which is the psychology of relations of V.N. Myasishchev. ACTA is intended for the treatment of emotional disorders; the study of the dynamics of clinical and pathopsychological characteristics has not been previously conducted.ObjectivesTo assess the dynamics of the clinical and pathological characteristics of patients with neurotic disorders, in whose clinical picture anxiety syndrome predominated, in the process of an individual ACTA.MethodsA specially designed semi-structured interview, HARS, and the CGI (CGI-S - disease severity, CGI-I - improvement dynamics). The study group (N = 90) included patients with neurotic disorders, whose clinical picture was dominated by anxiety syndromeAKTA course 12 sessions 3 times a week for 60 minutes. Psychopharmacotherapy during the period of psychotherapeutic treatment in patients was not carried out.ResultsThe study of ACTA was carried out before, after treatment and in the follow-up.The overall decrease in the HARS score was 73.8% - the high success of the therapy in relation to the reduction of anxiety. On the CGI-I scale - improvement from minimal to significant. On the CGI-S scale, no more than mild disease severity (p <0.01). The change in the CGI scale also indicates the success of the therapy.ConclusionsAs a result of the study, clinical indicators were determined, on the basis of changes in which in dynamics the success of the treatment can be assessed. ACTA allows to clearly reduce anxiety and improve the general condition of patients with neurotic disorders.DisclosureNo significant relationships.
The concept of a personalized approach is becoming more and more popular in modern medicine. Today it is often understood as a multidisciplinary approach designed to improve therapeutic options, as well as help diagnose diseases at an early stage. In a cardiac surgery clinic, such an approach can take into account not only biological, but also psychological risk factors for the disease, especially its history, clinical condition, mental and psychological status to create an individual route within the framework of medical and psychological support for the patient at the stages of treatment and rehabilitation. The aim of the work was to develop, based on the analysis of the literature and the authors' own work experience, the organizational and psychological foundations for the implementation of a personalized approach in medical and psychological support of cardiac patients. The fundamental principles of support in the work include the following: the principle of accessibility, the principle of openness, the principle of continuity, the principle of complexity, the principle of integrativity, the principle of differentiation, the principle of variability, the principle of participativeness, the principle of awareness, the principle of prevention. In the process of medical and psychological support of cardiac surgical patients within the framework of a personalized approach, the most optimal was the identification of the following clinical stages, different in duration and content, corresponding to the periods of outpatient and inpatient treatment and rehabilitation of patients: preoperative outpatient, preoperative inpatient, early postoperative, postoperative inpatient, postoperative rehabilitation and rehabilitation outpatient stages. For each of the clinical stages of medical and psychological support, a differentiation of goals, objectives, duration and expected results of the impact was carried out, which makes it possible to personalize the programs for accompanying a cardiac patient and individualize the route for each patient, taking into account the specificity and relevance of the influence of biologi cal, psychological and social factors.
In the article the main approaches to interregional cooperation in the investment area are analyzed. The article emphasizes the need to intensify efforts to build interregional links in order to achieve the common goals and objectives of social and economic development of the regions that are facing each of the constituent entities of the Russian Federation. It is suggested to analyze the values of the main indicators of the development of territories not only as a separate region, but also in terms of their influence and contribution to the development of the macroregion. During the study the current situation in the regions of the Russian Federation (by federal districts) was assessed. Such methods of research as analysis and comparison of key social and economic indicators together with legal acts of some regions of Russia were applied. At the same time, the paper touches upon international experience in the development and implementation of successful projects in the framework of “mega-regions”. Besides, the practice of interregional projects realization in Russia is being assessed. The main purpose of the work is to study the management of the region’s development through a set of measures used in the territory of a single constituent entity of the Russian Federation alongside with taking into account the possibilities for interregional cooperation, which are provided by the macro-region. The expediency of making changes to the existing laws and regulations, as well as the introduction of platforms of digital technologies for the coordinated management and development of the regional economy, is mentioned. As a result, it is suggested to strengthen the overall work to achieve the key goals and objectives of the regions through interregional cooperation, including the creation of joint investment agencies, the formation of a legislative framework, as well as a platform for the development of joint proposals and their promotion to the federal level.
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