Provision of medical abortion by midlevel healthcare providers in Kyrgyzstan: testing an intervention to expand safe abortion services to underserved rural and periurban areas.

Objective: To demonstrate the feasibility and safety of training midlevel healthcare providers (midwives and family nurses) to provide medical abortion and postabortion contraception in underserved areas in Kyrgyzstan.

Study Design: This was an implementation study at four referral facilities and 28 Felsher Obstetric Points in two districts to train their midwives and family nurses to deliver safe and effective abortion care with co-packaged mifepristone-misoprostol and provide contraceptives postabortion. The outcome of abortion - complete abortion, incomplete abortion or o-going pregnancy - was the primary end point measured.

[Neurophysiological features in epileptic patients with affective disorders].

The paper presents an analysis of autonomic regulation and spectral EEG structure in 70 epileptic patients with affective disorders in period between the fits. It was found that activity of the sympathetic link was elevated, activity of the parasympathetic link was decreased in such patients especially in cases with partial visceral-autonomic fits. EEG mapping revealed elevation of the spectral power of density (SPD) of alpha-diapason with a simultaneous decrease of 8-9 Hz frequency as well as different location of alpha-rhythm's focus in the patients as compared with healthy individuals.

[The pharmacokinetic characteristics of fenazepam in epileptics].

Testing the injectable dosage form of phenazepam showed no substantial pharmacokinetic differences in epileptic patients receiving a single intravenous and intramuscular doses of 2 mg. The bioavailability of the drug was 0.82.