Others do not play a significant role. Consciousness does not play a significant role in human behavior? Problematic forms of relationships with peers

Agglutination occurs with all interactions except: 2. A+b

Agglutinins α and β are included in the following components of the blood: 4 . plasma

Agglutinogens A and B are found in: 3.erythrocytes

Agranulocytosis is characterized by: 4. absence or significant decrease in the absolute number of all types of granulocytes

The activity of the fibrinolytic system is assessed by: 5. determination of antithrombin III

Alimentary factor that increases the peptic activity of gastric juice: 5.frequent consumption of meat food

Arrhythmias are the result of a violation of the properties: 4) their combined disorders

Arterial hypotension can develop when: 3.heart failure

Arterial hypertension is divided depending on: 5) all of the above is correct

Atrioventricular blockade of the III degree is characterized by: 5) complete separation of the atrial and ventricular rhythms

Paleness and decrease in skin temperature in patients with congestive heart failure is associated with: 3. increased tone of the sympathetic nervous system

Depending on the minute volume of the heart, arterial hypertension is: 2.hyper- and eukinetic

In protecting the gastric mucosa from acid-peptic aggression of gastric juice plays a role: 2.bicarbonate secretion

Excess cAMP accumulates in cardiomyocytes as a result of: 5) a decrease in K-ATPase of the plasma membrane

The blood of the second blood group contains: 3. A-agglutinogen and b-agglutinin

The blood of the third blood group contains: 2. agglutinogen B and agglutinin a

The blood of the fourth group contains: 2. agglutinogens A and B

In the mechanism of platelet-vascular hemostasis, the following is important: 1. adhesion, aggregation of platelets and their release of biologically active substances (thromboxane-A2, etc.)

The Frank-Starling compensatory mechanism is based on: 1.increase in cardiac tension in response to myocardial tension

In the pathogenesis of leukemia, the formation of a malignant autonomous cell clone is of decisive importance: formation of malignant genes or activation of oncogenes in stem cells of the 11-111 order

In the pathogenesis of edema in congestive heart failure is important: 4.increased levels of aldosterone and vasopressin in the blood

In the pathogenesis of peptic ulcer of the stomach, the mechanism does not play a significant role: 2.reduction of parasympathetic influences on the gastric mucosa

In the pathogenesis of primary arterial hypotension, it does not matter: 1. damage to the adrenal cortex, accompanied by a decrease in glucocorticoids

In the pathogenesis of sinus (respiratory) arrhythmia, 1) the formation of an ectopic focus of impulsation 2) fluctuations in vagal tone

In the pathogenesis of sinus bradycardia is important 1) slowing down spontaneous depolarization of the membrane of cardiomyocytes

The first blood group contains: 4. a- and b-agglutinins, agglutinogens A and B are absent

In the first phase of coagulation hemostasis occurs: 5.formation of prothrombinase

As a result of the second phase of coagulation hemostasis, the following occurs: 5 . thrombin formation

Mast cells and basophils produce an active anticoagulant: 2. heparin

An important difference between hypertension and other arterial hypertension is: 5. occurs against the background of the absence of significant organic lesions of the internal organs involved in its regulation

Substances that block the various phases of blood coagulation are called: 4.anticoagulants

Extraintestinal manifestation of enteritis: 2.significant reduction in body weight

Possible cause of arterial hypotension: 2) hypohydration of the body

A possible cause of intestinal autointoxication can be: 5.acholia

A possible cause of left ventricular failure is: 1.infarction of the lateral wall of the left ventricle

A possible cause of right ventricular failure may be: 1.ventricular septal defect

A possible consequence of chronic arterial hypertension may be: 5.All listed

Possible reasons for a decrease in the secretory activity of the pancreas are: 1.decrease in the production and secretion of secretin

The occurrence of steatorrhea is caused by the following digestive disorders: 3. insufficiency of the synthesis of intestinal lipases

Absorption of certain vitamins is significantly impaired in acholia: 2. vitamin B2

Is it always possible to detect blast forms in peripheral blood in leukemia?? 2) no

Select manifestations that characterize the erectile phase of shock: 2) arterial hypotension

The release of leukocytes from the depot leads to distributive leukocytosis with: 1. excitation of the vagus nerve

There are the following types of pathological leukocytosis: 2.traumatic

There are the following types of neutrophil shift to the right: degenerative

There are the following forms of essential arterial hypertension: 5) all of the above is correct

Hematomas are typical for: 4. deficiency of plasma factors

Hemodynamics in heart failure is characterized by: 1.increased venous pressure

1. increase the sensitivity of adrenoreceptors to pressor factors

Hypernatremia contributes to the development of arterial hypertension through: 3.increasing the vasomotor component of vascular tone

Hyper-regenerative shift to the left manifests itself: 2. an increase in the total number of leukocytes 20-25 x10 / 9

Hypersecretion in the small intestine occurs as a result of: 2.excess production of gastrin

Hyposecretion (ahiliya) is the cause of insufficient absorption of ions: 2.iron

Hyposecretion and achilia in the stomach is most often observed with: 4.atrophic gastritis

Hypotension is characterized by: 2) a decrease in vascular tone

The hormonal mechanism that provides an increase in vascular tone in heart failure is: 1. release of mineralocorticoids

The hormonal mechanism that provides an increase in vascular tone in heart failure is: 3.activation of the cortico-hypothalamic-pituitary system

Humoral factor that inhibits gastric motility: 4.serotonin

Humoral factor that enhances gastric motility include: 2.gastrin

ActionHelicobacterpylorion the mucosa is determined: 1.production of urease

dissociation with interference is: 4) a decrease at rest in the frequency of generation of excitation impulses by the sinus-atrial node below the norm with the same intervals between them

Esophageal dysfunction is characterized by: 4. difficulty in passing food through the esophagus to the stomach

Diffuse spasm of the esophagus is characterized by: 3. contraction of the smooth muscles of all parts of the esophageal wall while maintaining the tone of the lower sphincter

Which of the following diseases is characterized by pancytosis (an increase in the content of erythrocytes, leukocytes and platelets in the blood)? erythremia (Wakez disease);

Left ventricular failure is characterized by the following manifestations: 4.decreased cardiac output

The leukemoid reaction is characterized by: 1. a significant increase in the number of mature forms of leukocytes

For acute leukemia in the expanded stage in the peripheral blood are characterized by: a sharp shift of the formula to the left and leukemoid failure

For pancreatic achilia is not typical: 1.bulimia

Paroxysmal atrial tachycardia is characterized by: 3. Heart rate exceeds 250/min

For the course of all phases of hemocoagulation, the participation of ions is necessary: 4. calcium

For disorders of intestinal digestion with insufficient or complete cessation of the flow of bile into the intestine is not typical: 2. Acceleration of digestion and absorption of fats

The regenerative shift to the left is characterized by: 3.increased segmented

The third stage of hypertension is characterized by: 2) damage to target organs and violation of their function

The protective value of vomiting on the body is: 1. elimination of toxic substances from the body

Excessive alkalization during hypersalivation leads to: 2. decrease in peptic activity of gastric juice

Perversion of appetite is called: 5.pararexia

Changes in the parameters of the gas composition and CBS in acute DN are as follows: hypoxemia, acute respiratory acidosis;

The nuclear shift index reflects: 1. the sum of all young forms of neutrophils

The intensity of the functioning of hypertrophied cardiomyocytes in the phase of stable compensation: 1.reduces to normal

The use of cytostatics for the treatment of leukemia in insufficient dosage can accelerate the development of tumor progression, because: 3) selection of the most malignant clones from leukemia cells is possible

True leukopenia develops due to: 4. all of the above

True leukocytosis is characterized by: 4. qualitative changes in leukocytes

True leukocytosis: due to an increase in the number of leukocytes in the blood vessels of the intestine after eating

3.essential

"Symptomatic" arterial hypertension does not include: 3.essential

Nutritional factors that increase the peptic activity of gastric juice include: 5.frequent consumption of meat food

Allorhythms include: 4) all of the above

The arrhythmogenic effects of an increase in the extracellular content of K ions include: 3) lowering the threshold of excitability of cardiomyocytes

Biological factors that directly damage the digestive organs include: 3. deficiency or excess of vitamins

Substances with vasoconstrictive effects do not include: 3.aldosterone

Possible complications of arterial hypertension include: 4.myocardial infarction

3.stroke

Possible consequences of chronic arterial hypertension include: 3.myocardial infarction

Secondary anticoagulants include: antithrombin IV

Patients at high risk of developing arterial hypertension include: 3) with proteinuria and creatinemia 1.2-2 mg/dl

Patients with a very high risk of developing cardiovascular complications include: 2) associated diseases (angina pectoris, heart failure, etc.), regardless of the degree of blood pressure

Intrapulmonary causes of DN do not include: 3) Damage to the respiratory muscles;

Intrapulmonary causes of DN include: 1) violations of ventilation-perfusion ratios;

The clinical signs of malabsorption syndrome do not include: 3.weight loss

Combined arrhythmias include: 5) all of the above is correct

The compensatory mechanism associated with dysfunction of the heart include: 2.change in minute volume

Metabolites with antihypertensive effect include: 1) nitric oxide

The mechanism of development of hypertension does not include: 2.depletion of the function of the adrenal cortex

The mechanism of urgent cardiac compensation of hemodynamic disorders in heart failure does not include: 4. myocardial hypertrophy

The mechanism of urgent extracardiac compensation of hemodynamic disorders in heart failure includes: 2. increased activity of the sympathetic nervous system

The molecular-cellular mechanism for the development of heart failure includes: 1.defects in genes and their expression

To the molecular-cellular mechanism of development of heart failure: 4. damage to the membrane apparatus

Conduction disorders in the heart include: 4) change in the speed of the impulse (slowdown, blockade)

Nomotopic arrhythmias as a result of a violation of the automatism of the heart do not include: 1) atrioventricular rhythm

Complications of arterial hypertension do not include: 1) decrease in cardiac output

The main mechanism for reducing the contractile function of the myocardium in heart failure does not include: 5.Cell degranulation

The main manifestations of acute DN do not include: 1) bradypnea;

The main properties of the myocardium do not include: 5.glycolytic metabolism of carbohydrates

Membrane digestion features include: 1.carried out by enzymes fixed on the membrane of the intestinal brush border

The reasons for the development of heart failure in the myocardial type do not include: 5. aortic stenosis

The causes of essential hypertension include: 3. genetic defects of the centers of the autonomic nervous system

The manifestation of malabsorption syndrome includes the factor: 5.all listed factors

The following type of heart failure can lead to the development of cardiac asthma: 4.left ventricular and total

Distributive leukocytosis leads to: 2.anaphylactic shock

The reflex-adaptive mechanism of the heart in heart failure includes: 2. increased heart rate (Starling's law)

Symptomatic hypertension does not include: 1.essential

Sick sinus syndrome includes: 5 - all of the above

The vasoconstrictor effect of angiotensin 2 does not include: 1.stimulation of glucocorticoid secretion

The stage of compensatory hyperfunction of the myocardium does not include: 5.completed myosclerosis

Typical changes in the number of leukocytes per unit volume of blood include: leukocytosis

The following leads to an increase in intestinal perelstatics: 5.ahiliya

Risk factors for developing hypertension do not include: 5.cachexia

The factors not involved in the pathogenesis of belching include: 3.cardiospasm

The factors that determine the strength of heart contractions in heart failure include: 5.sympathetic reflexes

Cardiac overload factors that increase afterload include: 3.arterial hypertension

Risk factors for developing hypertension do not include: 5.spicy food

Physiological leukocytosis includes: 3.traumatic

The functional characteristics of lymphocytes include: 3.produce histamine

Among the endogenous substances that reduce blood pressure by reducing peripheral vascular resistance do not include: 1. catecholamines

Extrapulmonary reasons for the development of DN do not include: myasthenia gravis;

The emergency mechanism for compensating for heart failure includes: 2.tachycardia

How will bleeding and protein synthesis change in liver failure: 3 decrease in protein synthesis, procoagulants e increase in bleeding

How does the evacuation of food masses from the stomach change with an increase in the secretion and acidity of gastric juice: 1.slow down

How does the amplitude change during gasping breathing: decreases;

How does the amplitude change during hasting breathing? increases, then decreases.

What is the value of blood pressure in mm Hg. indicates the presence of hypertension in people aged 20 to 60 years: 4.170/110

What types of arrhythmias are heterotopic: (6) 5) idioventricular rhythm

What types of arrhythmias are nomotopic: 2) AV rhythm

What changes in external respiration parameters are typical for severe DN (3 stages): increase in MOD;

What cells are descendants of B-lymphocytes: 4.plasma cells

What medical and social factors do not affect the increase in the incidence of DN: 3) a decrease in the birth rate;

Which breath is not terminal: gasping breath.

What is the terminal breath? Biota;

Which of the following medical and social conditions does not affect the increase in the incidence of respiratory failure (RF): widespread diseases of the cardiovascular system;

What pathological condition is accompanied by inspiratory dyspnea: diphtheria;

What condition leads to an increase in intestinal statics: 5.ahiliya

What phenomenon underlies the compensatory pause after ventricular extrasystole? one) decrease in excitability of cells of the sinoatrial node of refractoriness 4) positive dromotropic effect of extrasystole

What type of hypoxia develops in acute arterial hypotension: 2.circulatory

Which of the following options is most typical for a typical course of chronic lymphocytic leukemia? marked leukocytosis with absolute lymphocytosis.

Which of the indicators most likely characterizes the violation of the systolic function of the left ventricle of the heart? 2) decrease in stroke volume of the heart (SV)

Which of the ECG signs reflects the presence of a focus of necrosis in the myocardium? 5) shift of the ST segment upwards from the isoline

Which of the ECG signs reflects the presence of a focus of subendocardial ischemia in the myocardium? 3) positive "coronary" T wave

What process is a peculiar form of infiltrative growth in leukemia? displacement of other germs of hematopoiesis in the bone marrow;

What type of breathing develops with stenosis of the larynx? infrequent deep breathing with difficulty inhaling.

What type of leukemia is most common in childhood: acute lymphoblastic leukemia.

Which factor is usually more important in the pathogenesis of duodenal ulcer: 1.acid-peptic aggression

The clinical manifestation of the defeat of the respiratory center is: apnestic breathing;

Coagulation hemostasis includes the following stages: 5. formation of thromboplastin, thrombin, fibrin

Combined rhythm disturbances are caused by: 4) a combination of changes in the properties of excitability, conductivity and automatism

The compensatory mechanism that ensures the normal gas composition of the blood in DN is: hyperventilation;

Bleeding in the early stages of acute leukemia is associated with: inhibition of megakaryocytic germ

Laboratory indicators for DIC in the stage of hypocoagulation have the following values: 3. blood clotting time and prothrombin time are increased

3.hypoxia

A leukemoid reaction can develop when: 3.liver dystrophy

A leukemoid reaction can develop when: 3.acute infectious process

Leukopenia manifests itself: 3.activation of myelopoiesis

Leukopenia is characterized by: 1. a condition characterized by an increase in the number of leukocytes per unit volume of blood above 9x10 9 / l

Medicines that contribute to the development of leukopenia: 1.sulfonamides

The mechanism of absolute erythrocytosis is associated with: activation of the sympathoadrenal system

The mechanism of DIC in the stage of hypercoagulability is associated with: 3. activation of both coagulation cascades

The mechanism of formation of a white blood clot is associated with:

The mechanism of formation of a white blood clot is associated with: 2. Adhesion, aggregation and agglutination of platelets.

The mechanism of formation of a red thrombus is associated with: 4. Activation of procoagulants.

The mechanism of formation of a red thrombus is associated with: 4. Activation of procoagulants.

The mechanism of relative erythrocytosis is associated with:

The mechanism of primary erythrocytosis is associated with: stem cell mutation (CFUe type)

The mechanism of development of the leukemoid reaction is: 3. focal hyperplasia of normal sprouts of erythropoietic tissue

The mechanism of development of the leukemoid reaction is due to: 1.hypovolemia

The mechanism of intracardiac compensation during overload with blood volume (pressure) is: 2. homeometric compensation mechanism

The mechanism of damage to membranes and enzymes of myocardial cells in heart failure is: 5.excessive intensification of SPOL

Myeloma (plasmocytoma) is associated with the appearance of a mutant clone from: B-lymphocytes

Myocardial heart failure develops when: 2.intoxication

Can neutropenia be combined with a leukemoid reaction? 1) yes

Name the extrapulmonary etiological factor in the development of DN: damage to the central nervous system and peripheral nervous system.

Name which cells are present in the leukocyte formula in chronic myeloid leukemia: a large number of myeloblasts;

Name the cell that exocytes TNF (tumor necrosis factor): Tissue macrofvg

Name the cell that does not take part in the process of metastasis: Macrophage

Name the methods of laboratory diagnostics that allow to detect clusters of differentiation of blast cells: immunophenotyping with monoclonal antibodies;

Name the main method for diagnosing forms of acute leukemia: cytochemical study;

What are examples of diseases in which the likelihood of developing leukemia is increased: Klinefelter's syndrome;

Name the cause of secondary pulmonary emphysema: 4) bronchial asthma.

Name the extrapulmonary etiological factors of DN: strokes;

What is the cause of graft-versus-host disease? develops as a result of transplantation of donor T-lymphocytes;

What is the morphological substrate of chronic leukemia: relatively differentiated cells of the hematopoietic tissue;

What is the result of changes in the cell genome? transformation of normal hematopoietic cells into tumor cells;

Name the etiological factors leading to the development of leukemia: carcinogens;

The most common cause of the development of centrogenic arterial hypertension due to organic damage to brain structures is: 5) brain tumors

Presence of what cells in peripheral blood is typical for acute myeloid leukemia? 2) myeloblasts, promyelocytes, stab neutrophils, segmented neutrophils

Presence of what cells in peripheral blood is typical for chronic myelogenous leukemia? 1) myeloblasts, promyelocytes, myelocytes, metamyelocytes, stab neutrophils, segmented neutrophils, eosinophils, basophils

Violation of the diffuse properties of alveolo-capillary membranes plays a major role in the development of respiratory failure in: interstitial pulmonary edema;

Violation of gastric motility does not lead to the development of: 4.constipation

Violations of what properties of the heart lead to the development of arrhythmias? 2) automatism

The initial and leading link in the pathogenesis of adult respiratory distress syndrome is: pulmonary edema;

The initial and leading link in the pathogenesis of neonatal respiratory distress syndrome is: reduction in the amount of surfactant;

Not a risk factor for circulatory failure: 4.lack of fat in the diet

Heart failure from overload with increased volume (preload) develops in the following cases: 2.hypervolemia

1. Prothrombin time (Quick time)

The activity of anticoagulants is judged by: 5. determination of antithrombin III

One of the reasons for the development of obstructive respiratory failure is: collapse of bronchioles with the loss of elastic properties of the lungs;

One of the mechanisms for the development of leukocytosis is: hemodilution

One of the typical changes in the number of leukocytes per unit volume of blood is: 1.leukemia

One of the possible causes of leukopenia is: 1.tumor activation of leukopoiesis

The main cause of alveolar hypoventilation is: violation of centrogenic mechanisms of regulation of external respiration.

The main cause of disorders of the digestive function of the intestine: 4.disorders of bile secretion

The main reason for the development of leukopenia as a result of a violation of the formation of leukocytes is: 4. exit of a large number of leukocytes from the vascular bed

The main reason for the development of hypersecretion of the stomach is: 1. increase in the mass of secretory cells

The main mechanisms of violations of coagulation hemostasis: deficiency of one or more plasma factors

The main properties of a malignant autonomous clone of leukemic cells: release of growth inhibitors, migration of malignant cells,

The main link in the pathogenesis of congestive heart failure with heart defects is: 1. imbalance between the increased mass of actomyosin and the mass of mitochondria with an outcome in relative energy deficit

The main mechanism for the development of "true" lymphocytic leukocytosis is: 4. increased proliferation of agranulocyte cells

The main mechanism for the development of hypertension according to E. Gelgorn's hypothesis is: 1. hypersecretion of renin in the JGA of the kidneys

The main mechanism for the development of a leukemoid reaction is: entry into the vascular bed of an excess of blood cells

The main mechanism for the development of leukopenia is: 3.hemoconcentration

The main pathogenetic mechanism for the development of dumping syndrome is: 2. decrease in the reservoir function of the stomach

The main factor determining the level of blood pressure is: 4) cardiac output and total peripheral vascular resistance

The main ECG sign of the Wolf-Parkinson-White phenomenon is et: 2 – the presence of a “delta wave”

Features of the pathogenesis of chronic leukemia: most of the mutant blast cells differentiate, there is no "leukemoid" dip

Relative lymphocytosis is accompanied by: 3.tuberculosis

Describe the concept of "leukemoid reaction": changes in hematopoietic tissue and in peripheral blood, similar to leukemia;

Describe the concept of "leukemoid reaction": conditions characterized by changes in the organs of hematopoiesis, in peripheral blood and in the body as a whole, similar to leukemia.

Although formally the drawing of lots on the lists for elections to the Seimas is of great importance, the order of the ballots probably does not significantly affect the results. The fact that a certain number can bring good luck, or, on the contrary, "drown" some party, is ruled out by all specialists interviewed by LTV journalists.

“The fact that these lists have this or that figure - I don’t think it matters,” admitted Arnis Cimdars, head of the Central Election Commission.

Sociologist Arnis Kaktiņš pointed out that numbers have no meaning that could affect the outcome of the election.

First of all, the personality is important for voters, and the party or party program that these people represent is most often secondary.

“We know that many voters who come to the polls do not have one choice in their mind. A lot of people make their choice at the polling station. But, as we know, in most cases they already have a fairly short list in their heads. They know that they could vote for party A, for party B or C. And then these three are chosen from a pile of ballots, and they look at these three - what kind of people are there, ”added Kaktins.

“We have enlarged the font, and if earlier it was gray, now we have made it black – for those people who have poor eyesight, so that they can take a ballot and make their choice without the help of outsiders,” Cimdars told LTV7 journalists.

The volume of work of the Central Electoral Commission will increase due to the increase in the lists and the number of candidates for deputies - in comparison with the elections to the 10th, 11th and 12th Saeima. This means that many more ballots will have to be printed. According to the head of the CEC, this is an extra truckload of paper.

As already Rus.lsm.lv, on Friday, August 10, in the Red Hall of the Seimas, a meeting of the Central Electoral Commission (CEC) was held, at which the numbers of candidate lists of parties in the parliamentary elections were drawn. They will take place on October 6th.

Syrian President Bashar al-Assad must step down. This was stated by the head of the delegation of the Syrian opposition "Higher Committee for Negotiations" Asaad al-Zoubi. On April 13, the next round of talks on Syria started in Geneva. Earlier, US Secretary of State John Kerry said that the transfer of power in the country can be agreed in the coming days. Political scientist, international relations expert Mikhail Troitsky answered questions from Kommersant FM host Oksana Barykina.


- Tell me, do you agree with the opinion of the US Secretary of State that Syrian President Assad should leave his post?

- This is a political issue. I'm not a politician, I'm just an expert. The situation is such that, most likely, the opposition to President Assad will continue to insist on such guarantees in order to continue the process of negotiations and the formation of a coalition government. They feel the support behind them - not so much the United States, but Saudi Arabia, Turkey, and other countries of the Persian Gulf. This factor, at the very least, whether I agree with this opinion or not, will greatly complicate the negotiations for a final settlement in Syria.

- What do you think about the parliamentary elections: did they take place on time now?

- Again, of course, it is difficult to say what the elections could look like in a country in which, firstly, there is still a civil war, and, secondly, large terrorist units that hold at least two important provinces in the country. Either way, the parliament does not appear to play a significant role in Syrian domestic politics.

The most important thing is who will form the government, who will become the head of the government. Parliamentary elections are probably good that they took place, but, as we see, neither the opposition nor those powers that support the opposition recognize them.

- Tell me, what should happen now, happen so that the parties can agree?

- I think it is necessary to start determining the fate of President Assad, who, of course, has a very serious grudge against the opposition, against whom a lot of facts and accusations of violating not only human rights, but also crimes against humanity in general, have been accumulated. Representatives of the opposition will all refer to this.

I think, one way or another, it is necessary to agree on some kind of perspective regarding Assad and his associates, if indeed the negotiations are to be successful, as if in the spirit of the 2012 Geneva communiqué. And another option is that President Assad will still try to finally take over the opposition and not conduct any negotiations with it. Then the alignment will be completely different - external powers have warned that they will support the opposition much more strongly. Apparently, Assad will not succeed.

So, frankly, I don't see how a final and lasting settlement of the situation in Syria can be achieved through the current negotiations. Most likely, this situation of neither peace nor war will continue for some time. And then, it is quite possible that hostilities will be resumed, although none of the major external sponsors of the truce wants this.

During preschool age, children's communication with each other changes significantly. Three qualitatively unique stages (or forms of communication) between preschoolers and their peers can be distinguished in these changes.

Emotionally-practical form of communication (second - fourth years of life)

At a younger preschool age, the child expects complicity from his peers in his amusements and craves self-expression. It is necessary and sufficient for him that a peer join his pranks and, acting together or alternately with him, support and enhance the general fun. Each participant in such communication is primarily concerned with drawing attention to himself and getting an emotional response from his partner. Emotional-practical communication is extremely situational - both in its content and in the means of implementation. It entirely depends on the specific environment in which the interaction takes place, and on the practical actions of the partner. It is characteristic that introducing an attractive object into a situation can disrupt children's interaction: they switch attention from their peers to the subject or fight over it. At this stage communication of children is not yet connected with objects or actions and is separated from them.

For younger preschoolers, the most characteristic is an indifferent-friendly attitude towards another child. Three-year-old children, as a rule, are indifferent to the success of their peers and to their assessment by an adult. At the same time, they, as a rule, easily solve problem situations "in favor" of others: they give way to the game, give away their items (although their gifts are more often addressed to adults - parents or educators than to peers). All this may indicate that the peer does not yet play a significant role in the life of the child. The kid, as it were, does not notice the actions and states of a peer. At the same time, its presence increases the overall emotionality and activity of the child. This is evidenced by the desire of children for emotional and practical interaction, imitation of the movements of their peers. The ease with which three-year-old children become infected with common emotional states may indicate a special commonality with him, which is expressed in the discovery of the same properties, things or actions. The child, “looking at a peer”, as it were, highlights specific properties in himself. But this generality has a purely external, procedural and situational character.

Situational-business form of communication

It develops around the age of four and remains most typical until the age of six. After four years, in children (especially those who attend kindergarten), their peers begin to overtake adults in their attractiveness and take an increasing place in their lives. This age is the heyday of the role-playing game. At this time, the role-playing game becomes collective - children prefer to play together, and not alone. Business cooperation becomes the main content of children's communication in the middle of preschool age. Cooperation should be distinguished from complicity. During emotional and practical communication, the children acted side by side, but not together; the attention and complicity of their peers was important to them. In situational business communication, preschoolers are busy with a common cause, they must coordinate their actions and take into account the activity of their partner in order to achieve a common result. This kind of interaction was called cooperation. The need for peer cooperation becomes central to children's communication.

In the middle of preschool age, a decisive change occurs in relation to peers. The picture of interaction between children is changing significantly.

“At senior preschool age, the emotional well-being of a child in a peer group depends either on the ability to organize joint play activities or on the success of productive activities. Popular children have high success in joint cognitive, labor and play activities. They are proactive, result-oriented, and expect positive feedback. Children with an unfavorable position in the group have low success in activities that cause them negative emotions, refusal to work. Along with the need for cooperation at this stage, the need for peer recognition and respect is clearly highlighted. The child seeks to attract the attention of others. Sensitively catches in their views and facial expressions signs of attitude towards himself, demonstrates resentment in response to inattention or reproaches of partners. The “invisibility” of a peer turns into keen interest in everything he does. At the age of four or five, children often ask adults about the successes of their comrades, demonstrate their advantages, and try to hide their mistakes and failures from their peers. In children's communication at this age, a competitive, competitive beginning appears. The successes and failures of others take on special significance. In the process of playing or other activities, children closely and jealously observe the actions of their peers and evaluate them. Children's reactions to an adult's assessment also become more acute and emotional.

The successes of peers can cause grief for children, and his failures cause undisguised joy. At this age, the number of children's conflicts increases significantly, such phenomena as envy, jealousy, and resentment towards a peer arise.

All this allows us to talk about a deep qualitative restructuring of the child's relationship to peers. The other child becomes the subject of constant comparison with himself. This comparison is not aimed at revealing commonality (as with three-year-olds), but at opposing oneself and the other, which primarily reflects changes in the child's self-awareness. Through comparison with a peer, the child evaluates and asserts himself as the owner of certain virtues that are important not in themselves, but "in the eyes of another." This other for a four-five-year-old child becomes a peer. All this gives rise to numerous conflicts of children and such phenomena as boasting, demonstrativeness, competitiveness, etc. However, these phenomena can be considered as age-related features of five-year-olds. By the older preschool age, the attitude towards peers again changes significantly.

By the age of six or seven, friendliness towards peers and the ability to help each other significantly increase. Of course, the competitive, competitive beginning is preserved in the communication of children. However, along with this, in the communication of older preschoolers there appears the ability to see in a partner not only his situational manifestations, but also some psychological aspects of his existence - his desires, preferences, moods. Preschoolers not only talk about themselves, but also turn to their peers with questions: what he wants to do, what he likes, where he was, what he saw, etc. Their communication becomes out-of-situation.

Extra-situational form of communication

The development of out-of-situation in the communication of children occurs in two directions. On the one hand, the number of off-site contacts is increasing: children tell each other about where they have been and what they have seen, share their plans or preferences, and evaluate the qualities and actions of others. On the other hand, the very image of a peer becomes more stable, independent of the specific circumstances of the interaction. By the end of preschool age, stable selective attachments arise between children, the first shoots of friendship appear. Preschoolers "gather" in small groups (two or three people each) and show a clear preference for their friends. The child begins to isolate and feel the inner essence of the other, which, although not represented in the situational manifestations of a peer (in his specific actions, statements, toys), but becomes more and more significant for the child.

By the age of six, emotional involvement in the activities and experiences of a peer increases significantly. In most cases, older preschoolers carefully observe the actions of their peers and are emotionally involved in them. Sometimes, even contrary to the rules of the game, they seek to help him, suggest the right move. If four-five-year-old children willingly, following an adult, condemn the actions of their peers, then six-year-olds, on the contrary, can unite with a friend in their “opposition” to an adult. All this may indicate that the actions of older preschoolers are aimed not at a positive assessment of an adult and not at observing moral standards, but directly at another child.

By the age of six, many children have an immediate and unselfish desire to help a peer, give him something or give in. Malevolence, envy, competitiveness appear less frequently and not as sharply as at the age of five. Many children are already able to empathize with both the successes and failures of their peers. All this may indicate that a peer becomes for the child not only a means of self-affirmation and an object of comparison with himself, not only a preferred partner, but also a valuable person, important and interesting, regardless of his achievements and subjects.

This is, in general terms, the age logic of the development of communication and attitudes towards peers in preschool age. However, it is not always realized in the development of specific children. It is widely known that there are significant individual differences in a child's attitude to peers, which largely determine his well-being, position among others and, ultimately, the characteristics of the formation of personality. Of particular concern are problematic forms of interpersonal relationships.

Among the most typical variants of conflict relations for preschoolers are increased aggressiveness, resentment, shyness and demonstrativeness of preschoolers. Let's dwell on them in more detail.

Problematic forms of relationships with peers

Comparing different types of "problem" children, one can see that they differ significantly in the nature of their behavior and in the degree of difficulties they create for others. Some of them constantly fight, and you have to call them to order all the time, others do their best to attract attention and look “good”, others hide from prying eyes and avoid any contact. Cm.

old name Nayas (Najas microdon).
The naiad family is Najadaceae.

Widely distributed throughout the Americas.

One of the most resistant and unpretentious plants. Forms dense openwork thickets in the water column. Widely used by aquarists as a substrate for fish spawning. Placed in the background, nyas makes a great backdrop for large-leaved plants. Grows evenly throughout the year.



The temperature of the water, at which the naia feels satisfactorily, can fluctuate over a fairly wide range - from 18 to 30 ° C. It can be kept in tropical and moderately warm aquariums. Water hardness does not play a significant role, but in very soft water the plant develops somewhat more slowly. The active reaction of water can be anything. Water changes 3-4 times a month are desirable, as naia grows better in fresh water. The plant is relatively undemanding to lighting conditions, it withstands long-term shading, but beautiful thickets of juicy green color are formed only in strong light.



Both natural and artificial light are suitable for lighting the aquarium where najas grows. When using fluorescent lamps of the LB type, the optimal power of the illuminators should be approximately 0.4 W per 1 liter of volume. You can use LD type fluorescent lamps, but in combination with low power incandescent lamps. The length of daylight hours can vary over a very wide range and depends on the illumination of the aquarium.

The nature of the soil does not play a significant role for this plant. Nyas can be grown floating in the water column.



When planted in the ground, it forms an underdeveloped root system, which serves mainly to attach the plant. Nayas absorbs nutrients with its entire surface. In this regard, neither the degree of silt nor the nature of the substrate have a significant effect on its growth.

Nayas does not need mineral supplements, the plant has enough of those substances that enter the aquarium with fish food.



Nyas is very easy to propagate from cuttings. It is enough to take one of the many shoots and create more or less suitable conditions for it to get a new dense thicket.

The plant can be recommended to beginner aquarists not only because it is easy to maintain, but also because it is able to actively influence the metabolism in the aquarium, provide fish with oxygen and prepare water for many demanding plants.