bluuebunny/crossref_metadata_2025 huggingface dataset:
Dynamics of the Neural Network Accuracy in the Context of Modernization of the Algorithms of Skin Pathology Recognition
Authors: Sokolov Kirill , Shpudeiko Viktor
Published: September 2022

Background:

The lack of objective methodologies and open datasets for the evaluation of the algorithms complicates the objective evaluation by specialists and hinders the widespread use of this technology in health care. The purpose of this study was to estimate the accuracy of Skinive's algorithm 2020 version, then, after an algorithm improvement in 2020–2021, to show a statistically significant decrease in neural network errors in the risk assessment of skin pathologies in 2021.

Methods:

The Skinive neural network uses a machine-learning algorithm to calculate the risk rating of skin pathologies. For this study, we used Skinive's algorithm 2020 and 2021 versions trained on 64,000 and 115,000 images, respectively. Three validation datasets were used to assess the sensitivity of the algorithm: precancer + cancer, viral skin pathology, acne, containing 285 images in each set. The specificity has been calculated on a separate validation set containing 6,000 benign neoplasm cases.

Results:

The sensitivity of the Skinive neural network in detecting malignant neoplasms was 89.1% and 95.4% in 2020 and 2021, respectively. The specificity of Skinive's neural network in determining benign neoplasms was 95.3% in 2020 and 97.9% in 2021. For all skin neoplasms, in 2020, the sensitivity was 95.3%, and specificity was 93.5%; in 2021, these were 97.9% and 97.1%, respectively.

Conclusions:

The results of sensitivity and specificity of the Skinive neural network indicate that the algorithm is highly accurate in detecting various neoplasms and skin diseases. After improving the algorithm, we showed a statistically significant decrease in the number of neural network errors in determining the risks of skin pathologies.
Acquired Fibrokeratoma
Authors: Palaniappan Vijayasankar , Sadhasivamohan Anusuya , Sankarapandian Jeyalakshmi , Karthikeyan Kaliaperumal
Published: September 2022

Background:

Acquired fibrokeratoma (AFK) is an uncommon, sporadic, benign, acquired, slow-growing dermo-epidermal tumour.

Aims and Objectives:

The purpose of this study was to summarize the demographic, clinical characteristics and treatment outcomes of patients with AFK in a tertiary care centre in South India.

Methods:

We evaluated the records of 26 patients with AFK who were diagnosed and treated in our centre between January 2017 and December 2021. The retrospective data related to age, sex, occupation, consistency, duration of lesions, history of trauma, anatomical site, morphological appearance, histopathological type, treatment provided and recurrence were taken into account and analysed.

Results:

Of the 26 patients, there were 21 males and 5 females. Fingers (n = 23) were the most common site involved, followed by toes (n = 2) and palm (n = 1). A total of 18 patients had finger-like projected lesions and eight patients had dome-shaped lesions. In histopathology, Type I AFK type was observed in 16 cases and Type II in 10 cases.

Conclusion:

We believe that our study would contribute by providing the clinical, histopathology and treatment outcomes of this uncommon dermo-epidermal tumour. The frequency of this condition is often underestimated as it is misdiagnosed for many other dermatological conditions.
An Analysis of Interns’ Feedback after Dermatology Posting
Authors: Ganguly Satyaki , Jaykar Kranti Chandan , Chhabra Namrata , Prabha Neel
Published: September 2022

Background:

Dermatology knowledge among fresh medical graduates is poor in India as undergraduate medical curriculum and Internship training lack adequate focus on this subject. This contributes to the inappropriate management of Dermatology patients by the medical graduates.

Objective:

To analyse the expectations, motivations and experience of interns during their dermatology posting.

Materials and Methods:

This was a retrospective record review of questionnaire-based anonymous validated feedback forms submitted by interns posted in a dermatology department of a tertiary care institute. The feedback form contained nine multiple choice questions some of which allowed multiple responses.

Results:

A total of 63 completed forms were analysed. The common expectations before the posting were, to learn the management of basic dermatological problems (98.4%), to take an informed decision regarding post-graduation in dermatology (53.9%) and hope that the posting will be useful for the postgraduate entrance test (50.7%). After the posting, 69.87% of them felt that their expectations were fulfilled. After the posting, 84.1% of the interns felt that they would have liked to study dermatology as a separate undergraduate subject with a summative assessment at the end.

Limitations:

The sample size was less and the feedback form contained limited questions.

Conclusion:

The majority of the interns were satisfied after dermatology posting. Increased exposure of interns to dermatology inpatients and side laboratory procedures will further enrich their clinical experience. The inclusion of dermatology as a separate subject with examination in the undergraduate curriculum was a felt need.
Desloratadine Efficacy in Relation to GSTM1 and GSTT1 Polymorphic Genes in Chronic Spontaneous Urticaria
Authors: Maouia Amal , Leban Nadia , Youssef Monia , Helal Ahmed Noureddine , Kassab Asma
Published: September 2022

Background:

The etiopathogeny of chronic spontaneous urticaria (CSU) is not well defined. Allelism in glutathione S-transferase GSTM1 and GSTT1 has been suggested as a risk factor. Desloratadine is the first-line treatment for this disease.

Objective:

This study aimed to investigate the efficacy of a first-line treatment: desloratadine 5 mg/day on antioxidant status and clinical assessment in Tunisian patients with CSU and to identify possible associations between GSTT1 and GSTM1 genotypes and susceptibility to CSU.

Methods:

Sixty patients with CSU and 60 age- and gender-matched healthy controls were included in the study. We calculated the urticaria activity score (UAS) and assessed the antioxidant parameters (total antioxidant status [TAS], glutathione S-transferase [GST], SOD, CAT, GPx]). Multiplex PCR was performed to find the relationship between GSTM1 and GSTT1 polymorphisms with CSU susceptibility.

Results:

At baseline, GST, GPx, CAT, SOD activities, and TAS were significantly lower in CSU patients compared to healthy controls (P < 0.05). After treatment, GST, GPx, CAT, SOD activities and TAS were significantly increased in patients compared to those before treatment (P < 0.001). We observed a significant association in null alleles of GSTM1. Before treatment, GST activity was significantly lower in patients having GSTM1+ genotype than those having GSTM1- genotype (P = 0.001). After treatment, TAS and antioxidant enzymes GST, GPx, SOD, and CAT were significantly elevated in patients having GSTM1- genotype than those having GSTM1+ genotype (P < 0.05).

Conclusion:

These results suggest the impact of GSTM1 and GSTT1 on CSU susceptibility and desloratadine efficacy in Tunisian patients.
Skin Damage and Quality of Life among Healthcare Workers Providing Care during the COVID-19 Pandemic
Authors: Christopher Paulus M. , Roren Regina S. , Tania Clarissa , Jayadi Nana N. , Cucunawangsih Cucunawangsih
Published: September 2022

Background:

Since the occurrence of the coronavirus disease-2019 pandemic, healthcare workers (HCWs) have been strictly adhering to infection control practices within healthcare facilities. However, regular use of personal protective equipment (PPE) and hand hygiene have led to increased prevalence of skin damage, subsequently impacting the quality of life (QoL).

Objective:

To analyse the connection between skin damage and the QoL among HCWs in a multicenter setting in Indonesia.

Methods:

A cross-sectional survey was conducted among HCWs working in hospitals in Banten Province, Indonesia. The data was obtained using a reliable self-reported questionnaire (Cronbach α 0.765) and a validated Indonesian version of the Dermatology Life Quality Index.

Results:

A total of 113 respondents (56.5%) who experienced at least one self-perceived PPE-related skin damage and had worn PPE of any level within the last 7 days were analysed. The mean age ± SD of respondents was 26.09 ± 6.22 years old, while the mean DLQI score ± SD was 5.46 ± 4.88, with a median of 4.0 (range, 0-24). The regression model showed that the level of PPE used (P < 0.05) to be a significant risk factor.

Conclusions:

Skin damage due to PPE affects HCWs physically and emotionally. It is crucial to recognise its impact on life and reinforce awareness, prevention, and treatment of skin damage. Dermatologist referral and intervention should be considered for optimum management.
Uncommon Non-Infectious Annular Dermatoses
Authors: Maurelli Martina , Colato Chiara , Gisondi Paolo , Girolomoni Giampiero
Published: September 2022

Several cutaneous diseases can present with annular lesions, making a distinction by physical appearance alone challenging. They can be distinguished into infectious and non-infectious, and common and uncommon annular dermatoses. Common non-infectious diseases include granuloma annulare, urticaria, and subacute lupus erythematosus. In addition, there are rare non-infectious non-neoplastic annular dermatoses whose nosographic attribution is established, including annually recurring erythema annulare centrifugum (EAC) and annular erythema in Sjögren syndrome and others whose nosographic positioning is still debated. They are neutrophilic figurate erythema, palpable migratory arciform erythema, eosinophilic annular erythema, and annular lichenoid dermatitis of youth. Their etiopathogenesis is largely unknown, although immune-mediated mechanisms are likely involved. It is difficult to establish if they are variants of reaction patterns or separate clinic-pathological entities. In fact, EAC and annually recurring EAC may represent different aspects of the same disease. Palpable migratory arciform erythema is hardly distinguishable from EAC deep type, Jessner-Kanof disease, and lupus tumidus. Neutrophilic figurate erythema and eosinophilic figurate erythema are clinically very similar and differing only in the relative proportion of eosinophils and neutrophils.
Erasmus Syndrome
Authors: Manav Vildan , Avcı Elif B , Erdem Ozan , Polat Asude K , Leblebici Cem , Aksu Ayşe E K
Published: September 2022

Erasmus syndrome is a rare syndrome accompanied by interstitial lung disease and scleroderma caused by silica exposure. There are a limited number of case reports in the literature. Awareness of this rare syndrome is important and occupational exposure should be questioned in patients presenting with scleroderma in our country, silica exposure is quite frequent and it should be kept in mind. Here, we report a case of a 41-year-old male patient presenting with interstitial lung disease, scleroderma, and serpiginous supravenous hypermelanosis caused by silica exposure who worked in the denim grinding for a short period of three months.
Comparative Evaluation of Efficacy of Therapeutic Ultrasound and Phonophoresis in Myofascial Pain Dysfunction Syndrome
Authors: Mahendra Raj Rajamohan Radhamani , Saravanan Thalaimalai , Preethi Paramasivam , Ezhilarasi Ilamurugan
Published: September 2022

Introduction:

Myofascial pain dysfunction syndrome (MPDS) is a common presenting condition in the dental office. No specific therapy has proven its superiority over the other in managing myofascial pain dysfunction syndrome. Since phonophoresis was beneficial for other musculoskeletal medical conditions, the same strategy was adopted to prove its efficacy in MPDS.

Aim and Objective:

The aim of the study is to compare and evaluate the effectiveness of therapeutic ultrasound (ThUS) and diclofenac and thiocolchicoside gel phonophoresis in MPDS.

Materials and Methods:

Thirty patients with MPDS were randomly assigned into two groups. Group 1 (n = 15), therapeutic ultrasound was applied with ultrasound gel without any therapeutic ingredient for 10 min and five sessions. Group 2 (n = 15), ultrasound was applied with ultrasound gel with diclofenac and thiocolchicoside gel for 10 minutes and five sessions. Pain and mouth opening was taken as evaluation parameters.

Result:

A comparison of results obtained from the two groups before and after treatment at the end of each session shows significant improvement in both the parameters. However, in Group 2 more improvement in all outcome variables can be seen compared with group 1.

Conclusion:

Phonophoresis with diclofenac and thiocolchicoside (analgesic and muscle relaxant) proved to be an excellent treatment in MPDS. They proved more effective than therapeutic ultrasound in controlling pain and improving mouth opening.
Evaluation of Orofacial Symptoms and Oral Health-Related Quality of Life Among COVID-19 Patients Attending a Tertiary Hospital in Thiruvananthapuram
Authors: Mini M. M. , Tinky B. C. , Fathima S. C. R. , Aswathi K. , Ramachandran Sunu , Girija K. L. , Ramesh S.
Published: September 2022

Background:

Researchers have been perplexed by the diverse clinical symptoms of COVID-19 spikes, and its oral symptoms are not frequently documented.

Objectives:

To estimate the prevalence of orofacial symptoms associated with confirmed COVID-19 cases and to assess the oral health–related quality of life among these patients.

Methods:

After audio consent, a pre-tested structured questionnaire was used to gather data from COVID-19-confirmed patients, and cases from a tertiary dental care facility in Thiruvananthapuram were also included.

Results:

Out of 200 participants, 86 (43%) were females, and 114 (57%) were males. The mean age was 40 years, ranging from 10 to 75 years. It was found that loss of taste (111, 56%), dry mouth (54, 27%), oral ulceration (18, 9%), white discoloration (12, 6%), burning sensation (9, 4.5%), red discoloration (7, 3.5%), tooth mobility (4, 2%), osteomyelitis (3, 2%), mucormycosis (4, 2%) and gingival bleeding (1, 0.5%) were the orofacial symptoms present in the participants.

Conclusion:

The prevalence of orofacial symptoms was 68% in COVID-19 patients, with loss of taste, dry mouth, and oral ulcerations as predominant symptoms. The mean oral health impact profile (OHIP) value of the COVID patients who showed oral manifestations was 17.44, whereas for those who did not show oral manifestations, it was only 7.46.
Significance of Mandibular Canal Position and its Foramina in Cone Beam Computed Tomography Images of Mandible for Analysing Sexual Dimorphism- A Retrospective Study
Authors: Shil Malabika , Sailaja Sambhana , Lavanya Reddy , Ravali T. , Fathima P. Raziya , Aparna T. Yamini
Published: September 2022

Background:

Determination of gender from unidentified skeletal residue remains an arduous task in a forensic setting and for medico-legal assessment. The use of mandible in the field of human identification is less explored. Therefore, this study was done to analyze sexual dimorphism by identifying the relative location of mandibular canal and the mandibular and mental foramina using cone beam computed tomography images in a sample of south Indian inhabitants.

Materials and Methods:

This study was done on one hundred twenty cone beam computed tomography images (sixty males and sixty females) with an age range of twenty to sixty years. In these images, eight measurements were performed: six measurements in the coronal view and two measurements in the axial view. The variables between the sexes were compared using a student's t-test with level of significance of < 0.05.

Results:

All the eight variables were significant in predicting gender (P < 0.05). The mean values of all the measurements were higher in males except for one measurement which was higher in females. A logistic formula was obtained with all the variables to predict gender.

Conclusion:

The mandibular canal and the foramina showed significant differences among males and females of the study population. Therefore, the location of the mandibular canal and mental foramina can be used for gender determination in the study population.
Cone-Beam Computed Tomography a Dynamic Tool for Assessment of Canalis Basilaris Medianus a Skull Anomaly – A Retrospective Study
Authors: Pasalkar Lavanya H. , Chavan Mahesh S. , Sonawane Shrutika R. , Sarma Arunima , Helge Bharti , Tilekar Sanket
Published: September 2022

Introduction:

Canalis basilaris medianus (CBM) is an anomaly of basiocciput in the clivus at the skull's base, demonstrating six different morphological varieties. CBM can be associated with recurrent meningitis and various other cranial pathologies. It can be seen on maxillary cone-beam computed tomography (CBCT) scan with comparatively less radiation dose than computed tomography (CT).

Aim:

The aim of this study is to determine a prevalence of CBM on CBCT.

Objectives: The objectives of this study are:

1. To identify CBM on CBCT 2. To classify CBM according to their morphological types using CBCT.

Methods and Material:

This study included 300 maxillary CBCT scans retrieved from archival records from the CBCT diagnostic center, Department of Oral Medicine and Radiology, and the existence of CBM were examined. Scans of both genders with all age groups were selected. The existence of CBM was examined and classified based on its morphological type.

Results:

Chi-square test was used to carry out the descriptive statistics. The presence of CBM was found in 16 scans with a prevalence rate of 5.33%. Out of 16 scans, 10 (62.5%) were females, and 6 (37.5%) were males. Among them, 13 (81.25%) scans were superior recess variety, and 3 (18.75%) were inferior recess variety; other morphological types were absent.

Conclusion:

Although the prevalence rate of this anomaly is low, it is clinically significant as it may cause the spread of nasopharyngeal infections to the skull base. The present study revealed that a CBCT scan of the maxillary arch could provide a clear delineation of CBM with comparatively less radiation dose than CT. To the best of our knowledge, the recorded values of the prevalence rate of CBM available in current literature are lower compared to this first-ever study carried out in India.
Leukocyte Adhesion Deficiency-1 with Oral Manifestations – A Rare Case Report
Authors: Saranu Sethumanjusha , Samata Yalamanchili , Rao Naik Nunsavathu Purnachandra , Anoop Garikipati
Published: September 2022

Leukocyte adhesion deficiency 1 (LAD) is a rare, inherited disorder portrayed by the inability of leukocytes to emigrate from the bloodstream toward sites of inflammation. LAD should be considered a rare but possible disorder in patients with persistent periodontal problems. This paper presents a case of leukocyte adhesion deficiency in an 18-year-old girl and a brief literature review.
A Rare Case Report of Cervicofacial Necrotizing Fasciitis
Authors: Sonawane Shrutika Ravindra , Sawane Harshawardhan Babanrao , Pasalkar Lavanya H. , Sarma Arunima
Published: September 2022

Cervicofacial necrotizing fasciitis is a fatal infection of the orofacial region that spreads rapidly through the subcutaneous tissues and fascia causing extensive necrosis and gas formation. Due to high morbidity and mortality rates, accurate diagnosis and immediate treatment are of utmost importance to avoid the devastating complications associated with it. This case report is of a 55-year-old male, reported with suppuration in the left aspect of the neck. Due to acute, aggressive, and rapidly progressive character of the infection, this report was written to create awareness about such a fatal infection and highlight the importance of accurate diagnosis and prompt treatment.
Assessment of Mandibular Anterior Nutrient Canals in Patients with and without Periodontal Disease
Authors: Rathod Surekha R. , Lathiya Vrushali , Rathod Yogesh , Bhide Ameya
Published: September 2022

Background:

Nutrient canals (NCs) are radiolucencies in the bone that transit blood vessels and nerves.

Aim:

To use cone beam computed tomography (CBCT) to assess the incidence, diameter, and location of NC in healthy and periodontal disease patients and correlate it with the extent of alveolar bone loss.

Materials and Methodology:

About 200 CBCTs (100 healthy and 100 with periodontal disease) were selected and analyzed. The prevalence, diameter, and location of the NCs were comparatively evaluated between the two groups. The frequency and diameter of the canals were also correlated with the severity of bone loss, age, and gender.

Results:

Subjects in group II had a significantly greater frequency of NCs (P = 0.0001). NCs in group II had a larger mean diameter. The NCs were nearer to the alveolar crest in group II (16.70 ± 6.31 mm) than in group I (18.08 ± 5.72 mm). Their frequency was significantly greater when the bone loss was greater than two-thirds of the root length (P = 0.043).

Conclusion:

In patients with periodontal diseases, the incidence and diameter of NCs were higher and correlated positively with the extent of bone loss.
Çocukluk Çağı Adenoid Dokusu ve Deri Altı Yağ Dokusu İlişkisinin MRI Kullanılarak Değerlendirilmesi
Authors: ŞİRİK Mehmet , KOPARAL Mehtap , BUCAK İbrahim
Published: September 2022

Amaç: Bu çalışmanın amacı, manyetik rezonans görüntülemede (MRG) çocuk hastalarda boyun bölgesindeki deri altı yağ dokusu kalınlığı ile nazofaringeal hava geçişi arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Çalışmamızda Haziran 2018 ile Aralık 2018 tarihleri ​​arasında herhangi bir nedenle beyin manyetik rezonans görüntüleme (MRG) yapılan 4-6 yaş arası 93 çocuğun (46 erkek ve 47 kadın) tıbbi görüntüleme kayıtları adenoid doku kalınlığı ve oksipital deri altı yağ dokusu kalınlığının değerlendirilmesi amacıyla geriye dönük olarak incelendi. Bu amaçla hastalardan son bir yıl içinde alınan tek düzlemli (sagital düzlem) hızlı sıralı MRG görüntüleri kullanıldı.

Bulgular: Çalışmaya 46 (%49,5) erkek ve 47 (%50,5) kadın olmak üzere toplam 93 olgu dahil edildi. Ortalama adenoid doku kalınlığı erkeklerde 9,8±2,13 mm iken kadınlarda 9,25 ± 1,74 mm olarak ölçüldü (p=0,178). Oksipital bölgeden elde edilen ortalama deri altı yağ dokusu kalınlığı erkeklerde 5,65 ± 1,26 mm, kadınlarda ise 5,84 ± 1,28 mm olarak bulundu (p=0,465). Cinsiyete göre nazofaringeal adenoid doku kalınlıkları ile oksipital bölge subkutan yağ doku kalınlıkları arasında istatistiksel olarak anlamlı bir fark gözlenmedi. Ancak, oksipital deri altı yağ dokusu kalınlığı, adenoid doku kalınlığı ve nazofaringeal hava yolu darlığı yüzdesi arasında orta derecede pozitif korelasyon bulundu.

Sonuç: Oksipital subkutan yağ dokusu kalınlığı ve adenoid doku kalınlığı arttıkça nazofaringeal hava yolunun önemli ölçüde daraldığı gözlendi.
Analysis of feedback questionnaires of 6th year interns who completed simulation training
Authors: Kolbayev M. , Mizonova S. , Latkina K.
Published: September 2022

Simulation training is a relatively new, but rather promising education technique that is rapidly developing and modifying. The article reflects the possibility of determining the quality of educational services through a survey of the 6th year interns in the context of integrating simulation training into the educational process of the Faculty of General Medicine, organized on the basis of the Simulation Center (SC). The article presents an analysis of feedback from the consumer of educational services trained on simulation equipment.
The Role of a "Standardized Patient" in the Simulation Education of the 6-7th Year Interns of Asfendiyarov Kazakh National Medical University
Authors: Kolbayev M. , Akhmetov A. , Mikhailova I.
Published: September 2022

The inclusion of the “standardized patient” method during the development of practical skills gives students the opportunity not only to practice the skill itself to professionalism, but also to work with the patient at the same time, taking into account all the possible circumstances that a young specialist may encounter in practice. The article reflects the possibility of determining the quality of educational services through the feedback of interns of 6-7 courses in the context of integrating simulation training into the educational process.
Objective Evaluation of Chest Compressions During Intermediate Control of Basic Cardiopulmonary Resuscitation Training
Authors: Perepelitsa Svetlana
Published: September 2022

The article discusses a new approach to the formation of universal competencies aimed at teaching communication, teamwork and leadership. Methods are proposed for both the theoretical block (Abstract-interview, thematic medical animation) and simulation training (teamwork and leadership during cardiopulmonary resuscitation) in the study of the discipline "Anesthesiology, resuscitation and intensive care".
From Process to Results in the Accreditation Procedure. Student View
Authors: Grigoreva V.
Published: September 2022

The article presents the results of a survey of the 6th year students of the Medical University before and after the accreditation procedure.
Popularization and Systematization of Training in First Aid and Emergency Medical Care, as a Means of Increasing the Effectiveness of the "Rescue Chain"
Authors: Boev D. , Podoprigora A. , Chursin A. , Lovchikova I. , Boev S. , Sergeeva O. , Sakharova O.
Published: September 2022

We believe that so far insufficient attention has been paid to first aid training in various institutions. Often, training is carried out according to outdated teaching aids that do not comply with the Order of the Ministry of Health and Social Development of Russia of 04.05.2012 N 477n. The approach to learning is often formal, with little attention paid to practical skills. And in the current socio-political situation, first aid skills and the formation of an effective "rescue chain" are more relevant than ever.
Participation of the Department of Simulation Training in a Pilot Project on the Introduction of First Aid Issues for Primary Specialized Accreditation Stations
Authors: Lovchikova I. , Podoprigora A. , Chursin A. , Chernov A. , Boev D. , Sakharova O. , Sergeeva O.
Published: September 2022

Federal State Budgetary Institution "Central Research Institute of Organization and Informatization of Healthcare" of the Ministry of Health of the Russian Federation and the "Methodological Center for Accreditation of Specialists" have begun work on a pilot project to introduce first aid issues for primary specialized accreditation stations for doctors of various specialties. The Department of Simulation Training of the Federal State Budgetary Educational Institution of Higher Education "VSMU named after N.N. Burdenko" of the Ministry of Health of the Russian Federation took part in testing new stations for accreditation, including first aid measures in the absence of consciousness and foreign bodies in the upper respiratory tract.
Innovative Imaging Tools in Dentistry
Authors: Abdulin R. , Zadurov S. , Lippgardt I. , Terkulova E. , Solovykh E.
Published: September 2022

Despite the relative accessibility of the oral cavity for medical manipulations, the visualization of dental interventions remains one of the unsolved problems of modern dentistry. Part of the task of visualization for a dentist is solved through the use of dental microscopes and binoculars. However, the use of these tools will only allow visualization of the stages of dental treatment and does not allow continuous registration of dental treatment. Therefore, the full visualization of dental intervention remains an important task of modern dentistry.
"Territory of emergency conditions" as a way to develop professional competencies
Authors: Timakhovich M. , Idrisova G. , Kemelova G. , Saparova A.
Published: September 2022

The article considers the goals and objectives of the teamwork competition in mastering professional skills. The analysis carried out showed the importance and prospects for integrating the competition into the educational process and provides a comprehensive assessment of practical skills at the end.
The Role of the Case Method as Simulation Training in the Advanced Training of Medical Workers
Authors: Logvinov Yu. , Zaitseva E.
Published: September 2022

In practical classes various technologies are used: immersion in professional activities, solving situational problems, conducting role-playing games. When solving situational problems, students analyze, assess the situation, make the right decision. The main teaching methods are based on the principles of "learning through action", "learning through the process", which necessarily imply independence and problematicness that is feasible for students. The method of solving situational problems is called the Case-method.
Controlling the Possession of Technical Skills in Practical Classes Using Simulation Technologies as a Basis for Preparing for OSCE
Authors: Mironchik N. , Simonova E. , Shiman O.
Published: September 2022

The paper discusses the effectiveness of the use of simulation technologies for the current monitoring of students' technical skills and improving the quality of preparation for the OSCE as a method of objectively assessing the skills of a future doctor.
Individual Educational Trajectories of a Bachelor of Nursing: the Experience of the Tyumen State Medical University
Authors: Lapik S.
Published: September 2022

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program

We present our experience in the formation of individual educational trajectories of bachelors of nursing at the Tyumen State Medical University within the framework of the requirements of the Federal State Educational Standard of Higher Education. Individualization of learning is achieved through the portfolio of disciplines of the educational program, formed by the participants in educational relations, namely, elective and optional disciplines. The organizational, managerial and psychological-pedagogical individual educational trajectories most demanded by bachelors are determined by the prospects for their employment and the possibilities of further education in the master's program.
The Value of the Motivational Component in Mastering the Basics of Communication Relationships “Doctor-Patient”
Authors: Bulatov S. , Kharisova E.
Published: September 2022

The material presents a study of the effectiveness of teaching students communication skills to communicate with patients on the example of using the standardized patient technique in combination with the Kirpatrick method. The effectiveness of assimilation of Calgary-Cambridge system of interaction with a patient was studied in the 4th year students of medical and pediatric faculties. It has been established, that the game form of education in combination with the stress factor increases the students' motivational component in learning and contributes to better assimilation of the material.
The Use of Innovative Materials in First Aid
Authors: Ushmarov D. , Vasiliev A. , Derensky M. , Shokel O. , Ostrovskaya V. , Belyakova Ya.
Published: September 2022

The quality of first aid is affected not only by the adequacy, but also by the speed of the measures taken. Given the important factor of the lack of regular funds for providing assistance in the first minutes after an injury, combined with the lack of experience in first aid among the majority of the population, it is more likely to predict a low or ineffective result of such activities. We compared traditional bandage dressings and an innovative tool — a first aid signal tape.
Simulation Training as a Method of Professional Orientation
Authors: Tarasova G.
Published: September 2022

The formation of professionally oriented qualified medical personnel is a priority task of medical education. The incomplete understanding of students about their future specialty, the lack of knowledge about popular medical areas do not always allow them to make an informed choice. As a solution to the above problems, career guidance simulation trainings are of interest.
Evaluation of the Preservation of Practical Skills Among Bachelors in the Direction of Training "Nursing" after a Course of Simulation Training
Authors: Semin D. , Snegireva T. , Kostsova N.
Published: September 2022

The purpose of the study: to assess the level of retention of practical skills taught in the simulation class.
The Level of Emotional Burnout of Nurses Depending on the Style of Management of Nursing Staff
Authors: Gorshkova E. , Ostrovskaya I.
Published: September 2022

The study analyzed the main stages and factors in the development of emotional burnout. Using the methodology of K. Maslach, the levels of burnout stages of nurses who took part in the study were identified, and the burnout index was determined. The main styles of nursing staff management are considered. The study revealed the relationship between the burnout index of nurses and management styles.
Organizational and Methodological Support of Teaching Staff on the Use of Simulation Techniques in Additional Professional Education of Medical Specialists
Authors: Bazhanova E. , Lashina G.
Published: September 2022

The experience of conducting organizational and methodological measures with teachers of simulation training in the GAU DPO RB "Center for Advanced Studies" during simulation classes is presented.
Audit of Pediatric Care and Simulation Training for Pediatricians
Authors: Kozlova E. , Novopoltseva E.
Published: September 2022

During the audit of the provision of emergency care to children, insufficient knowledge of the algorithm A, B, C, D, E and the lack of teamwork skills were revealed. These shortcomings were taken into account when creating a simulation training program for pediatricians in emergency departments and specialists on duty in the hospital. The learning outcomes were positively assessed by all participants. Emergency care training should be used in the education of pediatricians. A pre-audit allows you to identify weaknesses and optimize the training program.
Retraining in Simulation Education
Authors: Nevskaya N. , Plotonenko Z. , Senkevich O.
Published: September 2022

An analysis of the audit of the possession of professional competencies and their application in practice among medical specialists who regularly study under advanced training programs with simulation trainings at the Federal Accreditation Center of the Federal State Budgetary Educational Institution of Higher Education of the Far Eastern State Medical University of the Ministry of Health of Russia is presented.
The Effectiveness of Education in the Specialty "Neonatology": from Tradition to Innovation
Authors: Plotonenko Z. , Nevskaya N.
Published: September 2022

An analysis of the training of neonatologists in Khabarovsk Territory over the past 20 years is presented. The effectiveness of different approaches to the training of neonatologists was compared.
The Role of the Experimental Operating Room (Wetlab) in the Educational and Scientific Activities of a Medical University
Authors: Chechina I.
Published: September 2022

Teaching medical students to provide medical care to the population faces the ethical problem of teaching manual skills on patients. This problem is partly solved by simulation technologies in medical education, one of the promising areas of which is the use of educational and experimental operating rooms (WetLab). This technology makes it possible to quickly master surgical and anesthesiology skills without harm to patients in conditions as close to real as possible, as well as to adapt students to further education and work at clinical sites.
Clinical Communication with Robot
Authors: Gribkov D.
Published: September 2022

To increase the number of hours and develop communication skills with the patient, collect clinically significant information and make a diagnosis, it is proposed to supplement the process of simulation training with humanoid robots with various scenarios for the initial formation of professional skills in future specialists. By conducting a pilot station as part of accreditation, we tried to identify the readiness of medical graduates to interact with the robot, as well as the possibilities of Virtubot as a simulated patient.
The Role of Virtual Technologies in the Practical Training of Senior Students of the Faculty of Pediatrics
Authors: Dorovskaya N. , Melnikova I. , Potapov M.
Published: September 2022

The use of the Body Interact simulator increases the motivation of students, the efficiency of obtaining theoretical knowledge and practical skills and abilities; contributes to the development of a clear algorithm of actions in the diagnosis and treatment of various diseases, reducing the risk for real patients; contributes to the formation of clinical thinking, allows you to overcome uncertainty. Thus, increasing the practical preparedness of pediatric graduates in general.
The Use of a Hardware-Software Complex with a Human Anatomy Visualization System in the Training of a Radiologist
Authors: Danilova K.
Published: September 2022

Identification of diseases and damage to organs and systems of the human body using the physical phenomena and properties of X-ray radiation, magnetic resonance for effective treatment and correction of human health is the main goal of the professional activity of a radiologist.
Simulation Trainings Iin Improving Professional Competencies as a Part of Professional Retraining
Authors: Dolgina I.
Published: September 2022

The publication reflects the results of a study of self-assessment of the level of professional competencies in the field of emergency medical care among persons who have passed the primary specialized accreditation on the basis of Kursk State Medical University. Self-assessment was carried out, among other things, among specialists who completed a simulation course aimed at improving professional competencies in providing medical care in emergency and emergency forms as part of the implementation of additional professional retraining programs.
Possibilities of Introducing Thoracocentesis Skills into the Educational Process Using Adapted Simulation Technologies
Authors: Lisovsky O.
Published: September 2022

The experience of developing and introducing into the educational process a mannequin and a technique for performing thoracocentesis while reducing the economic costs of consumables during the development of practical skills is presented. Preservation of realism and the possibility of repeated repetition of the puncture of the pleural cavity according to the adapted checklist improves the quality of specialist training.
Multidisciplinary University Virtual Clinic DIMEDUS as an Assessment Tool at the Final State Attestation of the Graduates
Authors: Bugubaeva M.
Published: September 2022

The solution of situational problems in virtual reality helps to fill in the gaps in clinical practice in the course of medical education, and can also be one of the elements of an objective assessment of the level of acquired clinical skills among graduate students during the Final State Attestation, which establishes their level of readiness for performing professional tasks.
The Use of Distance Technologies in Teaching Foreign Students in English at the Department of Internal Medicine and Family Medicine
Authors: Kabirova Yu.
Published: September 2022

The experience of using remote technologies in teaching foreign students at the Department of Internal Medicine and Family Medicine in English is presented. It was revealed that for a successful online educational process, it is necessary to create teaching aids with tasks of varying degrees of complexity, and the gradual complication of tasks from topic to topic helps to increase students' independence. The distance learning format unexpectedly had a stimulating effect on the introduction of new forms of education by teachers of the department and the motivation to study among foreign students.
Development of Algorithms and Practical Skills for Providing Emergency Assistance
Authors: Akperova A. , Potapov M.
Published: September 2022

Providing emergency care to patients is a basic skill for doctors of any specialty. Regardless of the location of the emergency situation, assistance should be provided as early as possible in combination with calling a resuscitator or an ambulance resuscitation team. For most specialists, the unwillingness to act effectively may be due to the rarity and non-triviality of the situation, the lack of previous experience and, for this reason, the factor of "confusion" and uncertainty.
Integrated OSCE Through the Eyes of an Examiner
Authors: Kemelova G. , Aimbetova D. , Riklefs V.
Published: September 2022

The assessment of satisfaction and effectiveness of the integrated objective structured clinical examination through the eyes of the examiners is described. The examiners assessed the strengths and weaknesses of the integrated OSCE, which allows them to strive to improve the quality of station design and content in fundamental disciplines.
Training Phantoms for Ultrasound Diagnostics
Authors: Leonov D. , Leichenko D. V. , Suslina L. A. , Leonov D. V.
Published: September 2022

Our team has developed a number of phantoms suitable for advanced training of ultrasound diagnostic doctors, as well as testing their knowledge and skills. Phantoms are made of durable materials and can be considered analogues of foreign commercial models. The materials used allow modeling different levels of echogenicity, rigidity, and they can be given clinically realistic shapes. Our phantoms are applicable for practicing the skills of ultrasound diagnostics in gray scale and elastographic modes, for taking a biopsy sample, as well as for solving research problems.
The role of the Simulation Center in Improving the Quality of Training of Medical Students
Authors: Gafurova R.
Published: September 2022

Within the framework of this article, the authors highlight the role of the simulation center in improving the quality of training of medical students using the example of the activities of the multidisciplinary accreditation and simulation center of the Federal State Budgetary Educational Institution of Higher Education of Bashkir State Medical University of the Ministry of Health of Russia in Ufa.
The Role of Simulation Training in the Formation of Practical Skills of Medical Students
Authors: Galaktionova M. , Ivanova N. , Mikhailova E.
Published: September 2022

A prerequisite for the formation of skills and abilities is the training of students in the implementation of individual skills and abilities on simulators. The results of a differentiated test for summer industrial practice of students of the medical faculty are given. According to 96.62% of respondents, preparation for certification using simulators improved practical training in nursing skills, increased confidence in the possibility of independent professional activity.
From the history of collecting Tuvan folk songs: Yrlar and Kozhamyks
Authors: Kyrgys Kira
Published: September 2022

The ancient history and culture of the inhabited tribes of Tuva attracted the attention of travelers, linguists, ethnographers, and musicians, especially in recent decades. The primary recordings of yrlar (tuvan songs) and kozhamyk (ditties) in the writing sources of scientists contained samples of ancient musical poetry, including one-thousand-year history images, plots, motifs, and archaic vocabulary. Owing to ethnocultural values and beliefs of Tuvan people in Southern-Central Siberia it preserved features of relict cultures in music traditions. Based on field works conducted in the late 20th century, via ethnographic, historical, and typological principles of systematic approaches to folklore music genres, all songs were divided into occasional rituals and non-occasional songs, according to musical stylistic characteristics folk songs were classified into long songs ʽuzun yrlarʼ, short songs ʽkyska yrlarʼ and traditional ditties ʽkozhamykʼ. Tuvan culture is rich with musical traditions, it includes various song types, melodic recitations, instrumental creativity, calendar, and ritual songs, epic genres, etc. The author considers the development of song art as the most mobile layer, which absorbs all from the surrounding sound world. Songwriting reflects the spiritual experience and national character of the Tuvan ethnos.
The Efficacy of Chest X-Ray for the Diagnosis and Follow-up in Young Adult COVID-19 Patients with Mild Dyspnea No Comorbid Diseases
Authors: Cüce Ferhat , Doğan Deniz , Bozlar Uğur , Taşar Mustafa , Gjoni Ervin , Ayaz Tunahan , Savaşçı Ümit , Sarı Oktay
Published: September 2022

We investigated whether Chest X-Ray (CXR) could replace computed tomography (CT) modality in the diagnosis and during the treatment of young adult COVID-19 patients with mild dyspnea with no comorbid diseases. This retrospective study involved an examination of the records of a total of 956 patients hospitalized between March 1, 2020, and May 15, 2020. The study included a total of sixty-four COVID-19 patients who underwent a CXR at admission and CT imaging within 24 hours, aged 21-60 years with mild dyspnea with no comorbid diseases. The diagnosis of infection was confirmed by the polymerase chain reaction test in all cases. The first CXR and CT images at the time of admission were evaluated in terms of lesions and localization. The clinical-radiological course of the disease was also statistically evaluated. CT was normal in 18/64 (28.1%) patients, all of whom also had normal CXR. The rest of the patients 46/64 (71.9%) with an abnormal CT, the CXR was normal in 18/46 (39.1%) and abnormal in 28/46 (60.9%). The time between the onset of complaints and admission to the hospital in patients with abnormal and normal CXR was 3.5±2.3 days and 2.1±1.1 days respectively and this difference was statistically significant (p=0.004). The hospital stay durations of the patients with abnormal and normal CXR was 9.6±3.5 and 9.5±3.4 days (p=0.928), respectively, and was not statistically significant. In conclusion, in the case of early admission to the hospital, there is not a significant difference between using CXR or CT in the management of young adult COVID 19 patients with mild dyspnea no comorbid disease. Therefore, the use of CXR in these patient groups will reduce the burden of CT units in pandemic conditions with limited resources.