bluuebunny/crossref_metadata_2025 huggingface dataset:
Language for Specific Purposes in academia vs. Labor Market Needs: the Trends and Perspectives in Montenegro
Authors: Božović Petar , Lakić Igor , Piletić Deja
Published: January 2023

The present paper outlines the key findings of a study that was carried out in Montenegro with the aim of getting an overview of the current state of play in language for specific purposes teaching and the actual needs from the perspective of students, university staff members (both academic and nonacademic) and employers. To this end, an online survey was designed and distributed among the target groups with an overall total of 1,985 participants. Furthermore, an online English placement test was conducted among the first year students at Higher Education Institutions (HEIs) in Montenegro with an overall number of 853 respondents, in order to compare the language proficiency entrance levels to the curriculum expectations. The results suggest the high level of need for LSP proficiency, both for academic and occupational purposes, the general dissatisfaction with the English language proficiency level of the prospective employees that apply for job posts, the need to master an additional foreign language apart from English and the need to enhance the policy of LSP teaching at HEIs in Montenegro, which are seen by employers as a key partner in terms of quality control and assurance in language teaching. The paper concludes with recommendations for LSP teaching and planning at HEIs in Montenegro.
Assessment of FL Syllabi at Three Montenegrin Universities
Authors: Lakić Igor , Živković Branka
Published: January 2023

One of the aims of the Erasmus+ ReFLAME project is to update the present foreign language (FL) syllabi at the non-philological departments at the three Montenegrin universities – the University of Montenegro (UoM), Mediterranean University (MedUni) and the University of Donja Gorica (UDG). To this end, the first task was to collect and assess all the first and second FL syllabi at the three Montenegrin universities. The analysis included examining the FL syllabi to provide the data regarding, among other things, the number of the syllabi collected, the faculties they are taught at, the foreign languages being taught, the number of general FL courses as opposed to FL for specific purposes courses, as well as the information on the textbooks and literature used. The results of the analysis of 226 FL syllabi, corresponding to 181 courses offered at 30 faculties at the three universities, show that the vast majority of these are taught at UoM (195), whereas 24 are taught at MedUni and 7 at UDG respectively. At UoM, 137 FL syllabi cover English, while 58 are related to other languages – Italian (14), German (14), Russian (14) and French (16). All of the overall 31 syllabi at MedUni and UDG pertain to English. A slightly higher number of the syllabi cover FL for specific purposes courses (113) compared to general FL courses (111), and only two pertain to FL for academic purposes courses. Most of the FL syllabi do not mention any exit level to be achieved, and thus are not in line with the Montenegrin Law on Higher Education (which stipulates a C1 exit level according to the CEFR). In terms of the textbooks and literature used, all the general FL courses are well equipped with appropriate textbooks. Nonetheless, there is a notable lack of adequate textbooks for FL for specific purposes courses in particular academic fields. This result was considered when making a decision on which LSP textbooks should be produced as part of the project. The overall findings of the FL syllabi analysis will also be of great use in the development stage of the project in which one of the tasks will deal explicitly with updating the current FL syllabi.
Teaching Italian for Specific Purposes at the University of Montenegro: Reality vs. Real Needs
Authors: Piletić Deja , Luburić Gordana , Mušura Gordana
Published: January 2023

Italian as a second foreign language at the University of Montenegro is studied within the programme of Undergraduate university studies both at the Faculty of Philology and at the Faculty of Tourism and Hospitality Management. This paper aims to determine the extent to which the teaching of Italian corresponds to the real needs of the students related to the labour market, which they enter after completing their Bachelor’s degree. For this purpose, the paper presents the results of the analysis of the current syllabi of Italian as a second foreign language, which are linked to the results of the analysis of the attitudes and expectations of the students who take these courses. This analysis is based on the results of a survey conducted in the academic year 2020/2021, which had a total of 56 respondents. Based on the conclusions derived from the results of these two analyses, we will offer a set of guidelines for improving various aspects of the aforementioned university courses, so as to provide the knowledge and skills necessary for the effective use of Italian in the environment in which students are professionally engaged, while also taking into account the envisaged level of linguistic competence that is realistically achievable in the current teaching context.
LANGUAGES FOR SPECIFIC PURPOSES AT THE FACULTY OF LAW, UNIVERSITY OF ZAGREB
Authors: Matijašević Miljen
Published: January 2023

The teaching of languages for specific purposes has been an increasingly appealing and relevant topic both in the academic and the professional sphere for decades. In today’s globalised world and, more specifically, in an increasingly united Europe, the importance of learning and using foreign languages need no longer be particularly emphasized. Using foreign languages in professional communication facilitates participation in political and economic exchange and arrangements. The field of law is a peculiar area in terms of its professional language. Law is firmly dependant on its national language, making it an even more closed system, creating its own unique concepts in the national language, often without obvious counterparts in other systems. However, communication between legal experts and the European integration of which Croatia is part make it necessary for legal professionals to master the foreign languages of the legal profession. This is particularly true of English, as it is still the dominant working language in EU institutions, but also of French, being the principal working language of the Court of Justice of the EU, and finally of German. The importance of German is twofold – not only is the Croatian legal system rooted in the traditions of German and Austrian law, but it is also those two countries that have a strong presence in economic transactions in Croatia. The importance of German in the legal professions seems sometimes to be recognized by students in their senior years or even after they graduate. This is evident from the fact that many students who enrol in the paying lifelong learning courses of German for law are in fact senior-year students or fresh graduates of Law. Hopefully, the interest in German in other study programmes will be rekindled in the coming years, despite the growing dominance of English as the language of international communication.
Some aspects of chronic pain in psoriatic arthritis
Authors:   Republic Clinical Diagnostic Center, AKULINUSHKINA E. YU. , YAKUPOVA S. P. ,   Kazan State Medical University, YAKUPOV E. Z. ,   LLC “Vashe zdorovye” Research complex, ABDRAKIPOV R. Z. ,   Republic Clinical Hospital
Published: January 2023

The article reviews the problems of chronic pain in patients with psoriatic arthritis (a chronic disease with a long and severe pain syndrome). The issue of chronic pain, which is not stopped when damage to the articular apparatus and surrounding soft tissues is eliminated, is acute in this disease. Chronic pain syndrome is multicomponent and consists of nociceptive, nociplastic and neuropathic components. However, studies that would reliably study the frequency of chronic pain occurrence and its individual aspects in patients with this pathology have not been conducted. Further study of the individual components of the chronic pain in psoriatic arthritis is necessary, because it can help determine the most effective drug therapy and maintain a decent quality of life in this group of patients.
Complexity of managing a patient with infectious endocarditis in vasculitis associated with antineutrophil cytoplasmic antibodies
Authors:   Kazan State Medical University, POLYANSKIKH YU. V. , MUKHITDINOVA A. M. ,   Kazan State Medical University, ABDULGANIEVA D. I. ,   Kazan State Medical University, SUKHORUKOVA E. V. ,   Republic Clinical Hospital, LAPSHINA S. A. ,   Kazan State Medical University, SHAMSUTDINOVA N. G. ,   Kazan State Medical University
Published: January 2023

The article presents a clinical case of a 27-year-old woman with infectious endocarditis in vasculitis associated with antineutrophil cytoplasmic antibodies. Difficulties in the management of the patient are described, consisting in verifying the nature of changes in the heart (vegetation), as well as in determining the treatment tactics. Changes in the heart were regarded as infectious endocarditis. Adequate antibacterial therapy was carried out with a positive clinical and laboratory effect, with a significant decrease in vegetations on the valves, a decrease in the size of the formation in the aorta sinus, and a decrease in aortic regurgitation. The therapy of infectious endocarditis in granulomatosis with polyangiitis is difficult due to the need for a correct combination of adequate antibacterial therapy of infectious endocarditis and high doses of glucocorticosteroids and immunosuppressive drugs for autoimmune disease.
Clinical manifestations of lung damage in case of intoxication with oil products (gasoline)
Authors:   Kazan State Medical University, SAGADULLINA M. R. , FAYSKHANOVA I. R. ,   Kazan State Medical University, ZARIPOVA L. I. ,   Kazan State Medical University, SHAMSUTDINOVA N. G. ,   Kazan State Medical University, DYAKOVA E. V. ,   Republic Clinical Hospital, NIZAMOVA S. R. ,   Kazan State Medical University
Published: January 2023

The article provides a clinical case of lung injury against the background of patient poisoning with petroleum products (gasoline). The effect of gasoline on the body as a whole, a complication in the form of pneumonia, diagnostic methods and treatment of this patient are considered.
Estimation of the impact of the joint use of ossein-hydroxyapatitic complex and bisphosphonates on the time of fractures consolidation and the mineral density of bone tissue
Authors:   Kazan State Medical University, SADYKOV R. I. , AKHTYAMOV I. F. ,   Kazan State Medical University, FAIZRAKHMANOVA G. M. ,   Kazan State Medical University
Published: January 2023

Despite advances in traumatology and orthopedics, the problem of fracture treatment remains topical. To normalize the timing of fracture healing, both drug treatment and local factors of reparative osteogenesis stimulation are used. The purpose — to study the effect of the combined use of an ossein-hydroxyapatite complex and bisphosphonates on the timing of fracture consolidation and on the bone mineral density. Material and methods. In 20 patients aged 50 to 75 years with closed fractures of the femoral diaphysis after intramedullary metal osteosynthesis, the timing of fracture healing and the changes in bone mineral density were assessed one year after the fracture in two equal in number and comparable groups. In the comparison group, patients received ossein-hydroxyapatite complex and сolecalciferol; in the main group, patients received ossein-hydroxyapatite complex, сolecalciferol, and 1 month after the operation, they received a single intravenous injection of zoledronic acid. The RUST scale was used to assess the signs of fracture union by radiographs. Complete union of the fracture was recorded with a total of 10 or more points. Osteodensitometry was performed in patients twice, after surgery and one year after it. Results. With the combined use of the ossein-hydroxyapatite complex and bisphosphonates in patients in the study group, the timing of fracture healing was 2.1 weeks less than in the comparison group, and the increase in bone mineral density in the lumbar spine was by 1.8% larger, in the femoral neck by 1.4% larger in the main group than in the comparison group. Although according to clinical studies, the systemic use of bisphosphonates did not affect the timing of fracture healing, with the combined use of ossein-hydroxyapatite complex and zoledronic acid, there was a greater increase in bone mineral density and a decrease in the timing of union of a femoral fracture after intramedullary metal osteosynthesis than when using only ossein-hydroxyapatite complex. Conclusions. A positive effect of the combined use of the ossein-hydroxyapatite complex and bisphosphonates in patients on the timing of fracture healing and bone mineral density was revealed, which is the basis for further research on the use of these drugs in a larger number of patients.
Effectiveness of rehabilitation of children with orthopedic symptoms in children’s cerebral palsy
Authors:   Children’s Republic Clinical Hospital, SAID F. M. , AKHTYAMOV I. F. ,   Kazan State Medical University, LURIE D. M. ,   Kazan State Medical University, DZYUMENKO L. V. ,   Children’s Republic Clinical Hospital, SHARIPOVA R. A. ,   Children’s Republic Clinical Hospital
Published: January 2023

Cerebral palsy (CP) is the most common cause of early disability worldwide, which determines the significance of the problem for public health. Up to 32% of children with cerebral palsy at the age of 5 do not yet walk. Late diagnosis affects the development of the musculoskeletal system and, as a result, the quality of life of patients. Prevention of orthopedic deformities, timely treatment of concomitant orthopedic manifestations, rehabilitation courses and multidisciplinary care are crucial in the effectiveness of the treatment of these patients. The purpose — to improve the results of conservative treatment of children with cerebral palsy with secondary orthopedic symptoms on the feet and ankle. Material and methods. The article presents a clinical case of the treatment of a patient with orthopedic deformities of the foot and ankle joint against the background of cerebral palsy. After examination, the diagnosis was made: cerebral palsy, spastic form, hemiplegia of the left lower limb, plano-valgus deformity of the left foot, shortening of the left lower limb by 13 mm (GMFCS 2), neurogenic S-shaped scoliosis of the 2nd degree. Further treatment was divided into stages. At the first stage, the child underwent a course of physiotherapy and the drug tolperisone (Mydocalm) was prescribed. At the second stage, the lower limb was plastered in phase manner. After the removal of the plaster, a second course of physiotherapy was carried out. The last stage was the treatment aimed at correcting the concomitant lesions. Results. The patient underwent a course of combined treatment to restore the function of the lower limb. The assessment of the functional state before and after treatment was carried out according to the functional motor activity scale (FMS). At the last follow-up examination 18 months after the treatment, the FMS score was 6–6–6 points. On the control plate electromyography, no data for recurrence was revealed. Conclusion. Combined rehabilitation treatment of children with cerebral palsy GMFCS 1–2 with repeated courses of rehabilitation is an effective method of treatment.
Autonomic diabetic neuropathy
Authors:   Kazan State Medical University, SAKOVETS T. G. , BOGDANOV E. I. ,   Kazan State Medical University
Published: January 2023

Diabetes mellitus (DM) is widespread in Russia, which has caused an increase in the frequency of complications in this nosology, including diabetic autonomic neuropathy (DАN). DАN determines an increase in mortality and a decrease in life expectancy. The purpose — to study the clinical manifestations of diabetic autonomic neuropathy. Results. In DAN, a lesion of various organ systems is observed. Manifestations of DAN are usually preceded by the development of typical signs of distal sensorimotor polyneuropathy. In some patients, manifestations of damage to the autonomic nervous system may prevail over damage to somatic sensory and motor nerve fibers. It should be borne in mind that in more than half of cases, DAN is accompanied by a fatal outcome with a duration of DM of more than 10 years. Cardiovascular autonomic neuropathy (CAN), which determines life expectancy in DM, is most often studied in the modern Russian and foreign medical science. The studies of other DAN manifestations are presented with much less frequency. DAN is accompanied by damage to all parts of the autonomic nervous system and determines an increase in mortality in patients with DM, which requires early detection of signs of diabetic autonomic neuropathy. Conclusion. Thus, DAN can cause an increase in mortality, a persistent decrease in working capacity in patients with DM, which requires general practitioners to be aware of the features of clinical signs of this nosology.
Surgical tactics in recurrent lipomatosis (Madelung’s disease). Clinical case
Authors:   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, URAKOVА E. V. , NESTEROV O. V. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, ILYINA R. JU. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, LEKSIN R. V. ,   Republic Clinical Hospital
Published: January 2023

The article presents the results of a clinical observation of patient K. with multiple symmetrical lipomatosis, also known as Madelung’s disease. It is a rare disease of unclear etiology, characterized by the growth of unencapsulated fat masses primarily around the head, upper shoulder girdle and back. Lipomatosis is the appearance of numerous lipomas in the subcutaneous tissue that have a connective tissue capsule or pass into the area of normal adipose tissue without a clear boundary. Primarily, the treatment of lipomatosis is carried out only by the surgical method. Surgery is the only way to remove fatty growths from the patient’s body.
Difficulties of differential diagnosis of Takotsubo cardiomyopathy
Authors:   Kazan State Medical University, FEISKHANOVA L. I. , ABDULGANIEVA D. I. ,   Kazan State Medical University, GILMANOV A. A. ,   Republic Clinical Hospital
Published: January 2023

Myocardial infarction sometimes has to be differentiated from acute myocarditis and Takotsubo cardiomyopathy (stress-induced cardiomyopathy), which was first described in the middle of the last century. These diseases have a lot in common both in the clinical picture and in the results of diagnostic studies. A clinical case is presented, in which we made a differential diagnosis between three diseases: myocardial infarction, myocarditis and Takotsubo cardiomyopathy. Patient S., 64 years old, was admitted to the hospital with complaints of incessant vomiting, pronounced general weakness, dizziness, cough with foamy sputum, accompanied by a feeling of lack of air. The results of echocardiography on the day of admission showed a decrease in the Simpson ejection fraction to 40% and the presence of akinesia in the middle and anterior, septum, lateral, lower apical segments. Despite the absence of stenoses during coronary angiography, the patient received treatment for myocardial infarction. After 7 days from admission, we repeated the echocardiography. The ejection fraction increased to 51%. Hypokinesia of the anterior and lateral apical segments persisted. Two months after the onset of symptoms, we detected an ejection fraction of 60% on echocardiography. No signs of scar tissue, decreased myocardial contractility, or dilation of cavities were found. Based on this, we concluded that the patient underwent Takotsubo cardiomyopathy, which was successfully resolved. Thus, this clinical example demonstrates the difficulties of differential diagnosis of diseases accompanied by nonspecific symptoms in the form of pulmonary edema and severe myocardial damage with a significant decrease in its global contractility.
Features of physical activity and comorbid conditions in obese individuals
Authors:   Kazan State Medical University, FEISKHANOVA L. I. , AKHMEDIEVA D. V. ,   Kazan State Medical University, VIVOLANEC A. A. ,   Kazan State Medical University, SUKHORUKOVA E. V. ,   Republic Clinical Hospital
Published: January 2023

Obesity is one of the diseases that cause concern due to social, psychological and metabolic problems. The purpose — to determine the features of relationship between the body mass index, physical activity and comorbid conditions in obese individuals. Material and methods. The study involved 60 patients. The patients’ body mass index was calculated. The patients were divided into 2 groups: group 1 — patients with a BMI of 18.5–30 kg/m2, 27 people; group 2 — with a BMI above 30 kg/m2, 33 people. The patients underwent a general blood test, a biochemical blood test, and echocardiography. To assess physical activity, the ODA 23+ and IPAQ questionnaires were used, and a six-minute walking test was performed. Results. The level of physical activity and fitness for it according to the ODA 23+, IPAQ questionnaires and the SMW test was significantly higher in group 1 (p < 0.05). In group 2, an inverse relationship was found between the level of physical activity according to the ODA 23+ questionnaire with the level of gamma-glutamyltranspeptidase (p = 0.03; r = -0.59), alkaline phosphatase (p = 0.03; r = -0.55) and bilirubin (p = 0.049; r = -0.35). In this group, according to the results of the IPAQ questionnaire, we found a correlation of the physical activity with the alcohol consumption (p = 0.03; r = -0.38). The number of stops during a 6-minute walking test had a correlation with the presence of proteinuria (p = 0.04; r = 0.39). Conclusion. Thus, obesity is accompanied by a decrease in physical activity, which correlates with damage to the hepatobiliary system and kidneys.
Prevention of subfascial hematomas in caesarean section and their treatment during the pandemic of the new coronavirus infection (SARS-CoV-2)
Authors:   Kazan State Medical University, KHASANOV A. A. , RAGINOV I. S. ,   Kazan Federal University, TEREGULOVA L. E. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, TEREGULOV A. YU. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, LISINA M. B. ,   Republic Clinical Hospital, SIRAZEEVA M. R. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia
Published: January 2023

The article presents the data on subfascial hematomas observed after Pfanennstiel incisions. The frequency of hematomas increases in patients with the new coronavirus infection. The latest interim guidelines «Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19) version 15 (02.22.2022)» indicate the need for «an emergency abdominal delivery (caesarean section) taking into account all measures for the prevention of coagulopathic and hypotonic obstetric bleeding». However, no specification is given as to which technique for performing a caesarean section should be followed or with what operational access should laparotomy of the anterior abdominal wall be carried out. Given the authors’ own experience, he authors believe that under the COVID-19 the incision of the anterior abdominal wall should be carried out according to Joel-Cohan method, as less traumatic and more rapid, with less post-operation complications. Methods for diagnosing and treating hematomas are proposed, using highly selective angiography and embolization of damaged vessels. A clinical observation is presented as an example.
Comparison of surgical treatment options for proximal femur fracture in obese elderly patients
Authors:   Kazan State Medical University, AKHTYAMOV I. F. , HAN H. Ch. ,   Kazan State Medical University, ARDASHEV S. A. ,   Kazan State Medical University, EMELIN A. L. ,   Kazan State Medical University
Published: January 2023

The purpose — to investigate the efficiency of surgical treatment of proximal femur fractures in obese elderly patients. Material and methods. We conducted a prospective analysis of the treatment outcomes of 230 patients aged 60 to 93 years between 2016 and 2019. 115 patients with proximal trochanteric fractures underwent arthroplasty and 115 patients with similar fractures were treated with the method of intramedullary blocked osteosynthesis. Conclusion. As shown by our experience in the treatment of trochanter femoral fractures using intramedullary pin and arthroplasty in obese patients, at the inpatient stage of treatment there are no fundamental differences (limitations) with patients with normal body weight. We believe that the use of both methods can improve the postoperative function of the hip joint. However, the overall positive outcome of the treatment of obese patients leaves no doubt about the need for joint replacement in case of indications in this group, taking into account the increased risk of complications in the studied group of patients and provided that possible intra- and postoperative risks are prevented.
On the role of a nurse in the implementation of a patient-oriented approach in providing rehabilitation care to cancer patients
Authors:   Kazan State Medical University, BLOKHINA M. V. , SAFINA G. A. ,   Republic Clinical Oncology Dispensary named after Professor M.Z. Sigal, SAFINA O. G. ,   Republic Clinical Hospital
Published: January 2023

Within the study, we analyzed and evaluated the process of implementing a patient-oriented approach to nursing in the day hospital Rehabilitation Department of the Republic Clinical Oncology Dispensary named after Professor M.Z. Sigal; studied the nursing staff opinions on the role of a nurse in the implementation of a patient-oriented approach in providing medical care to patients; investigated the satisfaction of patients with the nursing care organization from the standpoint of a patient-oriented approach; made recommendations for the development of a patient-oriented approach to providing nursing care to cancer patients in the process of rehabilitation. As criteria for assessing the implementation of a patient-centered approach, we used the results of sociological studies carried out in 1993 by the Picker Institute & Harvard Medical School, which formed the basis of the international concept of patient-oriented approach. The opinion of the nursing staff about the role of a nurse in the implementation of a patient-oriented approach to providing medical care to patients was studied through interviews. Patient satisfaction with the organization of nursing care from the standpoint of a patient-centered approach was assessed using a specially designed questionnaire.
Application of stromal vascular fraction cells from adipose tissue in the surgery of brachial plexus injuries
Authors:   Republic Clinical Hospital, BOGOV A. A. , KHANNANOVA I. G. ,   Republic Clinical Hospital, AKHTYAMOV I. F. ,   Republic Clinical Hospital, DANILOV V. I. ,   Republic Clinical Hospital, BOGOV A. A. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia
Published: January 2023

The purpose — to evaluate the therapeutic properties of cells of the stromal vascular fraction isolated from adipose tissue of injuries of brachial plexus. Material and methods. The study was carried out on 62 patients using cells of the stromal vascular fraction and classical methods of treatment for brachial plexus injury. The efficiency of regeneration was assessed using electromyography and a positive recovery of motor and sensory functions. Results. Evaluation of the results of surgical treatment using cells of the stromal vascular fraction after neurolysis of the brachial plexus showed the restoration of early function of M3-M5 and S3–S4 in 90% of patients, and in the comparison group 68%. The number of patients with M4–M5 functions in the group with the use cells of the stromal vascular fraction for brachial plexus neurotization was 85%, while in the control group it was 64%. The ENMG study data also indicated an increase in the average number of motor units by 30% after the use of cells of the stromal vascular fraction, in contrast to the comparison group. Conclusion. Cells of the stromal vascular fraction from adipose tissue appear to be promising stimulators for the regeneration for recovery from trauma to the brachial plexus.
Surgical treatment of diaphyseal fractures of the humerus using an external fixation device
Authors:   Kazan State Medical University, EMELIN A. L. , KHAERTDINOV I. S. ,   Republic Clinical Hospital, AKHTYAMOV I. F. ,   Kazan State Medical University
Published: January 2023

The article presents the results of surgical rehabilitation of 21 patients with diaphyseal fractures of humerus diaphysis, with localization in the middle-lower third of the diaphysis, using transosseous osteosynthesis with an external fixation device. Evaluation of the results was carried out by retrospective analysis of the outcomes of surgical rehabilitation of patients with humerus diaphysis fractures using transosseous osteosynthesis by external fixation apparatus in the period from 2015–2020. It showed that the modified closed transosseous osteosynthesis by external fixation apparatus and the use of a rod line-up allows significantly reducing the risks of complications in comparison with the traditional technology of bone and intraosseous fixation and achieving excellent and good results in 85.7% of patients with diaphyseal fractures of the humerus.
Blood supply to the joints of lower extremities in children with Legg — Calve — Perthes disease before and after treatment with epidural analgesia
Authors:   Kazan (Volga) Federal University, EREMEEV A. M. , SHULMAN A. A. ,   Republic Clinical Hospital, AKHTYAMOV I. F. ,   Republic Clinical Hospital, EREMEEV A. A. ,   Kazan (Volga) Federal University, SHAYKHUTDINOV I. I. ,   Kazan State Medical University, VANYUKHINA I. A. ,   Kazan (Volga) Federal University
Published: January 2023

Using the method of laser Doppler flowmetry (LDF), 10 healthy boys aged 7 to 9 years and 10 boys of the same age with unilateral hip joint lesion at stage III–IV of Legg — Calve — Perthes disease were examined. In all the examined patients, compared with the healthy subjects, a significant decrease in microcirculation in the hip joint, knee joint and joint of the first toe was found. Prolonged epidural analgesia led to a significant increase in microcirculation in all the examined joints, which indicates the high effectiveness of this method of treating the disease. The LDF method can also be useful for early diagnosis of Legg-Calve-Perthes disease in children.
Principles of psychiatric and medical-psychological care under the coronavirus pandemic
Authors:   Academy of Medical and Technical Sciences, ZHILYAEV A. G. , KARIMOV A. U. ,   Republic Clinical Hospital
Published: January 2023

The article analyzes the mental state of 168 patients with the new coronavirus infection. The features of mental disorders depending on the severity of the disease, the impact on the mental health of the population and psychological adaptation of both the disease itself and the informational stressful impact associated with the new pandemic are described.
Pharmacoeconomic aspects of the use of anticoagulants in a multi-speciality hospital
Authors:   Republic Clinical Hospital, KADYSEVA E. R.
Published: January 2023

The article presents the dynamics of the consumption of oral anticoagulants and direct-acting anticoagulants for 2019–2021 in the Republic Clinical Hospital of the Republic of Tatarstan. Currently, anticoagulant therapy is very popular among clinicians. It is known that the economic component plays a rather important role in health care. The purpose — to analyze the costs of anticoagulant drugs in a multi-speciality hospital in 2019–2021. Material and methods. An analysis was made of the share of costs of direct-acting anticoagulants and oral anticoagulants in the total cost of medicines by years in a multi-speciality hospital using the Apteka 1C software. Results. There is a clear trend towards increased consumption of direct-acting anticoagulants and oral anticoagulants. The peak of consumption was observed in 2020 and 2021. Conclusions. The use of oral anticoagulants reduces direct costs compared to standard prophylaxis with direct anticoagulants.
Ultrasound elastography for estimating the fibrosis severity in chronic liver diseases
Authors:   Kazan State Medical University, MINNEMULLIN I. M. , MUKHAMETOVA D. D. ,   Kazan State Medical University, KORMILINA A. R. ,   Republic Clinical Hospital, TUKHBATULLIN M. G. ,   Republic Clinical Hospital, ODINTSOVA A. KH. ,   Republic Clinical Hospital, CHEREMINA N. A. ,   Republic Clinical Hospital, SADYKOVA L. R. ,   Republic Clinical Hospital, KHASANSHINA A. YU. ,   Republic Clinical Hospital
Published: January 2023

Ultrasound elastography is a method of instrumental diagnosing which allows rapidly and in a non-invasive way estimating the elasticity and histological properties of the tissue. The article presents a description of this method: the physical basis of the method functioning, the methodology of examination, the clinical significance in diagnosing fibrosis in patients with chronic liver diseases from the standpoint of evidence-based medicine, the advantages and disadvantages of the method, the factors which may distort the result, and the prospects of its use in clinical medicine. The possibility to use elastometry as a screening method and its economic significance are considered. In particular, the results of the studies conducted at Republic Clinical Hospital of the Republic of Tatarstan are presented. The average values of liver stiffness were calculated in patients with hepatitis of various etiologies and liver cirrhosis. The correlation was evaluated between the average liver stiffness and the Child-Pugh and FIB 4 indices, laboratory parameters (hemoglobin, total bilirubin, total protein, percentage of Quick’s prothrombin) and the portal vein diameter.
To the memory of Professor M.N. Cheboksarov, an outstanding representative of Kazan therapeutic school
Authors:   Kazan State Medical University, ABDULGANIEVA D. I. , BOMBINA L. K. ,   Kazan State Medical University, KIRILLOVA E. R. ,   Kazan State Medical University, BOL’SHAKOV N. A. ,   Kursk State Medical University, SABIROVA G. SH. ,   Kazan State Medical University, KHUSAINOVA A. K. ,   Kazan State Medical University, GALEEVA SH. SH. ,   Kazan State Medical University
Published: January 2023

The article is dedicated to the life path of Professor M.N. Cheboksarov, who headed Kazan University in 1922–1923. Due to him, the university education was preserved in Kazan during the Civil War and epidemic of typhus, when most of university professors left the city. M.N. Cheboksarov received an excellent education: he was an intern in the best clinics in Germany and Austria, and his residency mentor was the famous Professor Kazem-Bek. In 1919, he headed the Medical Faculty of Kazan University and the Society of Physicians, in 1920 — the Department of Therapeutic Clinic. He returned to scientific studies when V.V. Chirkovsky became the Rector. Being a talented scientist and attentive doctor, he left behind a lot of researches and a good memory among colleagues and patients.
Hysteroscopy pattern of uterine cavity pathology in the late postpartum period
Authors:   Kazan (Volga) Federal University, MINNULLINA F. F. , MUKHAMETZYANOVA L. M. ,   Kazan (Volga) Federal University, AKHMETSHINA L. R. ,   Republic Clinical Hospital
Published: January 2023

Various obstetric and gynecological disorders, such as placental retention, dysfunctional bleeding and endometrial polyps can cause postpartum uterine bleeding. Placental remnants and arteriovenous malformations are often found in uterine bleeding in the late postpartum period. Optimal treatment based on a correct differential diagnosis is necessary. Differential diagnosis of the placental bed made with an ultrasound examination is essential. An ultrasound examination and determination of the chorionic gonadotropin level are the basic steps in the diagnostic. In the absence of massive bleeding, hemodynamic stability of the patient with suspected placental polyp, it is advisable to conduct hysteroscopy for therapeutic and diagnostic purposes. The article presents the advantages of hysteroscopy in this type of pathology and describes a clinical case of a patient with placental remnants.
Treatment of patients with retroperitoneal hematomas in the late postpartum period
Authors:   Kazan (Volga) Federal University, MINNULLINA F. F. , MUKHAMETZYANOVA L. M. ,   L.M. MUKHAMETZYANOVA, AKHMETSHINA L. R. ,   Republic Clinical Hospital
Published: January 2023

Postpartum retroperitoneal hematomas can occur both after surgical and normal vaginal delivery. Etiology includes mechanical and spontaneous causes. If a retroperitoneal hematoma is suspected, it is necessary to carry out urgent diagnostic measures with the participation of a multi-speciality team to develop a plan for the patient management and treatment. Surgical intervention or conservative treatment is performed depending on the clinical situation. The continuing instability of hemodynamics is an indication for surgical intervention (revision of the abdominal cavity, intra-arterial embolization, puncture, etc.). This article presents two clinical cases of combined conservative treatment and uterine artery embolization of patients with this pathology. In both cases the treatment was effective.
The impact of late diagnosis on the outcome of ectopic pregnancy
Authors:   Republic Clinical Hospital, MINNULLINA F. F. , AKHMETSHINA L. R. ,   Kazan (Volga) Federal University, MUKHAMETZYANOVA L. M. ,   Republic Clinical Hospital
Published: January 2023

The purpose — to share the experience of pregnancy management with the placenta presentation and incretion into the scar at a gestation period of over 12 weeks. Main provisions: the growth of operative delivery is associated with an increase in the number of women of reproductive age planning a second and subsequent pregnancy with a scar on the uterus. We describe a rare example of the management of a patient with the placenta presentation and incretion into the scar after conservative and surgical therapy.
Clinical significance of blood ammonium level for diagnosis of hepatic encephalopathy in patients with liver diseases
Authors:   Kazan State Medical University, MUKHAMETOVA D. D. , BODRYAGINA Е. S. ,   Kazan State Medical University, GORN А. V. ,   Kazan State Medical University, KHUSAINOVA А. D. ,   Kazan State Medical University, ABDULGANIEVA D. I. ,   Kazan State Medical University, ODINTSOVA A. KH. ,   Republic Clinical Hospital, SADYKOVA L. R. ,   Republic Clinical Hospital, CHEREMINA N. A. ,   Republic Clinical Hospital
Published: January 2023

The paper presents the results of a survey of 35 patients with liver diseases of various etiologies hospitalized in Gastroenterology Department of Republic Clinical Hospital in Kazan. The patients were distributed according to etiology: liver cirrhosis — 28 (80%), acute hepatitis — 5 (14.3%), after liver transplantation — 2 (5.7%). The patients underwent a complete clinical examination, and psychometric tests were additionally used to assess the stage of hepatic encephalopathy. Blood ammonium level was determined in all patients using the PocketChem BA PA-4140 blood ammonia meter. Connect-the-Numbers Test revealed encephalopathy in 97.1% of patients with liver diseases, while latent hepatic encephalopathy was observed in 47% cases. According to the West-Haven criteria, hepatic encephalopathy was diagnosed in 80% patients. Hyperammonemia was determined in 80% of patients with liver diseases. There was some relationship between the ammonium level and the stage of hepatic encephalopathy.
Features of the course of systemic scleroderma-polymyositis overlap syndrome in a young patient
Authors:   Kazan State Medical University, MUKHETDINOVA A. M. , LAPSHINA S. A. ,   Kazan State Medical University, GABDULLINA Z. N. ,   Republic Clinical Hospital, SHAMSUTDINOVA N. G. ,   Kazan State Medical University, SUKHORUKOVA E. V. ,   Republic Clinical Hospital, BADRUTDINOVA L. I. ,   Kazan State Medical University
Published: January 2023

The article presents a clinical case of systemic scleroderma and polymyositis in a young female patient. Notable is a rather rapid development of symptoms beginning with Raynaud’s syndrome, scleroderma skin lesion, and visceral pathology against the background of immunologic activity. Along with this, there were signs of polymyositis: weakness of proximal muscle groups, high indices of muscle enzymes, and positive electromyographic data. After SARS-CoV-2 vaccination, the patient noted a worsening of her general condition, increased muscle weakness and the appearance of new symptoms such as dysphagia, dysphonia, enlarged cervical lymph nodes, shortness of breath, and cough. The examination revealed vocal fold paralysis, paresis of the right side of the larynx and soft palate, and pulmonary hypertension. The results of the examination of the muscular component implied a primary muscular lesion.
Case report: chronic kidney disease progression after two prior cases of COVID-19
Authors:   Kazan State Medical University, NURULLINA G. I. , KHALFINA T. N. ,   Kazan State Medical University, SHARAFUTDINOVA A. A. ,   Republic Clinical Hospital, CHANTURIA I. D. ,   Kazan State Medical University, GOSTYUNIN T. D. ,   Kazan State Medical University
Published: January 2023

During the COVID-19 pandemic it became known that SARS-CoV-2 virus has other targets beside lungs. Recent studies imply that the virus have shown tropism on kidneys, which under the durable kidney disease leads to aggravation of chronic kidney disease (CKD). The article presents a case of progressive CKD in a patient of the Nephrology Department at Republic Clinical Hospital who had two prior cases of COVID-19. Initially he had the 3A stage of CKD with GFR 58 ml/min/1.73 m2, with proteinuria level of A1 stage. After the first COVID-19 infection, his GFR decreased to 40 ml/min/1.73 m2. After the second COVID-19 infection, GFR decreased to 34.2 ml/min/1.73 m2 and proteinuria reached the A3 stage levels. After six months, GFR was 21.5 ml/min/1.73 m2, and proteinuria reached nephrotic levels. The presented case showed progression of CKD due to SARS-CoV-2.
Greenhouse Ventilation
Authors: Watson Jonathan A. , Gómez Celina , Buffington D. E. , Bucklin Ray A. , Henley Richard W. , McConnell Dennis B.
Published: February 2023

Greenhouse ventilation involves removing air from inside the greenhouse and replacing it with outside air. The ventilation may be natural (caused by wind and temperature forces) or mechanical (accomplished by using fans). The purposes of ventilation are to control high temperatures during the summer caused by the influx of solar radiation, to maintain relative humidity at acceptable levels during winter, to provide uniform air flow throughout the greenhouse, and to maintain acceptable levels of gas concentration in the greenhouse. Ventilation systems for greenhouses must be considered for three climatic conditions that typically occur during the year—winter, summer, and spring–fall. This 4-page fact sheet is a minor revision written by J. A. Watson, C. Gómez, D. E. Buffington, R. A. Bucklin, R. W. Henley, and D. B. McConnell, and published by the Department of Agricultural and Biological Engineering, November 2019.
AE-10/AE030: Greenhouse Ventilation (ufl.edu)
COVID-19 FAQ for Grocery Stores: General Questions and Employee Health
Authors: Seymour Natalie , Yavelak Mary , Christian Candice , Chapman Ben , Danyluk Michelle
Published: February 2023

These flyers, written by Natalie Seymour, Mary Yavelak, Candice Christian, and Ben Chapman (NC State University Extension), provide quick, digestible information regarding prevention of COVID-19 and procedures for food service, grocery stores, and other food-related businesses. This flyer in particular provides guidance for grocery stores regarding COVID-19 and employee health. Published by the UF/IFAS Food Science and Human Nutrition Department, March 2020.
Revised April 21, 2020: Changes were made relating to physical distancing, mask usage and monitoring employee health when exposed to the virus.
FSHN20-10/FS333: COVID-19 FAQ for Grocery Stores: General Questions and Employee Health (ufl.edu)
Quick Reference Guide to Citrus Insecticides and Miticides
Authors: Diepenbrock Lauren M. , Stansly Philip A. , Stelinski Lukasz L. , Burrow Jamie D. , Qureshi Jawwad A.
Published: February 2023

This document is a two-page quick reference guide to citrus insecticides and miticides recommended in the Florida Citrus Pest Management Guide, their effects on important citrus pests, and their natural enemies. It is a minor revision written by L. M. Diepenbrock, P. A. Stansly, L. L. Stelinski, J. D. Burrow, and J. A. Qureshi, and published by the Entomology and Nematology Department, August 2019.
ENY-854/IN807: 2022-2023 Quick Reference Guide to Citrus Insecticides and Miticides (ufl.edu)
Getting Engaged: “Public” Engagement Practices for Researchers
Authors: Stofer Kathryn A.
Published: February 2023

This 5-page fact sheet is part of the Getting Engaged series that aims to help readers become more comfortable with engaging various stakeholder audiences. It is designed for agriscience, natural resources, or other science and engineering faculty with primarily natural or physical science backgrounds who want to get started in stakeholder engagement. Written by Kathryn A. Stofer and published by the Department of Agricultural Education and Communication, February 2017.
AEC610/WC272: Getting Engaged: “Public,” Stakeholder, and Community Engagement Practices for Researchers (ufl.edu)
The effect of using make-a-match cooperative learning model on children's early numeracy skills
Authors: Veryawan Veryawan , Yus Anita , Wau Yasaratodo
Published: February 2023

This study aims to determine the effect of using the make-a-match cooperative learning model on children's numeracy skills. This quasi-experimental research was conducted at Fadnur Aisyah Islamic Kindergarten, North Sumatra, Indonesia. Researchers took 30 students aged 5-6 years with a specific purpose as a sample. We were collecting data using observation sheets to assess children's numeracy skills. The research instruments include mentioning numbers, counting pictures, connecting with symbols, and adding simplicity. The data analysis technique used is the one-way ANOVA test. The results showed that the average numeracy ability of children using the make-a-match learning model was higher than the expository learning model. Therefore, the implications of the make-a-match cooperative learning model can support numeracy skills in early childhood
Desarrollo del pensamiento crítico: una necesidad en la formación de estudiantes universitarios
Authors: Gonzales Giraldo Fatima del Carmen
Published: January 2023

El pensamiento crítico es una estrategia cognitiva muy compleja, debido a que requiere que el estudiante pueda pensar, reflexionar y cuestionar los recursos utilizados en el ámbito educativo, con el propósito de analizar ese proceso, se realiza este estudio que tuvo como objetivo, analizar el nivel de desarrollo del pensamiento crítico en un grupo de 114 estudiantes universitarios durante el periodo de confinamiento por la pandemia del COVID-19. El diseño fue descriptivo y el instrumento utilizado fue el Cuestionario de Pensamiento Crítico (CPC2). Los resultados evidencian que los estudiantes presentaron predominantemente un nivel medio alto de desarrollo en esta habilidad, de los 114 participantes, 66 de ellos están en el nivel alto, 46 en el nivel medio y solo 2 en el nivel bajo. Se concluye por tanto que, a pesar de las limitaciones que ha significado la crisis sanitaria y el cambio en la modalidad de aprendizaje, los participantes tienen la capacidad de valorar, argumentar, dar opiniones pertinentes sobre la actuación de ellos mismo y de los demás frente a los materiales y recursos que se usaron en la enseñanza durante esta época.