Surgical management of bilateral congenital coloboma of the iris and congenital cataract

Background. A combined character of a defect, which is congenital coloboma in the presence of congenital cataract, brings up an issue of choosing optimal management to achieve the maximum possible optical functions, provided that the risk of development of operational and postoperative complications is reduced. Purpose. To analyze a character, features, and complications and to develop the optimal surgical management of bilateral congenital iris coloboma and cataract. Material and Methods. Visual acuity testing, standard ophthalmic examination, distance ultrasound biometry, keratometry, ultrasound scanning were performed. Results and Conclusions. We performed minimally invasive surgery including phacoemulsification of congenital cataract with IOL endocapsule implantation and formation of optic diaphragm without interventions in the iris. Visual acuity in the pseudophakic left eye increased to 1.0 within 3 months, additional diaphragming was not able to correct visual acuity. High visual acuity, 1.0, remained in the right eye in the presence of coloboma of the iris and partial cataract. Binocular vision was achieved. The autoplasty method using the proper lens capsule for coloboma of the iris made it possible to maximally improve visual acuity in the eyes with double congenital abnormality of the iris and the lens. The reasonable attitude to corepraxy, considering the bilateral damage, enabled to achieve binocular vision within the shortest possible period of time after surgery

Эффективность и безопасность опиоидной терапии хронического болевого синдрома у пациентов с раком поджелудочной железы: клинико-патогенетические особенности

Aim. To study the influence of clinical and pathogenetic factors in patients with pancreatic cancer on the efficacy and safety of analgesic therapy of chronic pain syndrome. Materials and methods. Clinical features of formation of chronic pain syndrome predetermining the efficacy and safety of analgesic therapy were studied in 82 patients with pancreatic cancer. Results. The efficacy and safety of opioids in the comparison groups of morphine sulfate, fentanyl TTC and oxycodone / naloxone in patients with pancreatic cancer was shown.Цель. Изучить влияние клинико - патогенетических факторов у пациентов с раком поджелудочной железы на эффективность и безопасность анальгетической терапии хронического болевого синдрома. Материалы и методы. У 82 пациентов с раком поджелудочной железы изучены клинические особенности формирования хронического болевого синдрома, предопределяющие эффективность и безопасность анальгетической терапии. Результаты. Показана эффективность и безопасность опиоидов в группах сравнения морфина сульфата, фентанила ТТС и оксикодона / налоксона у пациентов с раком поджелудочной железы

E-Resources for Technological Support of Foreign Student Independent Work in University Educational Process

The relevance of the study is due to the search for promising directions of foreign student independent work organization, due of transformation trends of the University educational process, the key link of which are electronic resources: interactive computer technologies that activate all activities of the student and accelerate the process of educational information assimilation; computer simulators that contribute to the acquisition of practical skills; interactive testing systems that control the quality of knowledge. The availability and functionality of mobile electronic devices (Internet tablets, netbooks, readers, multimedia projectors, and interactive whiteboards), information and communication applications and programs, the emergence of new devices and equipment also contribute to the effective updating of foreign student independent work in the University educational process. In this regard, the main attention is paid to the substantiation of the theoretical and methodical approach to the use of electronic resources for technological support of the innovative model of a foreign student's independent work in the University educational process. To substantiate the theoretical and practical significance of the implementation of electronic resources for technological support of independent work, the method of pedagogical monitoring was used, with the help of which continuous monitoring of independent work organization was carried out and operational correction of emerging problems was carried out. The article establishes the classification of types and kinds of electronic resources for technological support of a foreign student's independent work in the University educational process; the algorithm of multimedia components' implementation of electronic resources for technological support of a foreign student's independent work. Based on the results of the study, the priority of electronic resources for technological support of a foreign student's independent work is justified and the effectiveness of their implementation is proved