PRACTICE AND EMPLOYMENT of STUDENTS WITH DISABILITIES

One of the most important features of the organization of the educational process in the higher education program is the practice-oriented nature of teaching students with disabilities.Одной из важнейших особенностей организации учебного процесса по программе высшего образования является практико-ориентированный характер обучения студентов с ОВЗ и инвалидностью

Current State of Natural Foci of Dangerous Infectious Diseases in the Territory of the Russian Federation

Objective of the study is to evaluate the current state of epizootic activity of natural zoonotic foci, as the basis for the development of prophylactic measures aimed at prevention of natural-focal infections during mass events. Materials and methods. Utilized have been reports from the Center of Hygiene and Epidemiology in the Republic of Tatarstan, the data provided by Rospotrebnadzor Administration in the Republic of Tatarstan over the period of 2009-2014, and literature references. Results and conclusions. The most pressing natural-focal infectious diseases are hemorrhagic fever with renal syndrome, tick-borne borreliosis, and tick-borne viral encephalitis. Yersinioses, leptospiroses, and West Nile fever are rarely registered. Tularemia infections have not been reported within the past 20 years. The period of 2009-2013 is characterized by the decrease in the numbers of carriers and vectors of the diseases, as well as epizootic activity of natural foci, which came up to minimum values in 2013. Emerged since 2014 increment in the abundance rates of the carriers and later the vectors can lead to the increase in the incidence of natural-focal diseases. In the territory of the Republic, allocated are the spatial combination areas of natural foci of the diseases of various etiology with high risk of population exposure. Previous to conduction of mass events it is necessary to enhance the epizootiological surveillance in the natural foci, the results of which lay premises for the development of complex prophylactic activities

Management of Epizootiological Investigation in the Context of Mass Event (by the Example of the XXVII Worldwide Summer Universiade in Kazan, 2013)

In consequence of epizootiological investigation, differentiated has been Kazan territory according to the potential epidemic hazard levels; determined is the abundance of carriers and vectors of natural-focal infection agents in and around the territory of the Summer Universiade-2013; substantiated is the scope of preventive measures (disinfection, deratization, desinsection), as well as their frequency and coverage area. Timely detection of the regions with expressed epizootic potential growth has made it possible to carry out prophylactic activities and reach an epidemic-hazard-lowering effect as regards particular territories of the natural and anthropourgic infectious disease foci. Further on, validated has been disinfection as part of specific prophylaxis and as a basic measure for elimination of risks of the population exposure to natural-focal infections directly during the mass event

Глутаровая ацидурия типа 1 у детей. Клиническое представление 46 случаев, диагностированных в России

Background. Glutaric aciduria type 1 is an autosomal recessive disease caused by mutations in the GCDH gene, which encodes the enzyme glutaryl‑CoA dehydrogenase. Metabolic crisis in type 1 glutaric aciduria is an acute life‑threatening condition that requires careful diagnosis with a number of other conditions and the immediate initiation of pathogenetic therapy.Materials and methods. Clinical manifestations, neuroimaging characteristics of the disease were studied in 46 patients with diagnosed glutaric aciduria type 1 confirmed by biochemical and molecular genetic methods. Methods: gas chromatography with mass spectrometry, tandem mass spectrometry, Sanger sequencing, chromosomal microarray analysis of the exon level.Results and discussion. A retrospective analysis of anamnestic and clinical data was carried out, and the nature and age of disease manifestation, provoking factors, a spectrum of clinical manifestations and neuroimaging data were assessed.Conclusion. How initiated treatment prevents progression of neurological symptom relief and patient adaptation. With the help of the goal, it is necessary to inform pediatricians, neurologists and neuroradiologists about this feature of the course of glutaric aciduria type 1 in order to increase the clinical alertness of this disease.Введение. Глутаровая ацидурия типа 1 – аутосомно‑рецессивное заболевание, обусловленное мутациями в гене GCDH, кодирующем фермент глутарил‑КоА дегидрогеназу. Метаболический криз при глутаровой ацидурии типа 1 – это острое жизнеугрожающее состояние, требующее тщательной дифференциальной диагностики с рядом других состояний и незамедлительного начала патогенетической терапии.Материалы и методы. Клинические проявления, нейровизуализационные характеристики болезни изучены у 46 пациентов с подтвержденным биохимическими и молекулярно‑генетическими методами диагнозом глутаровой ацидурии типа 1. Методы: газовая хроматография с масс‑спектрометрией, тандемная масс‑спектрометрия, секвенирование по Сэнгеру, хромосомный микроматричный анализ экзонного уровня.Результаты и обсуждение. Проведен ретроспективный анализ анамнестических данных, клинических, а также оценены характер и возраст манифестации болезни, провоцирующие факторы, спектр клинических проявлений и нейровизуализационные данные.Заключение. При отсутствии массового неонатального скрининга крайне важное значение имеет ранняя диагностика болезни, так как своевременно начатое лечение поможет предотвратить прогрессирование неврологической симптоматики и способствовать адаптации пациентов. С этой целью необходимо информировать врачей‑педиатров, неврологов и нейрорадиологов об особенностях протекания глутаровой ацидурии типа 1 для повышения клинической настороженности в отношении данного заболевания

Myocardial perfusion scintigraphy in the diagnostics of takotsubo syndrome

We analyzed the publications about single-photon emission computed tomography in the diagnostics of takotsubo syndrome; the dynamics of testing data are presented on a clinical example. Single-photon emission computed tomography can be used to evaluate perfusion parameters for exclusion of myocardial infarction in uncertain cases. In segments with impaired contractile function, it is possible to detect normal or reduced perfusion. During the acute phase there is a reduced accumulation of radiopharmaceuticals in myocardial segments with impaired function, which coincides with the regional distribution of neuronal activity. Pathological changes may persist for several months, and use of scintigraphy with a radiopharmaceutical may help in cases when the diagnosis was not well-timed established. The method of myocardial scintigraphy in ECG-synchronized tomography allows to simultaneously assess the perfusion and the function of the left ventricle and differentiate such disorder as takotsubo syndrome