System of monitoring of preparation of specialists

Development of the system of monitoring of preparation of specialists with every year becomes more actual. It is called to provide the organs of management objective and reliable information, conduct its analysis, promote quality of the accepted administrative decisions. Actual aims and tasks of the system of monitoring of the up-diffused Institute of higher, measures, providing monitoring at the level of planning of educational process, are to that end formulatedРазработка системы мониторинга подготовки специалистов с каждым годом становится все более актуальной. Она призвана обеспечить органы управления объективной и достоверной информацией, провести ее анализ, повысить качество принимаемых управленческих решений. С этой целью сформулированы актуальные цели и задачи системы мониторинга распределенного ВУЗа, мероприятия, обеспечивающие мониторинг на уровне планирования учебного процесс

West nile fever case in neurological practice

West Nile fever is a zoonotic arbovirus mosquito- and tick-borne infection, which occurs in humans in the form of an acute febrile illness with symptoms of general intoxication, in severe cases – with the central nervous system damage. West Nile virus belongs to the Flaviviridae family.After the start of Russians’ mass tourism to tropical and subtropical regions, number of cases of the disease in Russia has increased, especially in the south, where the virus is more viable. The infection mainly affects birds but also people and many mammals (bats, cats, dogs, skunks, squirrels, rabbits, etc.), which become infected after the bite of a mosquito of the genus Culex (Culex pipiens) carrying the disease, ixodid or argas mite. A clinical case of hemorrhagic stroke caused by West Nile fever is presented in the article

Панникулит Крисчена–Вебера у молодой пациентки с миастенией (описание клинического случая)

Christian–Weber disease refers to the group of panniculitis, which present an inflammation of the subcutaneous adipose tissue with the involvement of neutrophils, white blood cells and histiocytics, which leads to fibrosis in adipose tissue and sometimes to granulomatous changes. Clinically this pathology manifests from the formation of nodes in the subcutaneous adipose tissue, which appear suddenly, sporadically in some areas or multiple, sometimes forming large aggregations (plaques) or strands, shaped like a rosary. Consistency of nodes initially soft, then compacted, can form adhesions with the skin, the skin over them is not changed initially, followed by a color change from bright pink to brown-purple. Ends the process of atrophy of the affected area, sometimes with a depression in the center. Localization sites in the body are different; they are placed often on the buttocks, arms and legs. The duration of the process of the skin varies from a few days to a few months, after involution of old nodes may appear new ones, it are the cause of increasing the duration of the disease, having a relapsing course. It can be rather difficult to do differential diagnosis, which requires a great deal of experience of experts and a team approach to the study and treatment of this pathology. To confirm the diagnosis requires a biopsy of the skin. Prognosis depends on the nature of the disease and timely diagnosis.Болезнь Крисчена–Вебера относится к группе панникулитов, которые представляют собой воспаление подкожно-жировой клетчатки с вовлечением нейтрофилов, лейкоцитов и гистиоцитов, приводящее к фиброзу и иногда к гранулематозным изменениям. Клинически данная патология проявляется формированием узлов в подкожно-жировой клетчатке, которые возникают внезапно, единично или множественно, иногда образуя крупные скопления (бляшки) или тяжи, по форме напоминающие четки. Консистенция узлов вначале мягкая, затем они уплотняются, могут образовываться спайки с кожей, цвет кожных покровов над ними первоначально не изменен, но в последствии меняется от ярко-розового до коричнево-багрового. Заканчивается данный процесс атрофией пораженного участка, нередко с вдавлением в центре. Локализация узлов на теле различна, чаще они располагаются на ягодицах, руках и ногах. Длительность кожного процесса варьируется от нескольких дней до нескольких месяцев, при инволюции старых узлов могут появляться новые, что служит причиной увеличения продолжительности самого заболевания, имеющего рецидивирующее течение. Достаточно сложной может быть дифференциальная диагностика, требующая большого опыта специалистов и коллективного подхода к изучению и лечению данной патологии. Для подтверждения диагноза необходима биопсия кожи. Прогноз зависит от характера течения заболевания и своевременно установленного диагноза

Christianic–Weber panniculitis in a young patient with myasthenia (description of clinical case)

Christian–Weber disease refers to the group of panniculitis, which present an inflammation of the subcutaneous adipose tissue with the involvement of neutrophils, white blood cells and histiocytics, which leads to fibrosis in adipose tissue and sometimes to granulomatous changes. Clinically this pathology manifests from the formation of nodes in the subcutaneous adipose tissue, which appear suddenly, sporadically in some areas or multiple, sometimes forming large aggregations (plaques) or strands, shaped like a rosary. Consistency of nodes initially soft, then compacted, can form adhesions with the skin, the skin over them is not changed initially, followed by a color change from bright pink to brown-purple. Ends the process of atrophy of the affected area, sometimes with a depression in the center. Localization sites in the body are different; they are placed often on the buttocks, arms and legs. The duration of the process of the skin varies from a few days to a few months, after involution of old nodes may appear new ones, it are the cause of increasing the duration of the disease, having a relapsing course. It can be rather difficult to do differential diagnosis, which requires a great deal of experience of experts and a team approach to the study and treatment of this pathology. To confirm the diagnosis requires a biopsy of the skin. Prognosis depends on the nature of the disease and timely diagnosis