38 research outputs found

    UNIVERSITY INTELLECTUAL CAPITAL FORMATION AND DEVELOPMENT

    Get PDF
    Purpose of the study: One of the most important terms to solve the problems of the education system is the educational institution’s intellectual capital, which significantly transforms the role and functions of the modern educator. The purpose of the article is to identify the essence of the University's intellectual capital and to justify the trajectory of its development, due to the needs and capabilities of education stakeholders. Methodology: Based on the methodology of education quality management the article justifies the leading role of quality education as an imperative of the University development. Intellectual capital is considered from the standpoint of organizational resources that determine the cost of the final product – the quality of education and the competitive position of the University; its development is carried out based on the project-target approach. Results: Modern requirements for the intellectual capital of the educational organization are revealed, the role and essence of pedagogical activity of teachers of higher education institutions in its formation are shown. The importance of continuous improvement of hard and soft competencies of University teachers as a way of incrementing intellectual capital is shown. The adaptive model’s design of University teachers’ career strategies based on design-target mechanisms is presented that determines the organizational development of the University. Applications of this study: The results determined the possibility to consider organizational and human knowledge and competence as a special type of investment to improve the functioning of the University. The recommendations for the construction of models of the University intellectual capital management are presented. The article is intended for employees of the education system, educators, researchers, and heads of the University departments. Novelty/Originality of this study: The contribution is made to the theory of the University’s social and cognitive management based on expanding the powers of quality management in the field of intellectual capital management

    CHEK2 1100 delC mutation in Russian ovarian cancer patients

    Get PDF
    BRCA1 and BRCA2 germ-line mutations occur in a significant number of unselected ovarian cancer (OC) patients, thus making a noticeable contribution to OC morbidity. It is of interest whether CHEK2, which is frequently regarded as a third breast cancer specific gene, is also relevant to ovarian cancer pathogenesis. In this report we analyzed the presence of CHEK2 1100 delC founder mutation in 268 randomly recruited OC patients. The mutation was identified in 2 women with OC (0.8%) as compared to 1/448 (0.2%) healthy middle-aged and 0/373 elderly tumour-free women. Taken together this result and the negative findings of two other published reports on an association of CHEK2 with ovarian cancer indicate that there is no justification for intensive ovarian cancer screening in CHEK2 1100 delC carriers

    Analysis of the Survival Rate of Cancer Dispensary Patients after Radical Cystectomy

    Full text link
    One of the most commonly used surgical operations among patients with bladder cancer is radical cystectomy. An important stage of the operation is the choice of the method urine derivation. The aim of the study: to analyze the survival of patients with three different meth-ods of urine derivation

    Прогнозирование продолжительности сроков заболевания и возраста пациентов с разными стадиями первичной открытоугольной глаукомы

    Get PDF
    PURPOSE: To find out the expected duration of the disease and age of patients with different primary open-angle glaucoma changes. METHODS: The study protocol included data from 120 patients (50 males (41.7%), 70 females (58.3%)); 189 eyes; 102 right eyes; 87 left eyes). The first study group (28 patients, 44 eyes) comprised patients with suspected glaucoma. The second group (53 patients, 84 eyes) consisted of patients with early glaucoma changes. The third group (21 patients, 33 eyes) included patients with advanced glaucoma changes. The forth group (18 patients, 28 eyes) comprised patients with terminal glaucoma. The mean age of the patients was 61.6 (58.4; 66.9) years at the time of diagnosis and 66.9 (63.4; 72.8) years at the endpoint visit in 2013. In all cases the diagnosis was made according to the differential diagnosis system and was proved by special diagnostic techniques. The database included data from 3 qualified examinations as well as tonometry and static automatic perimetry results. RESULTS: The expected mean age of the patients at the moment of total vision loss was 75.1 years. The period, during which patients developed blindness, was limited to 6.1 years. Mean age of the patients at the time of possible glaucoma development was 59.58 (56.14; 64.36) years. The disease itself could have developed within -3.24 (-5.38; -1.2) years prior to the diagnosis. CONCLUSION: Glaucoma diagnostic research should be focused on the age group of 55-60 years. The degree of IOP-lowering in patients with advanced glaucoma changes does not correspond with the Russian glaucoma society recommendations, which determines further progression of the disease.ЦЕЛЬ. Определить предполагаемую продолжительность сроков течения заболевания и возраст пациентов с разными стадиями первичной открытоугольной глаукомы. методы. в протокол исследования были включены данные 120 человек (50 (41,7%) мужчин, 70 (58,3%) женщин; всего 189 глаз, из них 102 правых и 87 левых). В 1-ю группу (28 человек, 44 глаза) вошли пациенты с диагнозом подозрение на глаукому. Пациенты с начальной стадией глаукомы составили 2-ю группу (53 человека, 84 глаза), с развитой стадией заболевания - 3-ю (21 пациент, 33 глаза), с далекозашедшей стадией болезни - 4-ю группу (18 пациентов, 28 глаз). Средний возраст всех пациентов на момент проведения первичной диагностики составил 61,6 (58,4; 66,9) года и 66,9 (63,4; 72,8) года на момент проведения финального исследования в 2013 г. Во всех случаях диагноз был установлен в соответствии с системой дифференциальной диагностики заболеваний и подтвержден специальными методами исследования. В базу данных были включены результаты трех квалифицированных заключений, с результатами тонометрии и статической периметрии. РЕЗУЛЬТАТЫ. Средний предполагаемый возраст пациентов на момент наступления слепоты составил 75,1 года, а период, когда такие изменения наступят, был ограничен сроком в 6,1 года. Возраст пациента при вероятном возникновении глаукомы составил 59,58 (56,14; 64,36) года, а само заболевание могло начаться за 3,24 (-5,38; -1,2) года до момента постановки диагноза на практике. ЗАКЛЮЧЕНИЕ. Профилактические осмотры населения с целью выявления глаукомы должны быть в первую очередь ориентированы на возрастную группу от 55 до 60 лет. Степень понижения уровня внутриглазного давления у пациентов с продвинутыми стадиями заболевания не соответствует рекомендациям Российского глаукомного общества для этих категорий пациентов, что определяет дальнейшее прогрессирование заболевания

    Оптимизация лечебно-диагностического процесса у пациентов с первичной открытоугольной глаукомой

    Get PDF
    PURPOSE: To create an optimal scientifically based system of management of diagnosis and treatment process (diagnosis, follow-up, rational medication treatment, surgical treatment) in patients with primary open-angle glaucoma. METHODS: The final protocol of combined analytical research and clinical multicenter study conducted from July to November 2015 included data from 591 patients (824 eyes). Age, disease duration, disease stage, IOP level and visual field parameters during treatment and treatment regimens were analyzed. Regimen included various combinations of medical, laser and surgical treatment used in the disease management. RESULTS: Average patients' age at the time of diagnosis establishment was 64.3 (57.5; 70.4). Mean disease duration was 4.1 years (2.0; 7.1). The administered regimen was considered to be effective when IOP level was below 20 mm Hg. The IOP level between 21 and 25 mm Hg was considered to be a sign of reduced treatment effectiveness and need for change of the regimen. 8 regimen changes were analyzed in total, though 90% of cases had 1-5 regimen changes. The first three regimens were used for 1.2 (0.4; 2.6), 1.3 (0.5; 2.5) and 1.1 years (0.5; 2.4) respectively. B-blockers and prostaglandin analogues monotherapy was used as a first-line therapy in 40.1% and 20.8% of cases respectively. Treatment was started with combination therapy in 27.82% of cases. Proportion of surgical treatment was 9.9% in regimen 2 and achieved 73% in regimen 5. Laser treatment was started from regimen 3 though the frequency of administration did not exceed 20%. Combination treatment using 3 and more components was found starting from regimen 5 (57.3%). CONCLUSION: First line therapy choice is still not rational in many cases. Laser and surgical treatment are used ineffectively after 3-4 years from the diagnosis.ЦЕЛЬ. Создать оптимальную научно обоснованную систему управления (диагностика, динамическое наблюдение, рациональная фармакотерапия, хирургическое лечение) лечебно-диагностическим процессом у пациентов с первичной открытоугольной глаукомой. МЕТОДЫ. В итоговый протокол комбинированного аналитического научно-клинического многоцентрового исследования, проведенного в июле-ноябре 2015 года, были включены данные 591 человека (женщин - 352 (59,6%), мужчин - 239 (40,4%); 824 глаза). Были проанализированы: возраст, анамнез, стадии заболевания, уровни офтальмотонуса и характеристики поля зрения на фоне лечения и лечебная тактика (режимы назначений от момента обнаружения заболевания). Под понятием «режим» понимались различные варианты медикаментозного, лазерного и хирургического лечения, использованные в тактике лечебно-диагностического процесса. РЕЗУЛЬТАТЫ. Средний возраст пациентов на момент диагностирования глаукомы (все стадии, без деления на гендерные группы) составил 64,30 (57,50; 70,40) года, а на момент включения в исследование - 68,80 (64,10; 75,60) года. Средний анамнез заболевания составил 4,10 (2,00; 7,10) года. Назначенный режим лечения оценивался исследователями как эффективный при показателях офтальмотонуса не выше 20 мм рт.ст., при этом за понижение эффективности лечения и необходимость перевода на другой режим принимались показатели ВГД в диапазоне от 21 до 25 мм рт.ст. Всего было проанализировано 8 смен схем режимов, при этом в режимах 1-5 были проанализированы более 90% всех назначений. Продолжительность использования первых последовательных трех режимов составила: первого - 1,20 (0,40; 2,60) года, второго - 1,30 (0,50; 2,50) года, третьего - 1,10 (0,50; 2,40) года. Доля бета-адреноблокаторов в монотерапии в первом режиме составила 40,1%, значительно снизившись ко второму - до 3,16%, и полностью отсутствовала в последующих назначениях. Доля аналогов простагландинов в монотерапии также уменьшается от режима к режиму: на старте их применяют в 20,8% случаев, а при режиме № 3 - в 6,7% (снижение в три раза). В лечебной тактике второго режима начинает использоваться хирургический компонент (9,9%). Наиболее наглядно выглядят компоненты, использованные в режиме № 5. Действительно, активное применение схем комбинированной терапии, включая применение трех и более компонентов, было установлено начиная с режима № 5 (57,3%). В это же время в 9,6% случаев становится актуальным повторное хирургическое лечение. ЗАКЛЮЧЕНИЕ. Учитывая, что продвинутые стадии заболевания превалируют при обнаружении глаукомы, следует обратить внимание на нерациональную тактику выбора терапии первой линии у таких лиц. Недостаточно эффективно применяется лазерное и хирургическое лечение, которое становится актуальным только в режимах №№ 3-4, т. е. после 3-4 лет от обнаружения болезни

    The prospect of using the cyanobacterium

    Get PDF
    The influence of the cyanobacterium Nostoc muscorum on vital activity of barley seedlings of the species Novichok was researched. In the experiments different ways of cyanobacterial treatment were used: introducing microorganisms in the growth medium and pre-sowing inoculation of barley seeds with cyanobacteria. The influence of cyanobacterial treatment on biochemical indices and linear growth of barley plants was assessed. The share of plastid pigments and intensity of the processes of lipid peroxidation were assessed in a spectrophotometric way, standard methods were applied. It was stated that Nostoc muscorum has a phytostimulating effect which consists in inhibiting oxidation processes in barley cells, accumulating substances with antioxidative activity, and activating growth processes. Pre-sowing inoculation of barley seeds with cyanobacteria is the most effective one

    Surface modification and deuterium retention in reduced-activation steels under low-energy deuterium plasma exposure. Part II: steels pre-damaged with 20 MeV W ions and high heat flux

    Get PDF
    The reduced-activation ferritic/martensitic (RAFM) steels including Eurofer (9Cr) and oxide dispersion strengthened (ODS) steels by the addition of Y2O3 particles investigated in Part I were pre-damaged either with 20 MeV W ions at room temperature at IPP (Garching) or with high heat flux at FZJ (Juelich) and subsequently exposed to low energy (~20–200 eV per D) deuterium (D) plasma up to a fluence of 2.9  ×  1025 D m−2 in the temperature range from 290 K to 700 K. The pre-irradiation with 20 MeV W ions at room temperature up to 1 displacement per atom (dpa) has no noticeable influence on the steel surface morphology before and after the D plasma exposure. The pre-irradiation with W ions leads to the same concentration of deuterium in all kinds of investigated steels, regardless of the presence of nanoparticles and Cr content. It was found that (i) both kinds of irradiation with W ions and high heat flux increase the D retention in steels compared to undamaged steels and (ii) the D retention in both pre-damaged and undamaged steels decreases with a formation of surface roughness under the irradiation of steels with deuterium ions with incident energy which exceeds the threshold of sputtering. The increase in the D retention in RAFM steels pre-damaged either with W ions (damage up to ~3 µm) or high heat flux (damage up to ~10 µm) diminishes with increasing the temperature. It is important to mention that the near surface modifications caused by either implantation of high energy ions or a high heat flux load, significantly affect the total D retention at low temperatures or low fluences but have a negligible impact on the total D retention at elevated temperatures and high fluences because, in these cases, the D retention is mainly determined by bulk diffusion
    corecore