Using the scenarios of simulation case assignments in the educational process of students in the specialty "State and Municipal Management", master's degree programme

The article is devoted to the use of simulation case assignments in the learning process of students pursuing a Master's degree in "State and Municipal Management" at Russian State Social University. This university was established in 1991 for the high-quality training of specialists in the social sphere. The specialty "State and Municipal Management" enables students to explore the theoretical and practical levels, the essence and features of management interactions in the system of state and municipal administration, the main objectives, tasks and mechanisms of governance at the state and municipal levels, the methods and means of attracting investments in the economy of the municipality and the region, the features of the management system of the asset portfolio. The discipline "Sociology of Management" is the base for the direction of training "State and Municipal Management". The knowledge and skills acquired during the study contribute to a better understanding of the social, political, and economic patterns of management processes. Management sociology is a science which summarizes all management sciences in terms of targeting and special study of the patterns of managerial relations at all levels of society and its elements' functioning, as well as in all subject areas, the spheres of activity in society. The study of sociology as a science about relationships in the process of governance, connections, and interactions of the subjects of management activity in Russia has started relatively recently. In the mid-1990s, scientific readings and conferences were focused on the definition of the substantive field of science, its structure. Over these years, the situation has been as follows. The sociologists who violently debated and developed this scientific direction, after the appearance of the specialty "Management in Social Sphere" in 1996, in 1999 - the specialty "State and Municipal Management", and in 2002 - the specialty "Personnel Management", handed the study of this discipline to managers. And all of these management specialties found themselves in the consolidated group of professions "Economics and Management". This greatly affected the gap in the subject field of management itself. Most economists imagined that management is economics. The lawyers of those universities where departments of "Public Administration and Legal Support" were established never doubted that management is a legal sphere of activity. None of them paid special attention to the sociological component. However, those universities, which in the course of training in the field of state and municipal government created departments of sociology management in their structure or modules in the curricula, provide the most high-quality preparation of future managers. © 2018 Authors

Optical coherence tomography in the diagnosis and monitoring of congenital and juvenile glaucoma

Optical coherence tomography (OCT) in everyday routine practice is the method of choice for the instrumental diagnosis of glaucoma in adults. As a non-invasive and safe method of visualizing structural changes in the retina and the optic nerve, the method is of particular value in pediatric practice. At the same time, OCT diagnostics in children is associated with certain difficulties, both during the study and when interpreting the scan results.This review summarizes the data from the literature and our own research in the diagnosis and monitoring of congenital and juvenile glaucoma from the standpoint of our own long-term clinical experience in using optical coherence tomography. We consider the physiological changes of the retina and optic nerve, attention is focused on the need to create a pediatric regulatory database of retinal thickness, the factors that determine the normal range of the data obtained and allow distinguishing physiological processes from pathological ones are identified. Clinical cases confirming the value of OCT in combined pathology are presented as examples

Choroidal blood flow in glaucoma patients in conditions of ophthalmic hypertension and compensated intraocular pressure

Purpose. To evaluate changes in chorioretinal blood flow in the early postoperative period after non-penetrating deep sclerectomy (NPDS) in patients with primary open-angle glaucoma (POAG) and determine their relationship with the level of Goldman intraocular pressure (IOPg). Material and methods. The study included 36 patients with primary open-angle glaucoma of stage 1–2, with an IOP level above 21 mm Hg at the maximum hypotensive mode. All patients underwent glaucoma surgery (NPDS) by a single surgeon. IOP measurement was performed by dynamic bidirectional applanation using the Ocular Response Analyzer (Reichert Inc., USA). When evaluating the results, the Goldman IOP indicators (IOPg) were taken into account. The ophthalmic examination included optical coherence tomography of the optic disk and macular area, as well as assessment of the blood flow of these structures using optical coherence tomography in angio mode (OCTA) (RTVue XR Avanti, Optovue Inc., США). The thickness of the choroid was estimated using crossline protocols performed through the center of the fovea in the horizontal and vertical meridians. Results. Based on the assessment of changes in the indicators of ocular blood flow in the postoperative period, all patients were divided into 2 groups: group 1 – 28 patients (28 eyes) who showed improvement in OCTA after surgery, group 2 – 8 patients (8 eyes) who, according to OCTA data, showed no changes or decreased indicators of ocular blood flow after surgery. In patients of both groups, the level of IOPg before surgical treatment was comparable. On the 3rd day after NPDS IOPg in the group 1 decreased to 9.3 ± 1.2 mm Hg, while in group 2 hypotonia was detected (IOPg 3,6 ± 1,3 mm Hg, р = 0,001). All patients showed an increase in the thickness of the choroid in the central area and peripapillary after glaucoma surgery: in group 1 by 23 and 26 %, in group 2 by 48 and 62 %, respectively. In group 2 there was a significant increase in the large vessels caliber and the vascular membrane thickness as a whole to 115.4 % of the original. In group 1 patients, against the background of normalization of ophthalmotonus, there was a tendency to increase the capillary density of the superficial vascular plexus (from 40.9 ± 5.38 to 41.1 ± 3.56 %) and the deep vascular plexus (from 43.9 ± 6.1 to 44.7 ± 5.97 %). There was a positive trend of increasing capillary density in the radial peripapillary plexus (from 46.6 ± 8.9 to 47.2 ± 9.0 %). In patients of group 2, capillary density significantly decreased: from 39.9 ± 3.64 to 37.6 ± 2.48 % in the superficial vascular plexus and from 41.1 ± 4.72 to 38.7 ± 3.51 % in the deep vascular plexus. Conclusion. A decrease in the level of ophthalmotonus after NPDS was accompanied, in most cases, by a moderate increase in the thickness of the choroid and a tendency to improve blood flow in the retinal plexuses. Postoperative hypotension is characterized by dysregulation of choroidal blood flow, decompression violation of topographic relationships, which generally leads to the formation of choroidal effusion and vascular detachment

Neurophysiological Changes in Patients with Discirculatory Encephalopathy Associated with Ischemic Optic Neuropathy

Background. The most common chronic cerebrovascular pathology is dyscirculatory encephalopathy, in which a decrease in blood supply due to damage to brachiocephalic vessels leads to damage to brain substances and analyzers, including visual, with the possible development of severe damage in the form of ischemic optic neuropathy. Many studies have been devoted to the relationship between atherosclerotic damage to the neck vessels and ischemic damage to the visual organ, but little attention has been paid to the study of the functional activity of the altered visual analyzer in patients with dyscirculatory encephalopathy, and the results are scattered. Aim. To conduct a comparative analysis of changes in neurophysiological parameters of the brain and visual analyzer in patients with dyscirculatory encephalopathy and patients with a combination of dyscirculatory encephalopathy and ischemic optic neuropathy. Materials and methods. 34 patients with the 2nd stage of dyscirculatory encephalopathy were examined and divided into two groups based on the presence/absence of ischemic optic neuropathy of various prescription periods. All patients underwent ultrasound scanning of neck vessels, visual fields determination, electroretinography, visual evoked potentials, and electroencephalogram. Results. The results revealed changes in a number of indicators in the group of patients with a combination of two diseases: more pronounced atherosclerotic lesion of brachiocephalic vessels, a decrease in the amplitude and the alpharhythm prevalence index, a decrease in oscillatory potentials, a change in latency and amplitudes the visual analyzer according, lengthening of time indicators with a simultaneous decrease in amplitudes and depression of retinal sensitivity. Conclusion. Patients with dyscirculatory encephalopathy complicated by ischemic optic neuropathy have a combined lesion of the brain and visual analyzer, which determines the severity of the detected changes and requires a comprehensive multidisciplinary approach to the treatment of these patients

CLINIC AND EPIDEMIOLOGICAL CHARACTERISTICS OF «ATYPICAL PNEUMONIA» FOCUS IN BLAGOVESHCHENSK, AMUR REGION

The substantiating of SARS diagnosis in patients (Blagoveshchensk, Amur Region) is presented. The diagnosis was based on the results of clinical picture, epidemiological anamnesis and inquiry, and laboratory study of the patient’s blood and nasopharyngeal washes with the help of ELISA and PCR

Origin of Low-Energy Excitations in Charge-Ordered Manganites

The low-energy excitations in the charge-ordered phase of polycrystalline La0.25Ca0.75MnO3 are explored by frequency-domain terahertz spectroscopy. In the frequency range from 4 cm^-1 to 700 cm^-1 (energies 0.4 meV to 90 meV) and at temperatures down to 5 K, we do not detect any feature that can be associated with the collective response of the spatially modulated charge continuum. In the antiferromagnetically ordered phase, broad absorption bands appear in the conductivity and permittivity spectra around 30 cm^-1 and 100 cm^-1 which are assigned to former acoustic phonons optically activated due to a fourfold superstructure in the crystal lattice. Our results indicate that characteristic energies of collective excitations of the charge-ordered phase in La0:25Ca0:75MnO3, if any, lie below 1 meV. At our lowest frequencies of only few wavenumbers a strong relaxation is observed above 100 K connected to the formation of the charge-ordered state.Comment: 5 pages, 3 figure

Changing National Health Values of Russian Youth Aged 13-17: Motivation for Engagement in Physical Culture and Sports in Regions

The article is devoted to the study of the attitudes of contemporary Russian youth to a healthy lifestyle, healthcare in general, and physical culture and sports. As a result of a qualitative sociological study, the main trends and perspectives in the perception of a healthy lifestyle, physical culture, and sports in Russian regions are discovered and defined. The study specifies the motivational aspects of young Russians' attitudes to a healthy lifestyle, healthcare, physical culture, and sports. The specific features of the development of regional physical culture and sports in Russia, as well as the characteristics of the perception of physical culture and sports by various groups of Russian youth in the regions of the country, are identified. The attitudes to social stereotypes concerning a healthy lifestyle and sports in the minds of Russian citizens are discovered. The practical significance of the study results: The conclusions of the project can be used for the development of youth policy, as well as the development of new programs for the optimization of young people's lifestyle and the development of physical culture and sports in Russia. The study results can be utilized for the innovation of courses on the sociology of health and disease, sociology of physical culture and sports, and sociology of medicine. © 2021 Sociedade Portguesa de Estomatologia e Medicina Dentaria. All rights reserved

Reduction of hepatotoxicity of nimesulide in mechanochemically obtained composition with disodium salt of glycyrrhizic acid

Nimesulide (NIM) is a nonsteroid anti-inflammatory drug which acts as a selective cyclooxygenase 2 inhibitor and is widely used for acute pain treatment. In medical practice, a large amount of data has been collected describing the effect of NIM on the body, while a hepatotoxic side effect of the drug has been found. The exact mechanisms of such NIM-induced hepatotoxicity largely remain unknown but likely involve the intermediate reaction of its metabolism. Reduction of the hepatotoxic side effect of NIM is an actual problem for pharmacology. The aim of the present research was to evaluate the hepatotoxicity of the mechanochemically obtained composition of NIM with glycyrrhizic acid disodium salt (Na2GA) compared to pure NIM and a physical mixture of NIM with Na2GA. Material and methods. CD-1 mice were orally administered for 14 days: 1 group – mechanochemical composition NIM/Na2GA (1:10, m/m) at a dose of 1650 mg/kg; 2 group – physical mixture of NIM with Na2GA (1:10, m/m) at a dose of 1650 mg/kg; 3 group – pure NIM at a dose of 600 mg/kg (which pharmacokinetically corresponds to 1650 mg/kg of NIM/Na2GA); 4 group – vehicle (distilled water). The liver damage was assessed using histological studies and enzymatic activity of the alanine aminotransferase and aspartate aminotransferase in blood serum. Results. Histological analysis did not detect any changes in the liver of NIM/Na2GA-treated animals in comparison with a water-treated group. On the opposite, NIM given alone or as a physical mixture with Na2GA induced severe hepatotoxicity in experimental mice. Biochemical analysis of the blood serum revealed that mechanochemical NIM/Na2GA composition significantly reduced activity of the alanine aminotransferase (about 1.5 times) and aspartate aminotransferase (1.3 times) as compared with the pure NIM. Conclusions. The results obtained indicate a high potential for the practical application of the NIM/Na2GA mechanochemical composition

Reasoning for obligatory preclinical diagnostics of feline chronic kidney disease

Diseases of the urinary system of various etiologies are common in all species of animals and over time, they can lead to the development of chronic kidney disease (CKD) as the progressive process in which renal function gradually decreases over several years. In modern veterinary medicine, there is a problem of a steeply increase in cases of chronic kidney disease in cats. Pathology occurs most often in aged animals, but recent studies have registered cases of chronic renal dysfunction in young ones as well. In chronic kidney disease the kidneys do not work well for a long time, causing a number of changes in the body. Unfortunately, early symptoms are often missed by pet owners and the disease is not noticed for a long time. In most cases, the diagnosis of chronic kidney disease is established only when effective treatment is no longer possible or ineffective and treatment is able to maintain the homeostasis of the body only to a certain extent and for a short time. Undoubtedly, this approach to the diagnosis and treatment of kidney disease requires changes. In view of the fact that the duration of the preclinical stage of CKD can reach several years, the goals of our study were to show the benefits of early diagnosis of chronic kidney disease in cats and the introduction of a new concept of systematic body screening of clinically healthy animals and animals at risk. Also, the goals were to delay the moment of the kidneys compensatory reserve exhaustion and onset of clinical symptoms, which require constant symptomatic and replacement therapy. Reducing the percentage of early mortality of patients and the maximum possible increase in the duration of the preclinical stage of renal pathology were also aimed at. Efforts were also aimed at reducing the percentage of early mortality of patients and the maximum possible increase in the duration of the preclinical stage of renal pathology. Since nephroprotective therapy at the preclinical stage is highly effective in most clinical cases and allows to significantly slow down the progression of any chronic nephropathy, including CKD, there is a need for the formation of innovative diagnostic approaches at the early stages of the disease. It is proposed to conduct a cumulative assessment of the anamnesis in animals from risk groups, monitoring the level of creatinine in the blood serum, complete clinical analysis of urine, ultrasound examination of the kidneys, measurement of protein concentration, since these indicators have not only prognostic value and determine the tactics of treatment, but are also important factors pathogenesis of CKD. Since each parameter will not provide a complete state of the disease, since none of them is 100 % specific, an integrated approach to the early diagnosis of chronic kidney disease is needed for. It is necessary to take into account all the methods listed above, as well as monitoring the condition of the body of animals that have contracted any viral or bacterial infection, or have acute kidney damage, diabetes, hypertension, or metabolic disorders