81 research outputs found

    ACADEMIC DISCIPLINE «ALTERNATIVE ENERGY»: A TUTORIAL ASPECT

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    The necessity to update academic discipline contents taking into account international experience is shown. At the School of Ecology in the framework of British Council project «Alternative Energy: Education and Science» (implemented together with Keele University, UK) the course «Alternative Energy» was updated: new topics were included, new methods of teaching were introduced. The content of the course is presented in details. Due to up-dating students receive new competencies which allow them to solve complex problems and to be more competitive on the labour market

    Erasmus+ Project «Integrated Doctoral Program For Environmental Policy, Management And Technology – Intense»: Progress Information And Planned Activity

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    Erasmus+ project “Integrated Doctoral Program for Environmental Policy, Management and Technology – INTENSE” (586471-EPP-1-2017-1-EE-EPPKA2-CBHE-JP) stated in 2017. The project addresses such root causes of environmental problems in Mongolia, Ukraine and Vietnam, as poorly formulated policies, inadequate selection of management actions and the lack of suitable technology, by building capacity for academic excellence in doctoral training in environmental studies in partner countries (PCs) and beyond. Consortium consists of universities and research institutions from Ukraine, Estonia, Austria, Latvia, Mongolia and Vietnam

    Poverty in the Russian Federation: Peculiarities and Ways of Overcoming

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    As the article implies the article describes the poverty in the Russian Federation. It is analyzed in detail the peculiarities of poverty in Russia. Much attention is given to a review of the possible ways of overcoming poverty.Анализируются причины возникновения бедности и особенности её существования в России. Предлагаются пути решения проблемы на основании опыта других государств. Автор приходит к выводу о том, что необходима разработка специальной программы для устранения бедности, которая подходит к российским условиям и особенностям, а также необходимо решать другие социальные проблемы, которые только усиливают дестабилизацию общества

    An app-, web- and social support-based weight loss intervention for adults with obesity: the 'HelpMeDoIt!' feasibility randomised controlled trial

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    This is the final version. Available on open access from BMC via the DOI in this recordAvailability of data and materials: The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.Background: Social support has an important role in successful weight loss. The aim of this study was to assess the feasibility and acceptability of an app-, web- and social support-based intervention in supporting adults with obesity to achieve weight loss. Methods: The intervention and evaluation methods were tested in a feasibility randomised controlled trial. Adults in the Greater Glasgow and Clyde Health Board area of Scotland with a body mass index ≥ 30 kg/m2 were recruited and randomised 2:1 (intervention to control). The feasibility and acceptability of the intervention and trial methods were assessed against pre-specified progression criteria, via process, economic and outcome evaluation. Three primary outcomes were explored: BMI, diet and physical activity, as well as a number of secondary outcomes. The intervention group had access to the HelpMeDoIt! intervention for 12 months. This encouraged them to (i) set goals, (ii) monitor progress and (iii) harness social support by inviting 'helpers' from their existing social network. The control group received a healthy lifestyle leaflet. Results: One hundred and nine participants were recruited, with 84 participants (77%) followed-up at 12 months. The intervention and trial methods were feasible and acceptable. Participants and helpers were generally positive. Of the 54 (74%) participants who downloaded the app, 48 (89%) used it. Interview data indicated that HelpMeDoIt! promoted social support from existing social networks to support weight loss. This support was often given outside of the app.Outcomes were compared using linear regression models, with randomised group, the baseline measurement of the outcome, age and gender as predictor variables. These analyses were exploratory and underpowered to detect effects. However, all pre-specified primary outcome effects (BMI, diet and physical activity) had wide confidence intervals and were therefore consistent with clinically relevant benefits. Objective physical activity measures perhaps showed most potential (daily step count (p = 0.098; 1187 steps [- 180, 2555])) and sedentary time (p = 0.022; - 60.8 min [- 110.5, - 11.0]). However, these outcomes were poorly completed. Conclusions: The study demonstrated that a novel social support intervention involving support from participants' close social networks, delivered via app and website, has potential to promote weight loss and is feasible and acceptable. Trial registration: ISRCTN, ISRCTN85615983. Registered 25 September 2014.National Institute for Health Research (NIHR)Medical Research Council (MRC)Chief Scientist Office Social and Public Health Sciences Uni

    ПРОТЕКТИВНЫЕ СВОЙСТВА СЕВОФЛЮРАНА ПРИ ИШЕМИЧЕСКИ-РЕПЕРФУЗИОННОМ ПОВРЕЖДЕНИИ ТРАНСПЛАНТИРОВАННОЙ ТРУПНОЙ ПОЧКИ

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    The paper presents the renoprotective properties of sevoflurane and propofol in kidney transplantation. In order to study these properties microdialysis technology was used. The study included 40 patients. The patients were randomized in two groups. Sevoflurane had more effective renoprotective properties than propofol. В статье приведены протективные свойства севорана и пропофола при трансплантации почки. Для изучения этих свойств использовали микродиализную технологию. В исследование включены 40 пациентов. Пациенты были рандомизированы на 2 группы. Севоран обладает более эффективными нефропротективными свойствами при сравнении с пропофолом.

    Применение левосимендана при трансплантации легких в условиях ВА ЭКМО

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    Chronic heart failure is one of the most dreadful complications in the early postoperative period following lung transplantation. At the same time, the effect of using levosimendan in the early post-lung transplant period is currently insignificant and remains debatable. This paper presents a clinical case where levosimendan was successfully used in a patient with right ventricular heart failure during lung transplantation undergoing central venoarterial extracorporeal membrane oxygenation (VA-ECMO).Одним из наиболее грозных осложнений в раннем послеоперационном периоде после трансплантации легких является развитие сердечно-сосудистой недостаточности. В то же время опыт применения левосимендана в раннем периоде после трансплантации легких в настоящее время незначителен и остается дискуссионным. Представлен клинический случай успешного применения левосимендана у пациента с правожелудочковой сердечной недостаточностью при трансплантации легких в условиях использования центральной вено-артериальной экстракорпоральной мембранной оксигенации (ВА ЭКМО)

    РОЛЬ ТРАНСПИЩЕВОДНОЙ ТОНКОИГОЛЬНОЙ ПУНКЦИИ ПОД КОНТРОЛЕМ ЭНДОСОНОГРАФИИ В СТАДИРОВАНИИ РАКА ЛЕГКОГО ПО N-КРИТЕРИЮ

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    Background: lung cancer is a relevant problem of public health which takes first place among other cancer diseases according to its lethality rate in spite of certain success of chemo- and radiotherapy in combination with surgery. Basic techniques of effectiveness increase are early detection as well as overall examination which aim is detection, morphological verification and comprehensive assessment of the extent of tumorous lesions. Endosonography from esophagus lumen with fine-needle punction is a technique which is only starting to be used as an instrument of specializing diagnostics in lung cancer staging by N-criterion which is critical when deciding on tumor resectability. The following research was carried out taking into consideration few in number data about opportunities of this technique, its role and place in the diagnostic procedure with patients suffering from lung cancer. Research objective: to determine the role and the place of EUS-FNA in the examination procedure of patients suffering from lung cancer with development of lymphadenopathy of mediastinum. Research tasks: to assess the opportunities of EUS and EUS-FNA in visualization and assessment of the type of lymphadenopathy of mediastinum, to carry out comparative analysis of EUS and EUS-FNA effectiveness in comparison to computer-aided tomography and operating material morphological examination data. Results: the sensitivity and specificity of EUS-FNA in verification of lymphadenopathy make 80 per cent and 100 per cent, predicted positive value is 100 per cent, predicted negative value is 88 per cent.Рак легкого - актуальная проблема здравоохранения, по показателю смертности лидирует среди других онкологических заболеваний, несмотря на определенные успехи химиолучевой терапии в сочетании с хирургией. Основными способами повышения эффективности лечения являются ранняя диагностика, а также всестороннее обследование, цель которого - выявление, морфологическая верификация и комплексная оценка распространенности опухолевого поражения. Эндосонография из просвета пищевода с тонкоигольной пункцией (ЭУС-ТИП) - методика, которая только начинает использоваться как инструмент уточняющей диагностики в стадировании рака легкого по N-критерию, критичному при решении вопроса о резектабельности опухоли. С учетом немногочисленных данных о возможностях данной методики, о ее роли и месте в диагностическом алгоритме у пациентов, страдающих раком легкого, было предпринято настоящее исследование. Цель исследования: установить роль и место ЭУС и ЭУС-ТИП в алгоритме обследования больных, страдающих раком легкого с явлениями лимфаденопатии средостения. Задачи исследования: оценить возможности ЭУС и ЭУС-ТИП в визуализации, оценке характера лимфаденопатии средостения, провести сравнительный анализ эффективности ЭУС+ЭУС-ТИП в сравнении с компьютерной томографии (КТ) и данными морфологического исследования операционного материала. Результаты: чувствительность и специфичность ЭУС-ТИП в верификации лимфаденопатии составили 80% и 100%, прогностическая ценность положительного результата (PV+) - 100%, прогностическая ценность отрицательного результата (PV-) - 88%. Заключение: эндоскопическая ультрасо-нография (ЭУС и ЭУС-ТИП) в диагностическом алгоритме позволяет обнаруживать, классифицировать группы лимфатических узлов, морфологически верифицировать характер лимфаденопатии
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