Ependymomas are a somewhat diverse category of glial tumors that often develop from the lining of the brain’s ventricles, or the spinal cord’s central canal. They make up 5% of all neuroepithelial tumors, 10% of pae...Ependymomas are a somewhat diverse category of glial tumors that often develop from the lining of the brain’s ventricles, or the spinal cord’s central canal. They make up 5% of all neuroepithelial tumors, 10% of paediatric brain tumors, and up to 33% of brain tumors in children under the age of three. Hydrocephalus is one of the complications, and it can be identified as progressive macrocephaly or increasing head circumference crossing percentiles, nausea, vomiting, poor appetite, irritability, and regression of developmental milestones.展开更多
Takotsubo cardiomyopathy is a heart condition that is widely known to be caused by stress. It presents with symptoms that are similar to a myocardial infarction even though the coronary arteries are clear. This case r...Takotsubo cardiomyopathy is a heart condition that is widely known to be caused by stress. It presents with symptoms that are similar to a myocardial infarction even though the coronary arteries are clear. This case report details the clinical characteristics, diagnostic assessment, and management plan of a 55-year-old male patient with a past medical history of alcoholism who arrived at the emergency department with the typical symptoms of acute pancreatitis. The case demonstrates the progression of Takotsubo cardiomyopathy, which was triggered by acute pancreatitis in the context of alcoholism, and underlines the significance of early detection and management to enhance the patient’s outcomes.展开更多
The current pandemic SARS-CoV-2(also known as 2019-nCoV and COVID-19)viral infection is growing globally and has created a disastrous situation all over the world.One of the biggest challenges is that no drugs are ava...The current pandemic SARS-CoV-2(also known as 2019-nCoV and COVID-19)viral infection is growing globally and has created a disastrous situation all over the world.One of the biggest challenges is that no drugs are available to treat this life-threatening disease.As no drugs are available for definitive treatment of this disease and the mortality rate is very high,there is an utmost need to cure the infection using novel technologies.This study will point out some new antimicrobial technologies that have great potentials for eradicating and preventing emerging infections.They can be considered as treatments of choice for viral infections in the future.展开更多
Scholarly narratives concerning Tuva becoming a protectorate of Czarist Russia tend to contextualise this action within Russia’s rivalry with China.The 1911 Chinese Revolution provided an opportunity to annex Tuvan t...Scholarly narratives concerning Tuva becoming a protectorate of Czarist Russia tend to contextualise this action within Russia’s rivalry with China.The 1911 Chinese Revolution provided an opportunity to annex Tuvan territory,culminating in Tuva becoming the final territorial expansion of the Empire before the Bolshevik Revolution.This research showcases that the Tuvan people were intent on much closer relations with newly independent Mongolia.The author argues that the Tuvan people belonging to the Turkic family of nations shared important values with and identified much more closely with Mongolia than Russia due to their common religion:Buddhism.The author stresses the fact that the increasing presence of Russians in Tuva in the mid 19th century resulted in the acknowledgement of two highly unfamiliar cultures and viewpoints.Utilising primary sources this work sheds light on the debates and choices Russia faced concerning Tuva and the opposition maintained by the new Mongol entity intent on unifying under its auspices peoples which were considered very close if not the same.This research highlights the Tuvan predicament as being located in more of a triangular contest than what is usually presented as a bilateral power struggle.展开更多
Background： Osteochondrosis of spine is the one of the most prevalent diseases among the all musculoskeletal conditions. Osteochondrosis is not a curable condition and its treatment/rehabilitation is a long-term proc...Background： Osteochondrosis of spine is the one of the most prevalent diseases among the all musculoskeletal conditions. Osteochondrosis is not a curable condition and its treatment/rehabilitation is a long-term process. The present work aims to assess clinical effectiveness and duration of outcomes of rehabilitation that includes complex and consequent methods （algorithm） of treatment. The pilot study has been continuing several years and now is going on. Methods： The subject were 220 patients, 122 females and 98 males, aged 50-65 （adherence to treatment 100%） with as reflex as well radicular syndromes in subacute phase. Informed consent was obtained from all patients. Rehabilitation process continued 2.5-3 months and its management included the following consequent methods： waist fixation, pain control with medication （NSAIDs and in some cases steroidal drugs）, iontophoresis with karipazim-20-25 sessions, after 8-10 sessions of the latter manual therapy was added-10-12 sessions, and kinesiotherapy （3 times per week） after 5 procedures. After pain management recommendation of daily life activity was given. Oral chondroprotectors after completion of a treatment were administered. Dynamic evaluation of subjective and objective symptoms, mobility and functional state of spine were done. Parameters were assessed before treatment, after 3 month and 1-3 years upon its completion. Results： Data were analyzed using SPSS program. Obtained results showed that after the first course of treatment （3 months） positive outcomes were observed in 198 patients （90%）, 22 （10%） of patients required the second course of rehabilitation. Stable outcome of treatment was maintained after 1 year in 204 patients （92.7%） and after 3 years in 196 patients （89%）. Conclusion： Approbated complex of treatment is established to be effective in rehabilitation of patients with lumbar osteochondrosis.展开更多
Purpose: To determine the effects of hemodialysis on intraocular pressure (IOP) and to evaluate the correlation of IOP changes with anterior chamber angle anatomy. Patients and Methods: The study included 80 eyes of 4...Purpose: To determine the effects of hemodialysis on intraocular pressure (IOP) and to evaluate the correlation of IOP changes with anterior chamber angle anatomy. Patients and Methods: The study included 80 eyes of 40 patients with chronic renal failure (CRF) undergoing hemodialysis at the High Technology Medical Center between October 2018 and October 2021. Hemodialysis (HD) was performed 3 times a week and the duration of the procedure was 3 - 5 hours. The enrolled patients were grouped according to the width of the anterior chamber angle. IOP was evaluated at three different times during HD. Intraocular pressure was measured in both eyes in an upright sitting position with iCare tonometer. Results: According to the study results, there was no statistically significant difference in the axial length between the three measurements (p = 0.232). In patients with normal anterior chamber depth, IOP decreased significantly (68.75%) or did not show any changes in their IOP during or after the session. In patients with moderate narrow-angle (22.5%), IOP revealed no statistically significant differences. In patients with narrow-angle (8.75%), there was a marked increase in IOP. Changes in intraocular pressure were correlated with the anatomy of the anterior chamber angle. Loss in body weight as a result of hemodialysis was statistically important (p Conclusion: A significant increase in mean was revealed during and after hemodialysis in patients with extremely narrow-angle in comparison to eyes with wide or moderately anterior chamber angle. Eyes with shallow anterior chambers are at risk of having impaired aqueous humor outflow facilities and, as a result, significantly increase IOP during HD. Because of the high prevalence of narrow angles in the Caucasian population, it is of clinical importance to investigate the IOP changes in patients on HD. The results of our study support the idea that iridocorneal angle anatomy is affecting IOP fluctuation occurring in patients with ESRD undergoing HD.展开更多
The study explores linguistic and media genre characteristics of the British, U.S. and Georgian print media. Theoretical apparatus of media studies and other interdisciplinary linguistic fields were employed for compa...The study explores linguistic and media genre characteristics of the British, U.S. and Georgian print media. Theoretical apparatus of media studies and other interdisciplinary linguistic fields were employed for comparative analysis of genre characteristics. The paper is part of a longitudinal study of print media genres over the period of 2002-2010. The aim of the research is to(a) define and compare genre characteristics of the British, U.S. and Georgian print media,(b) examine and define structural and linguistic(semantic, pragmatic, semiotic) characteristics of the British, U.S. and Georgian quality newspaper genres,(c) define deictic composition of newspaper articles and(d) study expression of coded meanings in media texts. In this paper, I will focus on two major genres of quality print media: news and features. The media genres are analysed within the theoretical framework of pragmatics, semantics, semiotics and media studies.展开更多
BACKGROUND Living donor liver transplantation(LDLT)is a crucial alternative to deceased donor transplantation,especially in regions with limited access to cadaveric organs.Right lobe graft implantation into the inferi...BACKGROUND Living donor liver transplantation(LDLT)is a crucial alternative to deceased donor transplantation,especially in regions with limited access to cadaveric organs.Right lobe graft implantation into the inferior vena cava(IVC)requires advanced surgical techniques to optimize outcomes and reduce complications.AIM To compare two venous anastomosis techniques—direct polytetrafluoroethylene(PTFE)grafting of V5-V8 veins to the IVC vs triangulation to the right hepatic vein(RHV)—in terms of graft viability and postoperative outcomes.METHODS A retrospective analysis was conducted on 96 patients who underwent LDLT with right lobe grafts between 2014 and 2023.Patients were divided into three groups:(1)No venous outflow reconstruction;(2)PTFE graft direct anastomosis to the IVC;and(3)PTFE graft anastomosis using triangulation to the RHV.Perioperative and postoperative outcomes,including bile duct complications,alanine aminotransferase/aspartate aminotransferase levels,and graft perfusion,were compared across groups.RESULTS Group 3(triangulation to RHV)showed significantly improved venous outflow,fewer complications,and faster normalization of liver function tests.Bile duct complications were highest in group 1(12.8%)and lowest in group 3(7%).Doppler ultrasonography revealed better graft perfusion in group 3 compared to groups 1 and 2.CONCLUSION Triangulation to the RHV improves graft viability,reduces biliary complications,and enhances early postoperative outcomes compared to direct PTFE grafting to the IVC.展开更多
文摘Ependymomas are a somewhat diverse category of glial tumors that often develop from the lining of the brain’s ventricles, or the spinal cord’s central canal. They make up 5% of all neuroepithelial tumors, 10% of paediatric brain tumors, and up to 33% of brain tumors in children under the age of three. Hydrocephalus is one of the complications, and it can be identified as progressive macrocephaly or increasing head circumference crossing percentiles, nausea, vomiting, poor appetite, irritability, and regression of developmental milestones.
文摘Takotsubo cardiomyopathy is a heart condition that is widely known to be caused by stress. It presents with symptoms that are similar to a myocardial infarction even though the coronary arteries are clear. This case report details the clinical characteristics, diagnostic assessment, and management plan of a 55-year-old male patient with a past medical history of alcoholism who arrived at the emergency department with the typical symptoms of acute pancreatitis. The case demonstrates the progression of Takotsubo cardiomyopathy, which was triggered by acute pancreatitis in the context of alcoholism, and underlines the significance of early detection and management to enhance the patient’s outcomes.
文摘The current pandemic SARS-CoV-2(also known as 2019-nCoV and COVID-19)viral infection is growing globally and has created a disastrous situation all over the world.One of the biggest challenges is that no drugs are available to treat this life-threatening disease.As no drugs are available for definitive treatment of this disease and the mortality rate is very high,there is an utmost need to cure the infection using novel technologies.This study will point out some new antimicrobial technologies that have great potentials for eradicating and preventing emerging infections.They can be considered as treatments of choice for viral infections in the future.
文摘Scholarly narratives concerning Tuva becoming a protectorate of Czarist Russia tend to contextualise this action within Russia’s rivalry with China.The 1911 Chinese Revolution provided an opportunity to annex Tuvan territory,culminating in Tuva becoming the final territorial expansion of the Empire before the Bolshevik Revolution.This research showcases that the Tuvan people were intent on much closer relations with newly independent Mongolia.The author argues that the Tuvan people belonging to the Turkic family of nations shared important values with and identified much more closely with Mongolia than Russia due to their common religion:Buddhism.The author stresses the fact that the increasing presence of Russians in Tuva in the mid 19th century resulted in the acknowledgement of two highly unfamiliar cultures and viewpoints.Utilising primary sources this work sheds light on the debates and choices Russia faced concerning Tuva and the opposition maintained by the new Mongol entity intent on unifying under its auspices peoples which were considered very close if not the same.This research highlights the Tuvan predicament as being located in more of a triangular contest than what is usually presented as a bilateral power struggle.
文摘Background： Osteochondrosis of spine is the one of the most prevalent diseases among the all musculoskeletal conditions. Osteochondrosis is not a curable condition and its treatment/rehabilitation is a long-term process. The present work aims to assess clinical effectiveness and duration of outcomes of rehabilitation that includes complex and consequent methods （algorithm） of treatment. The pilot study has been continuing several years and now is going on. Methods： The subject were 220 patients, 122 females and 98 males, aged 50-65 （adherence to treatment 100%） with as reflex as well radicular syndromes in subacute phase. Informed consent was obtained from all patients. Rehabilitation process continued 2.5-3 months and its management included the following consequent methods： waist fixation, pain control with medication （NSAIDs and in some cases steroidal drugs）, iontophoresis with karipazim-20-25 sessions, after 8-10 sessions of the latter manual therapy was added-10-12 sessions, and kinesiotherapy （3 times per week） after 5 procedures. After pain management recommendation of daily life activity was given. Oral chondroprotectors after completion of a treatment were administered. Dynamic evaluation of subjective and objective symptoms, mobility and functional state of spine were done. Parameters were assessed before treatment, after 3 month and 1-3 years upon its completion. Results： Data were analyzed using SPSS program. Obtained results showed that after the first course of treatment （3 months） positive outcomes were observed in 198 patients （90%）, 22 （10%） of patients required the second course of rehabilitation. Stable outcome of treatment was maintained after 1 year in 204 patients （92.7%） and after 3 years in 196 patients （89%）. Conclusion： Approbated complex of treatment is established to be effective in rehabilitation of patients with lumbar osteochondrosis.
文摘Purpose: To determine the effects of hemodialysis on intraocular pressure (IOP) and to evaluate the correlation of IOP changes with anterior chamber angle anatomy. Patients and Methods: The study included 80 eyes of 40 patients with chronic renal failure (CRF) undergoing hemodialysis at the High Technology Medical Center between October 2018 and October 2021. Hemodialysis (HD) was performed 3 times a week and the duration of the procedure was 3 - 5 hours. The enrolled patients were grouped according to the width of the anterior chamber angle. IOP was evaluated at three different times during HD. Intraocular pressure was measured in both eyes in an upright sitting position with iCare tonometer. Results: According to the study results, there was no statistically significant difference in the axial length between the three measurements (p = 0.232). In patients with normal anterior chamber depth, IOP decreased significantly (68.75%) or did not show any changes in their IOP during or after the session. In patients with moderate narrow-angle (22.5%), IOP revealed no statistically significant differences. In patients with narrow-angle (8.75%), there was a marked increase in IOP. Changes in intraocular pressure were correlated with the anatomy of the anterior chamber angle. Loss in body weight as a result of hemodialysis was statistically important (p Conclusion: A significant increase in mean was revealed during and after hemodialysis in patients with extremely narrow-angle in comparison to eyes with wide or moderately anterior chamber angle. Eyes with shallow anterior chambers are at risk of having impaired aqueous humor outflow facilities and, as a result, significantly increase IOP during HD. Because of the high prevalence of narrow angles in the Caucasian population, it is of clinical importance to investigate the IOP changes in patients on HD. The results of our study support the idea that iridocorneal angle anatomy is affecting IOP fluctuation occurring in patients with ESRD undergoing HD.
文摘The study explores linguistic and media genre characteristics of the British, U.S. and Georgian print media. Theoretical apparatus of media studies and other interdisciplinary linguistic fields were employed for comparative analysis of genre characteristics. The paper is part of a longitudinal study of print media genres over the period of 2002-2010. The aim of the research is to(a) define and compare genre characteristics of the British, U.S. and Georgian print media,(b) examine and define structural and linguistic(semantic, pragmatic, semiotic) characteristics of the British, U.S. and Georgian quality newspaper genres,(c) define deictic composition of newspaper articles and(d) study expression of coded meanings in media texts. In this paper, I will focus on two major genres of quality print media: news and features. The media genres are analysed within the theoretical framework of pragmatics, semantics, semiotics and media studies.
文摘BACKGROUND Living donor liver transplantation(LDLT)is a crucial alternative to deceased donor transplantation,especially in regions with limited access to cadaveric organs.Right lobe graft implantation into the inferior vena cava(IVC)requires advanced surgical techniques to optimize outcomes and reduce complications.AIM To compare two venous anastomosis techniques—direct polytetrafluoroethylene(PTFE)grafting of V5-V8 veins to the IVC vs triangulation to the right hepatic vein(RHV)—in terms of graft viability and postoperative outcomes.METHODS A retrospective analysis was conducted on 96 patients who underwent LDLT with right lobe grafts between 2014 and 2023.Patients were divided into three groups:(1)No venous outflow reconstruction;(2)PTFE graft direct anastomosis to the IVC;and(3)PTFE graft anastomosis using triangulation to the RHV.Perioperative and postoperative outcomes,including bile duct complications,alanine aminotransferase/aspartate aminotransferase levels,and graft perfusion,were compared across groups.RESULTS Group 3(triangulation to RHV)showed significantly improved venous outflow,fewer complications,and faster normalization of liver function tests.Bile duct complications were highest in group 1(12.8%)and lowest in group 3(7%).Doppler ultrasonography revealed better graft perfusion in group 3 compared to groups 1 and 2.CONCLUSION Triangulation to the RHV improves graft viability,reduces biliary complications,and enhances early postoperative outcomes compared to direct PTFE grafting to the IVC.
