Training Young Russian Physicians in Uganda: A Unique Program for Introducing Global Health Education in Russia

Background: Global health is a new concept in Russia. There has been an ongoing academic collaboration between the Yale School of Medicine in the United States and Makerere University College of Health Sciences in Uganda since 2010, and the US Western Connecticut Health Network/University of Vermont College of Medicine since 2012, to introduce global health concepts to Kazan State Medical University (KSMU) in Russia. The purpose was to educate Russian physicians and medical trainees about the practice of clinical medicine and medical education, as well as the general practice of global health in culturally diverse, resource-limited settings. Objectives: The aim of this study was to evaluate the initial outcomes of this multi-institutional partnership and to assess the impact of the global health elective on the participants and on KSMU. Methods: Participants were selected to attend a 6-week elective in global health at Mulago Hospital in Kampala, Uganda. The elective consisted of clinical experience, education about Uganda's common diseases, and region-specific sociocultural classes. It included a predeparture orientation and, upon return, completion of a standard questionnaire to assess the program's impact. Results: Since 2010, there have been 20 KSMU members (4 medical students, 4 interns, 9 residents, 2 fellows, and 1 faculty member) who have participated in the program. As a result of the elective, the participants reported increased knowledge of tropical medicine (70%) and HIV/AIDS (75%), and 95% reported increased cultural sensitivity and desire to work with the underserved. The majority noted a very positive impact of their careers (90%) and personal life (80%). KSMU established the first successful collaborative program in global health education in Russia, leading to the integration of tropical medicine and global health courses in medical school curriculum. Conclusion: This elective has proven highly effective in introducing the concept of global health to faculty, fellows, residents, and medical students at KSMU. It trained these participants to address the challenges faced by physicians in culturally diverse and resource-limited countries

The unusual cause of stroke: Cerebral dural arteriovenous fistula

Based on the data available in the literature and their own experience, the authors give current views on the etiology, pathogenesis, classification, clinical presentations, and treatments of cerebral dural arteriovenous fistula (DAVF), one of the unusual causes of stroke. The paper describes a young male patient with the lobar localization of the focus, a concurrence of ischemic stroke and hemorrhagic stroke. It is stated that the early emergence and persistence of a considerable focus should alert the physician to the possibility of DAVF or another venous anomaly. An emphasis is laid on the leading role of multimodal imaging protocols in the early diagnosis of the disease. Selective cerebral angiography of the internal and external carotid and vertebral arteries is today the gold standard for the diagnosis and classification of DAVF

Complex experiment on studying the microphysical, chemical, and optical properties of aerosol particles and estimating the contribution of atmospheric aerosol-to-earth radiation budget

The primary objective of this complex aerosol experiment was the measurement of microphysical, chemical, and optical properties of aerosol particles in the surface air layer and free atmosphere. The measurement data were used to retrieve the whole set of aerosol optical parameters, necessary for radiation calculations. Three measurement cycles were performed within the experiment during 2013: in spring, when the aerosol generation is maximal; in summer (July), when atmospheric boundary layer altitude and, hence, mixing layer altitude are maximal; and in late summer/early autumn, during the period of nucleation of secondary particles. Thus, independently obtained data on the optical, meteorological, and microphysical parameters of the atmosphere allow intercalibration and inter-complement of the data and thereby provide for qualitatively new information which explains the physical nature of the processes that form the vertical structure of the aerosol field

The influence of low-intensity pulses of electromagnetic fields, synchronized with the bioelectrical activity of the brain, on the change in ergotropic and trophotropic functions

The purpose of the study is to reveal the influence of low-intensity pulses of electromagnetic fields on changes of ergotropic and trophotropic functions and to make Conclusions about their predominance in the right and left hemispheres based on the results.Цель исследования — выявить воздействие низкоинтенсивных импульсов электромагнитных полей на изменение эрготропных и трофотропных функций, и на основе результатов сделать выводы о их преобладании в правом и левом полушарии

Clinical features of post-COVID-19 period. Results of the international register “Dynamic analysis of comorbidities in SARS-CoV-2 survivors (AKTIV SARS-CoV-2)”. Data from 6-month follow-up

Aim. To study the clinical course specifics of coronavirus disease 2019 (COVID-19) and comorbid conditions in COVID-19 survivors 3, 6, 12 months after recovery in the Eurasian region according to the AKTIV register. Material and methods.The AKTIV register was created at the initiative of the Eurasian Association of Therapists. The AKTIV register is divided into 2 parts: AKTIV 1 and AKTIV 2. The AKTIV 1 register currently includes 6300 patients, while in AKTIV 2 — 2770. Patients diagnosed with COVID-19 receiving in- and outpatient treatment have been anonymously included on the registry. The following 7 countries participated in the register: Russian Federation, Republic of Armenia, Republic of Belarus, Republic of Kazakhstan, Kyrgyz Republic, Republic of Moldova, Republic of Uzbekistan. This closed multicenter register with two nonoverlapping branches (in- and outpatient branch) provides 6 visits: 3 in-person visits during the acute period and 3 telephone calls after 3, 6, 12 months. Subject recruitment lasted from June 29, 2020 to October 29, 2020. Register will end on October 29, 2022. A total of 9 fragmentary analyzes of the registry data are planned. This fragment of the study presents the results of the post-hospitalization period in COVID-19 survivors after 3 and 6 months. Results. According to the AKTIV register, patients after COVID-19 are characterized by long-term persistent symptoms and frequent seeking for unscheduled medical care, including rehospitalizations. The most common causes of unplanned medical care are uncontrolled hypertension (HTN) and chronic coronary artery disease (CAD) and/or decompensated type 2 diabetes (T2D). During 3- and 6-month follow-up after hospitalization, 5,6% and 6,4% of patients were diagnosed with other diseases, which were more often presented by HTN, T2D, and CAD. The mortality rate of patients in the post-hospitalization period was 1,9% in the first 3 months and 0,2% for 4-6 months. The highest mortality rate was observed in the first 3 months in the group of patients with class II-IV heart failure, as well as in patients with cardiovascular diseases and cancer. In the pattern of death causes in the post-hospitalization period, following cardiovascular causes prevailed (31,8%): acute coronary syndrome, stroke, acute heart failure. Conclusion. According to the AKTIV register, the health status of patients after COVID-19 in a serious challenge for healthcare system, which requires planning adequate health system capacity to provide care to patients with COVID-19 in both acute and post-hospitalization period

Increasing efficiency in the poultry meat production when using iron and copper nanoparticles in nutrition

Abstract The paperis aimed at studying the increasing efficiency in the poultry meat production when using iron and copper nanoparticles in nutrition. A maximum increase in the gain in live weight of chickens by 9-12 % in comparison with the control group in the first week after the injection of nanoparticles is observed. An increase in values of a number of blood parameters (hemoglobin, total protein, white blood cells) is noted. Copper nanoparticles increase the body’s immune response on the first dayof experiment by several orders in comparison with both control and iron nanoparticles. The analysis of mineral exchange data showed a decrease in a number of toxic (As, Pb, Al, Cd) elements and an increase in the level of a number of essential (Mg, Co, Fe, Cu, Na, F) elements in broiler tissues after exposure to copper nanoforms and iron nanoforms. The analysis shows more effective influence on the metabolic processes of chickens and require further detailed study of the processes of their transformation in the broiler body. The obtained result shows the possibility of using these forms in the industrial production of animal feed.</jats:p