This article attempts to clarify political views on the sudden appearance of a new type of coronavirus COVID-19 on the world stage, in particular, against the background of tense relations between the United States and China, aspirations of certain lobby groups to replace the green peril with the red-yellow threat in the paradigm of world politics. Discussions are expressed about the spread of the pandemic that has seeped into Central Asia; the degree of its influence on the relations of the states of the region with China which may prompt the establishment of new conditions of the world order in international relations and changes in state governance. An interesting point of the article is the attention paid to the diversity of the dynamics of the spread of COVID-19 in countries bordering China, as well as the need to learn and exchange the best practices in minimizing the consequences of the pandemic.
Exogenous-organic brain disorders belong to most common forms of mental pathology. They
frequently occur in persons with lung tuberculosis lung TB and complicate the treatment of their
physical disease. Thus a dual treatment problem – specifi cally, a combination of organic brain
disorder with a lung TB – happens to be important for clinical practice. However, there are not so
many publications on this issue in available literature.
Цереброваскулярная патология является одной из самых частых коморбидных состояний у пациентов с COVID-19, обнаруживаясь приблизительно у 12% инфицированных [4]. Изучение коморбидных заболеваний среди летальных исходов COVID-19 показало, что из 2000 случаев у 228 пациентов имелась хроническая ишемия головного мозга (ХИГМ) [6].
This article is devoted to the application of new teaching methods in medical universities in the context of distance learning. The events of 2019 - 2020 related to the COVID-19 pandemic turned out to be not only a test for the economy of our country and its healthcare system, but also a kind of stress test for the education system. The system of higher medical education is no exception, which, in comparison with universities in other areas, faced additional difficulties. The quarantine conditions necessary to preserve the health and life of the population touched and could not but affect the medical education system. Spring semester of 2020 from March 18, in connection with measures to prevent the import and spread of a new coronavirus infection (COVID-19), training at universities in Uzbekistan was transferred to a distance format. During this period, a voluntary anonymous survey of 170 students was conducted. The distance form of the educational process is based on the principle of independent learning, in which students are distant from the teacher both in space and in time. At the same time, students have a constant opportunity to maintain constant information contact with teachers using modern Internet technologies. New forms of education are in demand at this time, as they form an extraordinary and effective approach to teaching in the subject of pharmacology. From the results of the survey it follows that the attitude to the possible use of elements of the distance learning system increases the independent training of students in pharmacology by 60 -70%. Distance learning in medical universities can be used as an alternative to traditional education in a pandemic.
С каждым годом отмечается рост числа заболеваний органов дыхания среди взрослого населения сопровождающиеся развитием бронхообструктивного синдрома (БОС). Хотя по статистическим данным отмечается рост рецидивирования при выше указанных заболеваниях из-за инфекции COVID-19. В связи с тем, что патологический процесс в первую очередь развивается в дыхательных путях, вызывая нарушения дыхательной системы организма.
Основной целью нашей работы является реабилитационное лечение после перенесенного COVID-19, для предотвращения рецидивов у больных с сопутствующими заболеваниями бронхолёгочной патологией с бронхообструктивным синдромом разного пола, возраста и различной тяжестью течения.
At present time due to COVID-19 pandemic the most part of Uzbekistan high schools started distance form of teaching, in particularly a foreign language (mostly English) in the first courses with great using of self-study principles. The article is
focused on the first experience of the distance learning based on self-study principles discipline "Medical English" of the 1st course students of Pediatrics faculty in the Tashkent Pediatric Medical Institute under the quarantine conditions due to COVID-19 pandemic. The aim of the present study is to check the assumption that in teaching the Medical English language, in particular in distance learning conditions, such pedagogical strategies as tests and situation tasks contribute to learner self-study skills development and help work out techniques for assessing learner self-study. In this context, the article foregrounds self-study as a part of distance learning and highlights the importance of developing self-study skills via innovative pedagogical technologies . This is followed by an experimental study. The findings of this study can be used as a reference when reflecting on teaching practices that develop learner self-study skills. Finally, the authors conclude with pedagogical methods relevant for teaching self-study skills
Purpose of the study. Estimate the functional status of patients using the PCFS (Post-COVID-19 Functional Status) scale.
Material and research methods. There were 281 patients under observation, with the presence of clinical manifestations of post covid-19 syndrome. As a control group (CG), 20 patients who had undergone COVID-19 and whose disease ended in full recovery were examined. The assessment of the functional status of patients after suffering COVID-19 was carried out using the PCFS method - Post-COVID-19 Functional Status (https://osf.io/qgpdv/).
Research results. In the main group of patients, the average score of the questionnaire was 13.34 ± 0.83 points. Patients who have identified a violation of their functional status at 1 point were 13 patients (4.63%), at 2 points - 90 people (32.03%), at 3 points - 117 people (41.64%), at 4 points - 61 people. (21.71%). In the control group, the patients assessed violations of their functional status at 0 points. The number of patients with extremely severe, severe and moderately severe COVID-19 was significantly higher in the main group than in the control group (30.61% versus 20%, 35.94% versus 30%, 33.45 versus 30%, respectively) In the main group of patients, the average number of background diseases was significantly higher than in the control group (p <0.05).
Conclusion. Patients with post covid syndrome have a higher score on the functional status scale (PCFS). Among the patients who scored 3 and 4 points on the PCFS test (significant limitation of daily activity due to symptoms associated with the previous infection and the need for help in self-care), there were more patients with a severe course of COVID-19 and background cardiovascular pathology and obesity.
COVID-19 пандемиясининг шиддат билан тарқалиши бутун дунё аҳолисини руҳиятига салбий таъсирини кўрсатди. Эпидемияга қарши олиб борилган тадбирлар ва улар билан боғлик ўзгаришлар, яъни биринчи ўринда карантин одамлар ўртасида депрессия, алкоголга ва наркотик моддаларга ружў қўйиш ва турли суицидал ҳолатларни кўпайишига олиб келди. Россия руҳшунослари маълумотларига кўра, пандемия бошланиши даврида ваҳимали бузилишли беморлар сони, иккинчи тўлқин даврида эса депрессив бузилишлар сони кўпайиб кетган. COVID-19 ҳанузгача авж олиб бораётган бир даврда, инфекциянинг беморлар руҳиятига салбий таъсирини ўрганиш жуда муҳим.
In the conditions of the COVID-19 pandemic, timely diagnosis of tuberculosis is of particular importance. Patients with complaints of cough for 3 weeks or more should be examined for tuberculosis and COVID-19 (sputum microbiological examination, chest X-ray examination, nasopharyngeal and/or oropharyngeal swab using PCR for SARS-CoV-2 RNA). If COVID-19 is ruled out, a consultation with a TB specialist and additional examination for tuberculosis are carried out. In case of a combination of two infections - tuberculosis and COVID-19, the patient should be hospitalized in specialized medical organizations repurposed for the treatment of COVID-19 and tuberculosis. Children with diagnosed or suspected pneumonia are recommended to undergo the Diaskintest test. Consultation with a TB doctor is recommended for children with positive and questionable reactions to the Diaskintest test.
Проблема помощи пациентам с трофическими венозными язвами остается актуальной медико-социальной проблемой, которая вновь обострилась на фоне пандемии COVID-19 в 2020–2021 гг. Как сейчас известно, после перенесенной вирусной инфекции COVID-19 у большинства пациентов с сердечно-сосудистыми заболеваниями наблюдается значимое обострение этих недугов. У многих пациентов после перенесенной пневмонии, ассоциированной COVID-19, отмечается формирование трофических язв слизистой оболочки полости рта. При этом трофические язвы имеют высокую резистентность к традиционной терапии, направленной на их заживление (Зудин А.М., Шаповал А.С., 2021).
Бактериальная/грибковая коинфекция - в настоящее время рассматривается как важнейшее осложнение COVID-19 в полости рта [2]. Предполагается, что росту грибковых инфекций у пациентов, страдающих COVID-19 и госпитализированных в отделение интенсивной терапии способствует использование антибиотиков и кортикостероидов широкого спектра действия, интубация и фоновая соматическая патология, на этом фоне у пациентов обнаруживаются лимфоцитопения, цитокиновые штормы, которые приводят к ослаблению иммунитета, может позволить Candida проявлять факторы патогенности [1,6,11].
На 11.04.2021 года в мире официально зафиксировано 136 500 769 заболевших коронавирусом COVID-19 в 193 странах. В Узбекистане зарегистрировано 85 114 случаев заражения коронавирусом. Сердечно-сосудистые заболевания (ССЗ) являются основной причиной смерти во всем мире, потому проблема COVID-19 и ССЗ является очень актуальной.
The study examined the situation of patients and nurses in Uzbekistan during the COVID-19 pandemic, the nurse and the work process, the proper use of personal protective equipment and the misuse of personal protective equipment. The impact of the nurses’ work process on their personal lives was also partially covered. COVID-19 It also describes the knowledge and skills that nurses have during the pandemic. He sought to understand how disruptions in patient-nurse relationships, as well as the COVID-19 pandemic, affected the mental and emotional well-being of nurses, its negative consequences, and the underlying problems that followed. Psychological instability in nurses during the early stages of the pandemic and changes in attitudes toward patients with COVID - 19 were also reported the difficulties of the work of nurses in clinics specializing in the treatment of a number of COVID-19 diseases, biological and technical problems in the conduct of work, lack of resources were also listed. In the second place, there is a shortage of nursing staff and the fear of infecting family members with the virus in the fight against the pandemic, and the causes of deaths as a result.
Во многих недавних статьях и отчетах о коронавирусной инфекции (COVID-19) сообщается, что эта инфекция в основном поражает верхние и нижние дыхательные пути, сердечнососудистую систему, иногда может вызывать нарушения в нервной системе и желудочнобрюшной области. Но мало говорится об изменениях, происходящих в ротовой полости. Если мы посмотрим на патогенез (COVID19) более широко, то ротовая полость, как и органы дыхания, может быть воротами для инфекции. Первые данные о возможности того, что слизистая оболочка полости рта может быть воротами для инфекций, были получены во время пандемии гриппа («испанки») [1]. Эта гипотеза позже была подтверждена при других инфекционных заболеваниях, таких как аденовирус, особенно при коронавирусе [2, 3]
To compare the incidence of femur fractures (ICD S72) in patients aged 15 to 49 in Brazil, in the period before (March to December 2019) and during the COVID-19 pandemic (March to December 2020), based on data from DATASUS, as well as to assess the impact of social isolation on the incidence and demographic profile of affected individuals. An ecological study with data from individuals aged 15 to 49 who had a femur fracture before and during the COVID-19 pandemic, extracted from the DATASUS database. We calculated the incidence and demographic profile of femur fractures and the type of hospitalization. There was a significant increase in the incidence of femur fractures among individuals aged 15 - 49 in Brazil during the period of social isolation due to COVID-19. The incidence was 165/100,000 inhabitants during the pandemic and 163/100,000 inhabitants in the same period of 2019 (main increase observed in the 15 - 34 age group and decline in the 35 - 49 age group). The North and Northeast regions showed an increase in the incidence of femur fractures and an increase in emergency hospitalizations related to this condition. On the other hand, there was a decrease in incidence in the Central-West region and in the type of hospitalization described as elective. We conclude that during the COVID-19 pandemic in Brazil there has been an increase in femur fractures in young adults, which may be related to the failure of social isolation measures.
The article examines the transformation of international commercial arbitration under the influence of digitalization and new technologies
such as artificial intelligence and blockchain. The focus is on changes in arbitration procedures and the opportunities that these technologies provide to improve the efficiency and quality of dispute resolution. The article also touches upon the issues of legal adaptation and regulation, including the Uzbek national strategy in this
area. Particular attention is paid to issues of identity and anonymity in the digital environment, which can have significant implications for arbitration procedures. Empirical research confirms the relevance of these changes, especially in the context of the COVID-19 pandemic, which has become a catalyst for the accelerated adoption of digital technologies in arbitration.