Аny lаnguаge consists of four skills which аre (listening, speаking, reаding, writing) аnd аs much аs the level of the Аrаbic lаnguаge teаcher for non-Аrаbic speаking speаkers of these skills in the Аrаbic lаnguаge enаbles the level of Аrаbic lаnguаge leаrners to be spoken by other thаn those skills, аnd in this sense wаs This reseаrch is аbout the importаnce of lаnguаge skills for the Аrаbic lаnguаge in teаching аnd leаrning the Аrаbic lаnguаge for non-nаtive speаkers, аnd the importаnce of this reseаrch is in its orientаtion to teаchers of Аrаbic lаnguаge who do not speаk Аrаbic аnd whаt it represents the importаnce of knowing the lаnguаge skills of the Аrаbic lаnguаge аnd knowing its importаnce in teаching the lаnguаge аs well аs the role of the teаcher аnd leаrner аnd Teаching methods аnd how to develop those skills аnd the meаns used to teаch those skills. The need for non-nаtive speаkers of Аrаbic lаnguаge to identify these skills, their importаnce аnd the role of the teаcher in them аnd how they аre performed is no less thаn the need of Аrаbic lаnguаge leаrners from other speаkers, in this reseаrch we leаrn the lаnguаge skills of the lаnguаge Аrаbic аnd its importаnce аnd the role of the teаcher in her teаching, аs well аs the role of the leаrner in her leаrning, аs well аs how to develop this skill for the teаcher аnd the leаrnerَ. The reseаrcher hаs relied on his field studies through his work in the Depаrtment of Аrаbic Lаnguаge, Fаculty of Orientаl Lаnguаges, Tаshkent Stаte University for Orientаl Studies, аnd to identify some of the problems fаcing Аrаbic lаnguаge teаchers who аre not speаkers of it, аs well аs the difficulties fаcing Аrаbic lаnguаge leаrners аt the university аt their vаrious levels of beginner, intermediаte аnd upper Аnd аlso for grаduаte students; therefore we cаn sаy thаt fаmiliаrity with the lаnguаge skills of the Аrаbic lаnguаge аnd how to teаch аnd develop it is аn urgent necessity in building curriculа for teаching Аrаbic to non-speаkers аs well аs in progrаms for prepаring Аrаbic lаnguаge teаchers for non-speаkers. Аnd presenting them in а wаy thаt helps in the educаtionаl process by employing these skills effectively in the clаssroom, аnd not only thаt they аre merely knowledge informаtion provided to students аnd teаchers.
This study on adopting smart devices in teaching for the acquisition of 21st century employability skills by students in State Universities in Cameroon had as objective to find out the extent to which the use of smart devices in teaching can enhance the acquisition of 21st-century employability skills by students in state universities in Cameroon. Two research questions guided the study: - To what extent is the use of smart phones in teaching effective in enhancing the acquisition of 21st-century employability skills by students in State Universities in Cameroon? To what extent is the use of Laptops in teaching effective in enhancing the acquisition of 21st-century employability skills by students in State Universities in Cameroon? It was hypothesized that the use of smart devices in teaching does not significantly enhance students’ acquisition of 21st-century employability skills in state universities in Cameroon.The study based on Rogers’ (1962) diffusion of innovation theory, supposing that the adoption of a new idea, behaviour, or product does not happen simultaneously in a social system; rather, it is a process whereby some people are more apt to adopt the innovation than others and Davis (1986) technology acceptance model, which posits that the more a technology is perceived as useful and easy to use, its’ actual usage increases. The study adopted an exploratory sequential research design in a mixed-methods study. The accessible population consisted of 3666 teachers and final-year undergraduate students of eight state universities in Cameroon. Using Krejcie & Morgan (1970), 406 participants from professional faculties in five of the eight long existing state universities in Cameroon, were selected to make up the sample size, comprising 386 final-year undergraduate students, and 20 teachers. The stratified purposive sampling, and purposive sampling techniques were adopted for the study. Online Google forms alongside a paper questionnaire, and an interview guide were adopted as the study instruments. The quantitative data were analysed using SPSS version 25 with the aid of descriptive and inferential statistics. The Spearman rho test was used to test the hypotheses and Analysis of Variance (ANOVA) was used for regression analysis. The qualitative data were analysed thematically. The findings of the study showed that the use of smart phones and laptops in teaching had a significant, moderate, and positive impact on students’ acquisition of 21st-century employability skills (r- value = 0.418**, p-value 0.000< 0.05) in state universities in Cameroon. In conclusion, the findings of the study showed that smart devices do not only help students in information sourcing but enhanced their communication skills, critical thinking & problem solving skills, creativity and team working skills. Based on the findings of the study, it was recommended that the state should make teaching with smart devices a policy in state universities and university teachers should be encouraged to use of smart Phones and Laptops in teaching to enhance students’ acquisition of 21st century employability. It was also recommended that government should take appropriates measure to resolve the energy crisis, internet disruptions and training challenges both teachers and students are currently facing.
This study on adopting smart devices in teaching for the acquisition of 21st century employability skills by students in State Universities in Cameroon had as objective to find out the extent to which the use of smart devices in teaching can enhance the acquisition of 21st-century employability skills by students in state universities in Cameroon. Two research questions guided the study: - To what extent is the use of smart phones in teaching effective in enhancing the acquisition of 21st-century employability skills by students in State Universities in Cameroon? To what extent is the use of Laptops in teaching effective in enhancing the acquisition of 21st-century employability skills by students in State Universities in Cameroon? It was hypothesized that the use of smart devices in teaching does not significantly enhance students’ acquisition of 21st-century employability skills in state universities in Cameroon.The study based on Rogers’ (1962) diffusion of innovation theory, supposing that the adoption of a new idea, behaviour, or product does not happen simultaneously in a social system; rather, it is a process whereby some people are more apt to adopt the innovation than others and Davis (1986) technology acceptance model, which posits that the more a technology is perceived as useful and easy to use, its’ actual usage increases. The study adopted an exploratory sequential research design in a mixed-methods study. The accessible population consisted of 3666 teachers and final-year undergraduate students of eight state universities in Cameroon. Using Krejcie & Morgan (1970), 406 participants from professional faculties in five of the eight long existing state universities in Cameroon, were selected to make up the sample size, comprising 386 final-year undergraduate students, and 20 teachers. The stratified purposive sampling, and purposive sampling techniques were adopted for the study. Online Google forms alongside a paper questionnaire, and an interview guide were adopted as the study instruments. The quantitative data were analysed using SPSS version 25 with the aid of descriptive and inferential statistics. The Spearman rho test was used to test the hypotheses and Analysis of Variance (ANOVA) was used for regression analysis. The qualitative data were analysed thematically. The findings of the study showed that the use of smart phones and laptops in teaching had a significant, moderate, and positive impact on students’ acquisition of 21st-century employability skills (r- value = 0.418**, p-value 0.000< 0.05) in state universities in Cameroon. In conclusion, the findings of the study showed that smart devices do not only help students in information sourcing but enhanced their communication skills, critical thinking & problem solving skills, creativity and team working skills. Based on the findings of the study, it was recommended that the state should make teaching with smart devices a policy in state universities and university teachers should be encouraged to use of smart Phones and Laptops in teaching to enhance students’ acquisition of 21st century employability. It was also recommended that government should take appropriates measure to resolve the energy crisis, internet disruptions and training challenges both teachers and students are currently facing.
In modern abdominal surgery, one of the current areas for research continues to be the improvement of various options for plastic surgery of postoperative hernias. More than 2,100,000 operations for ventral hernia are performed annually in the world, and 42% of them are postoperative hernias. In recent years, there has been a clear trend toward the expanded use of various types of biological meshes in hernioplasty. “A pooled analysis of seven PCSTAR studies for incisional hernias using retromuscular mesh showed a hernia recurrence rate of 5.7%”[1]. The use of standard surgical interventions such as alloplasty in the onlay position does not solve the problem of early postoperative complications: seroma discharge, mesh migration, adhesive disease, high frequency of hernia recurrence, etc. At the same time, hernia repair with local tissue creates the problem of increased intra-abdominal pressure and late complications in the form of recurrent hernias. “An increase in postoperative intra-abdominal pressure leads to multiple organ failure, then abdominal compartment syndrome, and even death.” [2]. Currently, there is no consensus on the surgical approach for giant postoperative abdominal wall hernias, and therefore the need to continue to develop new technologies and improve There is no doubt about the tactics. In world practice, at present, the most relevant studies continue to be studies aimed at studying the morphological and functional aspects of recurrent postoperative ventral hernias; electron microscopy reveals ultrastructural destructive changes in skin cells, aponeurosis and muscles, which indicates morphofunctional insufficiency of abdominal wall tissues; issues of cell engineering are discussed new innovative materials, experimental studies are being carried out on animals testing the biotechnical properties, texture and elasticity of new polymers, research is being conducted on open approaches with division of the posterior component with the release of the transverse abdominis muscle and a retrograde mesh, robotic operations have begun. Modern aspects of the development of domestic healthcare include many measures aimed at improving the results of treatment of patients with postoperative ventral hernias and associated pathological conditions through the introduction of modern principles of intensive care and surgical tactics. The development strategy of New Uzbekistan for 2022-2026 in seven priority areas includes tasks to improve the quality of provision of qualified medical services to the population[3]. The implementation of these tasks, including by optimizing tactical and technical approaches to the choice of hernioplasty method, as well as the development of methods for the prevention of purulent-inflammatory complications in the field of alloplastic material, is one of the current areas of abdominal surgery and medicine in general, due to the high medical and social the significance of this pathology.
This dissertation research to a certain extent serves to fulfill the tasks approved by the Decree of the President of the Republic of Uzbekistan “On comprehensive measures to radically improve the healthcare system of the Republic of Uzbekistan” No. UP-5590 dated December 17, 2018, the Resolutions of the President of the Republic of Uzbekistan “On measures to transform the surgical service, improving the quality and expanding the scale of surgical operations in the regions" for No. PP-5254 dated October 4, 2021 and "On additional measures to ensure public health by further increasing the efficiency of medical prevention work" for No. PP-4891 dated November 12, 2020, and as well as other regulatory documents adopted in this area. Compliance of the research with the priority directions of development of science and technology of the republic. The dissertation research was carried out in accordance with the priority direction of development of science and technology of the VI Republic “Medicine and Pharmacology”. Review of foreign scientific research on the topic of the dissertation.[4] Research work aimed at improving the quality of therapeutic and preventive care for patients with ventral hernias, carried out by many leading scientific centers and higher educational institutions in the world, including the Department of Surgical and Perioperative Sciences, Umeå University, Umeå (Sweden), Department of Surgery, Kingston General Hospital, 76 Stuart Street, Kingston (Sweden). nada), Department of Surgery, Helsinki University Hospital, Helsinki ( Finland), Service de chirurgie digestive et oncologique, CHU d'Amiens (France), Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Tulsa (USA), Department of Surgery, Howard University College of Medicine, Washington (USA) , Yong Loo Lin School of Medicine, National University of Singapore (Singapore), Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA; University of Calgary, Calgary (Canada), Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, Philadelphia (USA), Brigham and Women's/Faulkner Hospital, Harvard Medical School, Boston (USA) , Department of Surgical Sciences, Uppsala University Hospital, Uppsala (Sweden), Department of Surgery, University of Texas Health Sciences Center at Houston, Houston (USA), Department of Surgery, Erasmus University Medical Center Rotterdam, Rotterdam (Netherlands), Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka (Japan), National Medical Research Center for Surgery named after A.V. Vishnevsky" (Russia), Republican Scientific Center for Emergency Medical Care (Uzbekistan), Tashkent Medical Academy (Uzbekistan), Republican Specialized Scientific and Practical Medical Center for Surgery named after Academician V. Vakhidov (Uzbekistan).
As a result of studies conducted around the world to increase the effectiveness of alloplasty for postoperative ventral hernias and reduce the risk of complications in the postoperative period, a number of scientific results were obtained, including: it was determined that patients who underwent reconstruction of the abdominal wall have an increased risk of postoperative respiratory failure, understanding the epidemiology of this complication can improve prevention (the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health & Science University, USA); It has been proven that the larger the hernia, the higher the risk of early surgical complications, including such as respiratory decompensation, since hernias often increase in size over time, delaying surgery can lead to an increase in the size of the hernia and, therefore, a greater risk of complications (CentreforDigestiveDiseases, KarolinskaUniversityHospital, Stockholm, Sweden); it has been shown that the ratio of the hernia volume to the volume of the abdominal cavity <20% is an independent factor in tension-free closure, which justifies the interest in preoperative volumetry to adapt the tactics of surgical care (Servicedechirurgiegénérale, digestiveetendocrinienne, CHU LyonSud, HospicescivilsdeLyon, France); It has been determined that in patients undergoing elective laparoscopic hernia repair, predictors of mortality are older age and certain concomitant diseases: congestive heart failure, pulmonary circulatory disorders, coagulopathy, liver disease, metastatic cancer, neurological disorders and paralysis (Department of Surgery, College of Medicine, University of Oklahoma, Tulsa , USA); Older age, ascites, preoperative renal and pulmonary insufficiency have been found to be independent predictors of 30-day mortality, and in the presence of these risk factors, conservative treatment should be seriously considered (Department of Surgery, University of Kentucky College of Medicine, Lexington, USA); The American College of Surgeons (ACS) Universal Surgical Risk Calculator has been shown to accurately predict thirty-day outcomes, including major complications: venous thromboembolism, medical morbidity, surgical site infection, unplanned reoperation, mortality, and length of hospital stay (Department of Plastic Surgery, Brown University and Rhode Island Hospital, Providence, USA). At the present time in the world, the most relevant research in surgery continues to be the development of new methods of hernioplasty for large and giant ventral hernias, each of which has its own pros and cons depending on the complexity of implementation, the risk of postoperative complications and relapse, large randomized clinical trials are being conducted, comparing existing methods of traditional hernioplasty with laparoscopic access and robotic surgery, which has become increasingly widespread in the last 10 years, a search is being made for new synthetic and biological materials developed for the production and use of composite meshes that have the necessary strength and the ability to prevent fatal local complications in a contaminated environment. However, despite technical advances in this field, no modern hernia repair method or prosthesis meets all the requirements. One of the key problems is that existing synthetic endoprostheses do not have sufficient elasticity, resistance to infection, high mechanical strength and integrity over a long period of time. Further research into these clinical aspects will undoubtedly improve the current understanding of the capabilities of biocompatible endoprostheses and will make it possible to develop an optimal method for their placement during allohernioplasty. The degree of knowledge of the problem. The current period of development of abdominal surgery is characterized by an emphasis on the problems of the effectiveness of introducing new installation methods and techniques for attaching bioprostheses, options for various suture materials to determine the most promising directions for the development of these technologies [5]. Researchers led by BittnerR.[6] (2019) state that a giant postoperative abdominal wall hernia, the maximum diameter of which exceeds 12 cm or the ratio of the volume of the hernial sac to the abdominal cavity more than 20%, is difficult to treat, with a high recurrence rate and a large number of complications. One of the most challenging problems is that after the hernia contents return to the abdominal cavity, postoperative intra-abdominal pressure will increase, leading to multiple organ failure, then abdominal compartment syndrome (ACS), and even death. There is currently no agreement on the surgical approach for these giant incisional abdominal wall hernias. To prevent recurrences, some articles recommend placing the hernia mesh in the sublayer position and or linings (KirkpatrickAW.)[7]. According to CornetteB.[8], to prevent recurrence, it is recommended to place the hernia mesh in a sublayer or underlay position, and to achieve better mesh expansion, a component separation technique (CST) may be a suitable solution, but with a significant risk of complications and recurrence. JensenKK, et al. believe that truly successful giant hernia repair requires effective bridging or augmentation that will prevent recurrence with an acceptable risk of complications[9]. Another pressing issue in abdominal surgery is that patients with incisional hernias are extremely difficult to treat due to a number of factors including obesity, previous hernia repair, previous mesh placement, domain loss, and other variables.
The approach to patients with incisional hernias has changed significantly over the past 20 years due to both advances in mesh technology and surgical approaches. Key factors for successful outcome include modification of risk factors preoperatively, such as smoking cessation and weight loss, selection of mesh appropriate for the type of hernia and planned mesh location, and wide mesh coverage beyond the hernia defect. New techniques such as transabdominal muscle release and component separation with retrograde mesh placement and robotic approaches to abdominal wall hernia are increasingly being used in these patients[10]. Recent years have seen an increase in the number of biological meshes available for abdominal wall hernia repair. Biological meshes typically consist of materials obtained from humans, pigs, or cattle. The rationale for using biological meshes is that they can act as a scaffold for the growth of natural tissues. In addition, there are absorbable synthetic meshes that have properties similar to those of biological meshes, but with theoretically less risk because they are not derived from animal or human material. The choice of mesh for a ventral hernia depends on many factors, which include both the properties of the mesh and its location, for example, whether it should be placed intraperitoneally, preperitoneally, or retrorectus. BaierKF[11](2021) believes that the guiding principle should be to avoid placing uncoated polypropylene mesh in an intraperitoneal location where it may be in direct contact with internal organs. In addition, the type of hernia defect is another risk factor, such as whether the wound is clean or dirty, and whether the repair is performed with a bridge or abutment. Lightweight or biologic meshes to bridge the defect should be avoided due to increased recurrence rates. Holihan JL [12] (2016), Hodgkinson JD [13] (2018) believe that the principle of anatomical restoration to achieve a reliable, tension-free repair with reinforced mesh reduces the incidence of early postoperative complications and late recurrence of hernia compared with bridging mesh. The analysis of the literature concerning the theoretical aspects and clinical experience of using technologies for improving modern synthetic and biological prostheses that can provide a better plastic effect, as well as methods for preventing recurrence of ventral hernias, indicates that this is one of the priority areas in modern abdominal surgery. An unresolved issue remains the choice of the optimal endoprosthesis, which is highly effective and meets international standards for such properties as biological inertness and mechanical strength, as well as the method of positioning the mesh in relation to the layers of the abdominal wall. Considering that many of the allohernioplasty methods used today are not without drawbacks, the current direction is the development of new methods of repair for giant ventral hernias and methods for the prevention of postoperative complications in conditions of a contaminated wound, with justification of their effectiveness in a clinical experimental study. The connection between the dissertation research and the research plans of the research institution where the dissertation was completed. The dissertation research was carried out within the framework of the research work plan of the State Institution “RSNPMCH named after. acad. V. Vakhidov" under the project AL-422105574 "Development of new biocompatible mesh implants made of composite materials for reconstructive surgery of abdominal and diaphragmatic hernias" (2022-2024).
The purpose of the study is to improve the results of surgical treatment of large and giant postoperative ventral hernias by introducing new laser technologies and improving the tactical and technical aspects of surgical treatment. Objectives of the study: to study the structure of immediate complications after various types of prosthetic plastic surgery; to clarify the influence of obesity factors, primary or repeat hernioplasty on the incidence of immediate and long-term complications; to evaluate the role of the immediate complicated course of the postoperative period in the incidence of long-term complications of hernioplasty; to improve the technical aspects of alloplasty for large and giant postoperative ventral hernias (POVH); to improve the technique of photodynamic therapy (PDT) of the wound surface after prosthetic plastic surgery; to study in an experiment the effectiveness of using the proposed technique of alloplasty and PDT; evaluate the morphological features of the condition of tissues during prosthetic plastic surgery using the proposed method; in a comparative aspect, evaluate the clinical effectiveness of the proposed alloplasty options in the immediate and long-term periods. The object of the study was the results of allohernioplasty in 448 patients with extensive (large) and giant POVH, who were operated on at the surgical department of the 1st clinic of the Samarkand State Medical Institute in the period from 2012 to 2021, as well as experimental animals on which the effectiveness was assessed developed a technique for prosthetic repair of postoperative ventral hernias and applied the technique of photodynamic therapy.
The subject of the study is to analyze the effectiveness of the developed alloplasty of postoperative ventral hernias and intraoperative photodynamic therapy in abdominal surgery in experiments and in the clinic. Research methods. To achieve the goal of the study and solve the assigned problems, general clinical, instrumental, biotechnological, experimental, histomorphological, microbiological and statistical research methods were used. The scientific novelty of the study is as follows: it was established that the need for extensive tissue mobilization and, as a consequence, the intersection of lymphatic capillaries during implantation of the prosthesis in the onlay position, as well as the lack of sufficient resorption function of the hernial sac in the inlay position causes a high risk of the formation of clinically significant seromas; It was determined that with prosthetic hernioplasty, along with the volume of the defect, the type of plastic surgery and the degree of obesity, the most significant predictor of the risk of developing immediate complications is the factor of re-intervention in case of recurrent hernia with the presence of a “dormant infection” hidden in the remaining ligature granulomas or scar tissue; the structure and clinical features of the course of long-term complications of hernioplasty for giant and extensive hernias were clarified, taking into account the results of the immediate postoperative period, as well as the option of fixing the prosthesis, primary or repeated hernioplasty and the degree of obesity; the method of surgery for large hernias of the anterior abdominal wall has been improved, characterized by a combination of factors such as the formation of tension-free prosthetic repair, preservation of local resorptive function to prevent the development of fluid accumulations and reducing the risk of infection; the method of preventing the development or progression of wound infection during alloplasty of ventral hernias has been improved, aimed at enhancing the antibacterial effect and stimulating reparative activity through the photosensitizing and photodynamic effect of low-energy laser radiation; It was determined in an experimental model of prosthetic plastic surgery that the proposed method of fixing the prosthesis in combination with the use of the effect of photodynamic therapy through laser radiation helps to enhance reparative processes with a reduced risk of wound complications; It has been proven that all methods of antiseptic exposure and laser stimulation of the wound surface after prosthetic plastic surgery enhance preventive measures against the development of local infection, but are ineffective in the case of an already developed purulent-inflammatory process against the background of the use of alloplastic material. The practical results of the study are as follows: it has been determined that the implantation of synthetic materials for giant and extensive hernias is accompanied by a significant number of wound complications caused by both the surgical technique itself and the reaction of surrounding tissues to a foreign body, requiring improvement of tactical and technical approaches when performing hernioplasty; it was clarified that scar-degenerative changes in the tissues of the aponeurosis in giant and extensive hernias are a predisposing factor to the occurrence of post-prosthetic hernias, especially when implanting the prosthesis in the “inlay” position and, accordingly, require increasing the efficiency of their fixation and engraftment, as well as reducing the risk of developing local complications; it was determined based on the data of an experimental study that the proposed method of alloplasty for large ventral hernias makes it possible to achieve adequate reconstruction of the anterior abdominal wall, reduce the incidence of infection in the wound, and also use a smaller size of prosthetic material; it was determined that the proposed method of tension-free repair of large hernias of the anterior abdominal wall with strengthening of the aponeurosis with a mesh implant allows maintaining physiology, reducing the number of complications, shortening treatment time and reducing the risk of hernia recurrence; It has been determined that the proposed method for preventing the development or progression of wound infection during alloplasty of ventral hernias can reduce the frequency of suppuration, shorten the treatment time and the likelihood of relapse; It has been proven that the use of the proposed tactical and technical aspects of prosthetic repair for postoperative ventral hernias can reduce the incidence of specific complications, reduce rehabilitation time and the risk of hernia recurrence. Reliability of the research results. The reliability of the results is justified by the use of objective criteria for assessing the condition of patients, modern methods of diagnosis and treatment, the correct application of methodological approaches and sets of statistical analysis, methods for solving the problems discussed in the dissertation are based on modern scientific and practical concepts and approaches to the diagnosis and surgical treatment of patients with giant postoperative hernias. Scientific and practical significance of the research results. The results obtained make a significant contribution to the expansion of irradiation of existing ideas about the structure and clinical features of complications of hernioplasty for giant and extensive ventral hernias by identifying the morphological features of the development of a purulent-inflammatory process against the background of the use of alloplastic material, studying predictors of the risk of developing immediate complications, mechanisms for enhancing reparative processes through the use of an improved method of fixing the prosthesis in together using the effect of photodynamic therapy through laser radiation, which made it possible to enhance the antibacterial effect and improve the wound healing process. The practical significance of the study is that, based on the results obtained, the tactical and technical aspects of prosthetic hernioplasty have been optimized, the features of methods of antiseptic exposure and laser stimulation of the wound surface after prosthetic repair have been revealed, enhancing preventive measures for the development of local infection, and the method of surgery for large anterior abdominal hernias has been improved walls, characterized by a combination of factors such as the formation of tension-free prosthetic plasty, preservation of local resorptive function to prevent the development of fluid accumulations, thereby reducing the risk of developing postoperative complications, reducing the frequency of unsatisfactory results, length of hospitalization and the likelihood of relapse. Implementation of research results. According to the results of a scientific study to optimize the tactical and technical aspects of surgical treatment of large and giant postoperative ventral hernias: the “method for plastic surgery of giant hernias of the anterior abdominal wall” has been improved (invention patent No. IAP 2022 0148 dated April 18, 2022). The proposed method of tension-free repair of large hernias of the anterior abdominal wall with strengthening of the aponeurosis with a mesh implant made it possible to reduce the number of complications, shorten the treatment time and reduce the risk of hernia recurrence; the “method for preventing the progression of infection during alloplasty of infected hernias” has been improved (certificate of the Ministry of Health No. 08-32071 dated October 17, 2022). The proposed method made it possible to reduce the frequency of wound purulent-inflammatory complications and shorten the period of rehabilitation of patients after allohernioplasty; methodological recommendations “Tactical and technical aspects of prosthetic repair for large and giant postoperative ventral hernias” have been developed (certificate of the Ministry of Health No. 08-32071 dated October 17, 2022) . The developed recommendations made it possible to optimize the tactical and technical aspects of allohernioplasty in patients with large and giant postoperative ventral hernias; The scientific results obtained were introduced into the practical activities of healthcare, in particular, in the departments of surgery of the Khorezm and Andijan regional multidisciplinary medical centers, the clinic of the Samarkand State Medical University (certificate of the Ministry of Health No. 08-32071 dated October 17, 2022). Improving the tactical and technical aspects of prosthetic repair for postoperative ventral hernias has made it possible to reduce the incidence of specific immediate complications from 40.9% to 15.6%, to reduce rehabilitation time from 8.6±2.7 to 7.1±1.5 days, and also reduce the likelihood of long-term complications from 11.7% to 3.1%. Approbation of research results. The results of this study were discussed at 8 scientific and practical conferences, including 5 international and 3 republican ones. Publication of research results. 26 scientific works have been published on the topic of the dissertation, including 9 journal articles, 4 of which in republican and 5 in foreign journals recommended by the Higher Attestation Commission of the Republic of Uzbekistan for publication of the main scientific results of doctoral dissertations. Structure and scope of the dissertation. The dissertation consists of an introduction, seven chapters, a conclusion, conclusions, practical recommendations and a list of cited literature. The volume of work is 200 pages.
This study aims to investigate the relationship between language skills anxiety and foreign language learning aptitude among Iranian English as a Foreign Language (EFL) learners. Language skills anxiety refers to the feeling of apprehension or fear experienced by learners when using different language skills, such as speaking, listening, reading, and writing. Foreign language learning aptitude, on the other hand, refers to the innate ability or potential of learners to acquire and develop proficiency in a foreign language. The study utilized a quantitative research design and collected data from a sample of Iranian EFL learners using validated measures of language skills anxiety and foreign language learning aptitude. The findings of the study provide insights into the relationship between language skills anxiety and foreign language learning aptitude among Iranian EFL learners and contribute to our understanding of the factors that influence language learning outcomes.
This study investigates the relationship between translation competence and higher-order thinking skills in novice translators. Translation competence refers to the ability to effectively and accurately translate texts from one language to another, while higher-order thinking skills encompass critical thinking, problem-solving, and creative thinking abilities. The research employs a quantitative approach, analyzing the performance of novice translators on translation tasks and their demonstrated higher-order thinking skills. The findings shed light on the extent to which translation competence correlates with the application of higher-order thinking skills in the translation process. The implications of the study emphasize the importance of developing both translation competence and higher-order thinking skills in translator training programs.
Effective communication skills are essential in today's interconnected world, and it is crucial to develop these skills early on in education. This study introduces an interactive teaching method aimed at enhancing communication skills among students. The method utilizes various interactive strategies, including group discussions, role-playing, multimedia presentations, and real-world simulations. By actively engaging students in the learning process, this approach fosters the development of effective communication abilities, such as active listening, clarity of expression, nonverbal communication, and conflict resolution. The study investigates the impact of the interactive teaching method on students' communication skills through pre- and post-assessments, student feedback, and observation of classroom interactions. The findings highlight the effectiveness of the method in enhancing students' communication skills and its potential for widespread adoption in educational settings.
As the world embraces distance education as a prominent mode of learning, it becomes imperative to consider the development of responsibility skills among students in this evolving educational landscape. This article explores the significance of fostering responsibility skills in students amidst the challenges and opportunities presented by distance education. It examines various strategies and approaches that educators can employ to cultivate responsibility skills, including self-regulation, time management, accountability, and digital citizenship. Additionally, the article discusses the implications of promoting responsibility skills in enhancing students' academic performance, engagement, and overall success in a remote learning environment. Drawing upon research findings and practical insights, this article aims to provide educators, policymakers, and stakeholders with valuable perspectives on nurturing responsibility skills in students within the context of distance education.
Any epidemic and pandemic that is a great stress or emergency leads to disruptions in the psycho-neurological system and human behavior. Psycho-emotional excitement in patients with severe Covid-19 dramatically reduces the effectiveness of non-invasive ventilation. Purpose of the study: to assess the efficacy, safety and impact on the quality of life of patients with dexmedetomidine and propofol against the background of a decrease in need for oxygen. The study included 21 patients with severe and extremely severe Covid-19. In the first group of patients with fear of death, a combination of drugs propofol + sibazone + fentanyl was used. In the second group, dexmedetomidine and promedol. Conclusions: in patients with a severe course of coronavirus infection, dexmedetomidine is more effective in reducing psycho neurological arousal and improving cognitive functions, which leads to an effective supply of oxygen and to their faster recovery.
It is well known that assessment stimulates learning. A single exam does not fulfill all the functions of assessment, such as assessing knowledge, understanding, skills, motivation, and feedback. Written exams test cognitive knowledge, which is just one aspect of competence. The structuring of questions and assessment by emphasizing objectivity has been emphasized and has become important in practical assessment. The Objective Structured Practice Examination (OSPE) is now the accepted tool for assessing practical skills in both pre- and paraclinical subjects.