First Experience Research Articles

THE VERY FIRST EXPERIENCE WITH eTEP IN OUR DEPARTMENT

Abstract Background Nowadays the main method everybody is talking about in ventral hernia repair is eTEP. The retromuscular hernia repair seems to be the gold standard for ventral hernias. The occurrence of ventral hernias is around 20% for primary and 30% for incisional hernias following the midline incisions. There is a surge of surgeons who are diving into this relatively new mini-invasive method. Until 2022 we performed only open ventral hernia repairs. Therefore, we have decided that we cannot be stuck "in the past" and started our long way of learning and improving in the eTEP field. Method We have run a retrospective trial looking at our small cohort of patients with ventral hernias that have undergone eTEP procedure at our department in the University hospital. We have specifically focused on the conversion rate to open surgery, possible complications, operating times, and postoperative complications. Results 14 patients have successfully undergone the eTEP hernia repair. We had to convert 5 of those cases. The main surgical accident resulting in conversion was the perforation of peritoneum and entering the abdominal cavity. There were no sever complications and the most common postoperative complication was hematoma with no need of surgical revision. Conclusion Our first experience with the eTEP has been challenging and as the results show that we need to improve in many surgical categories. Especially in developing the retromuscular space. Also, lately we have managed to schedule easier cases with primary hernias and the results became better immediately.

M.N. Muravyov and “Potapovshchina’: an Attempt at Oblivion

In the article the author examines the main directions of Vilna Governor General M.N. Muravyov’s activity in the years of 1863 – 1865. He pays special attention to the issues of national and social liberation of Western Russian peasants in the context of the reconquista and Russian North-Western territories decolonization. He also examines ideological changes of Russian society under the impact of the Polish uprising. He attempts to offer comparative analysis of Muravyov’s phenomenon and that of the so-called “Potapovshchina” in connection of the fi rst experience of the forced oblivion of the Vilna Governor General’s name and work.

Liturgical Aesthetics of Archpriest Sergei Protopopov

The article is devoted to the analysis of the treatise “On the Artistic Element in Orthodox Church Singing: (Thoughts and Observations)” (1901) by archpriest S. Protopopov as the fi rst experience of aesthetic research of church music in the period of the Silver Age. The author examines the ontological foundations of the archpriest’s understanding of the nature of aesthetic perception and the specifi cs of sacred music (church singing). It is shown that Sergei Protopopov succeeded in substantiating the principles of the revival of canonical church singing on the basis of the laws of musical harmony of later epochs.

THE IMAGE OF SERVILIA IN THE COLLISIONS OF THE INTONATION PLOT: FROM THE DRAMA OF L. A. MEI TO THE OPERA OF N. A. RIMSKY-KORSAKOV

The presented materials are the fi rst experience of considering the musical characteristics of Servilia in the context of the intonational events of N. A. Rimsky-Korsakov’s opera of the same name, unfolding in the multidimensional space of its musical reality. The personal drama of the heroine is placed in socio-historical collisions: on the one hand, the confl ict of tyranny and citizenship, and on the other, the main socio-historical confl ict immersed in the deep layers and expressed in the confrontation between paganism and Christianity. The results of the study of the opera’s musical content testify to the modality of the musical image of the young patrician, consolidating the meanings of the intonational plot, and thus being the intonational epicenter of the opera.

THE IMAGE OF SERVILIA IN THE COLLISIONS OF THE INTONATION PLOT: FROM THE DRAMA OF L. A. MEI TO THE OPERA OF N. A. RIMSKY-KORSAKOV

The presented materials are the fi rst experience of considering the musical characteristics of Servilia in the context of the intonational events of N. A. Rimsky-Korsakov’s opera of the same name, unfolding in the multidimensional space of its musical reality. The personal drama of the heroine is placed in socio-historical collisions: on the one hand, the confl ict of tyranny and citizenship, and on the other, the main socio-historical confl ict immersed in the deep layers and expressed in the confrontation between paganism and Christianity. The results of the study of the opera’s musical content testify to the modality of the musical image of the young patrician, consolidating the meanings of the intonational plot, and thus being the intonational epicenter of the opera.

Kh. Faizhanov’s Historical Heritage

The article, which continues the cycle of works timed to the 200th anniversary of Khusain Faizkhanov (1823-1866), considers the evo lution of methods of historical research of the scientist. It shows the stag es of Kh. Faizkhanov’s formation as a historian and reveals the factors of transformation of his views and approaches. The fi rst experience of prepa ration of independent research work was received by Kh. Faizkhanov ap proximately in 1859–1860 when he was writing the general history of the population of the Middle Volga Region. Under the infl uence of his own fur ther discoveries in source study and in-depth research methods, Kh. Faiz khanov, probably, started preparing special scientifi c works on the history of Volga Bulgaria, Kazan, and Kasimov Khanates in 1862. The fi rst of them is considered lost, the other two were not fi nished but were found in the form of manuscripts, the analysis of which made it possible to claim that they were defi nitely included in the later work of Sh. Marjani “Mustafād al- ʼaḫbār fī aḥvāl Ḳazān va Bulg̣ār”. The contradictions within the work of Sh. Marjani itself lead to the idea that Kh. Faizkhanov’s work on Volga Bulgar ia suff ered the same fate.

Axiological Culture of a Journalist in the Digital Era

The values of modern journalism are directly related to the era of a special informational narrative conditioned by ratings and the economic factor combined with the dominant information technology and the current confrontation between the traditional and the new. The research results are based on data from a three-stage survey conducted in 2018–2022 with the participation of more than 240 journalists of the Transbaikal Region and other regions of Russia aged 18 to 75.The survey was focused on identifying the civil, ethical and spiritual-moral views of journalists, the dominant axiological strategies of professional activity, determining the role of moral guidelines in the professional consciousness of the journalistic community and the specifi cs of ethical norms’ infl uence on the daily work of a journalist. The purpose of this article is to present a characteristic of a journalist’s axiological culture in the digital era, to identify the value dominants of his professional activity, determining their signifi cance, meaning and levels of experience, based on the conducted sociological survey. The research has been conducted within the framework of the linguocultural approach, which emphasizes the unity of culture and language in the process of creating and perceiving a media text, as well as the sociocultural approach, focused on the integrative potential of the media and the translation of values, which contribute to national identity. The article offers a defi nition of the “axiological culture of a journalist” as a hierarchical system of professional values, refl ecting unifi ed and socially signifi cant ideals and meanings, normative bases for acts of consciousness and behavior that provide the context for the journalist’s interpretation of reality and organize reality through an evaluative implication. The results of the sociological study have made it possible to identify the causes and conditions of professional ethics violations by journalists. The predominant motivations for informational interaction are formulated, value priorities in journalists’ work are identifi ed, and typical cultural markers demonstrating the actualization of memories in the “past-present-future” paradigm are singled out. The present article is the fi rst experience of systematization of the integral system of journalistic axiological culture on the basis of sociological material, which implies further interdisciplinary research of this issue.

Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience.

We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected by Home FIRsT between January and October 2020. A linear regression model was computed to establish independent predictors of CFS. This was complemented by a classification and regression tree (CRT) to evaluate the main predictors. There were 799 Home FIRsT episodes, of which 740 were unique patients. The CFS was scored on 658 (89%) (median 4, range 1-8; mean age 81 years, 61% women). Independent predictors of higher CFS were older age (p<0.001), history of dementia (p<0.001), mobility (p≤0.007), disability (p<0.001), and higher acuity of illness (p=0.009). Disability and mobility were the main classifiers in the CRT. Results suggest appropriate CFS scoring informed by functional baseline.

The first experience of transcatheter implantation of aortic valve prosthesis «Medlab-KT» in the Far Eastern federal district

The results of transcatheter implantation of the fi rst Russian aortic valve prosthesis «MedLab-CT» are&#x0D; presented in the article. Transapical aortic valve implantation with MedLab-CT prosthesis was performed in 28 patients&#x0D; with a high surgical risk of severe aortic stenosis and concomitant pathology (EuroScore II 5,44). The operations were&#x0D; performed in a hybrid operating room, and the average duration time was 90 minutes. Concomitant stent-assisted coronary&#x0D; intervention was conducted in three patients. There were no cases of conversion to artifi cial blood circulation. At&#x0D; the hospital stage, two patients (7 %) died due to multiple organ failure that developed after surgery. Two patients (7 %)&#x0D; required an implantation of a permanent pacemaker. There were no cases of migration and dislocation of the prosthesis&#x0D; and rethoracotomy. The mean gradient on the valve was 6 mmHg, the maximum was 12 mmHg. The signifi cant&#x0D; intravalvular and paraprosthetic regurgitation was not observed. The average stay in the intensive care unit was about&#x0D; one day and approximately 12 days in the surgical department after the operation. The fi rst experience of implantation&#x0D; of a transcatheter «Medlab-CT» aortic prosthesis in the Far East Federal District allows making a conclusion that we&#x0D; obtained good clinical and hemodynamic results, which are consistent with the results of other authors using this valve.

THERMOACTIVE NITINOL CLIPS AS PRIMARY AND SECONDARY STERNAL CLOSURE AFTER CARDIAC SURGERY - FIRST EXPERIENCE IN SLOVENIA.

SUMMARYAlthough there has been a trend towards minimally invasive and sternum-sparing procedures, median sternotomy is still a standard surgical approach in cardiac surgery. Many techniques and innovations for closure of sternal osteotomy have been developed with contradictory results. In this report, we present our first experience with the nitinol-made sternal closure system in the primary, as well as secondary closure of sternal osteotomy. A small series of 20 patients had their sternotomy closed with Flexigrip clips. In one case, the Flexigrip clips were used in secondary wound closure in a patient with deep sternal wound infection after full sternotomy and coronary bypass surgery. After 6-month follow-up, all patients were doing well with their sternums clinically stable and the sternotomy wounds completely healed. In conclusion, Flexigrip clips offered a stable alternative to steel wires in primary, as well as secondary sternal closure. Moreover, in secondary sternal closure, the thermoactive clips offered safety advantages over the standard wire cerclage technique because the need for dissection of the substernal adhesions could be avoided.

Changes and impacts in early recurrences after atrial fibrillation ablation in contact force era: comparison of high-power short-duration with conventional technique-FIRST experience data.

Different atrial tachyarrhythmias (AT) may be seen during follow-up after atrial fibrillation ablation. Evaluate and analyze characteristics and management of AT following first atrial fibrillation (AF) ablation with high-power short-duration (HPSD) comparing to low-power long-duration (LPLD) and its impact on late outcome. Observational, retrospective study, 144 patients submitted to HPSD and LPLD ablation. HPSD with 71 and LPLD with 73 patients and no major clinical differences between the two groups. AT occurred in 60 patients (41.67%) in entire follow-up. HPSD 22 patients had AT: 13 during blanking period (BP) and 9 after that. LPLD: 38 patients with AT, 14 during BP and 24 after that. During BP, HPSD showed high rate of atrial flutter/tachycardia in 9 (69.23) of 13 and LPLD 4 (28.57%) of 14 patients. At 12months' follow-up, 62 (87.32%) of 71 HPSD patients were in sinus rhythm comparing to 49 (67.12%) of 73 patients in LPLD. HPSD ablation produced higher rates of early than late recurrence comparing to LPLD. Regular tachyarrhythmias were most common arrhythmia during BP with HPSD ablation and AF in LPLD. HPSD compared to LPLD showed a superiority in maintaining sinus rhythm at 12months.

THE FIRST EXPERIENCE OF PNEUMOVESICOSCOPIC URETERAL REIMPLANTATION IN CHILDREN UNDER 2 YEARS OF AGE

Actuality. To date, there are few publications focused on pneumovesicoscopic ureteral reimplantation in young children. The article is devoted to surgical interventions in this age group. Material and methods. Surgical interventions on small volume bladder have significant technical difficulties. The authors assessed potentials for performing pneumovesicoscopic ureteral reimplantation by the Cohen technique in 14 children under 2 with various obstructive uropathies. Results. In all children, surgical interventions were performed according to preoperative plans. There were no conversions to an open procedure. As it has been found out, patient’s age and bladder volume were not limiting factors for this type of intervention. Conclusion. The pneumovesicoscopic ureteral reimplantation in young children is a hi-tech procedure which requires a unique equipment and a highly qualified surgical team. To reduce the procedure duration, further experience and more information are needed.

Do Brincar do Bebê ao Brincar da Criança: Um Estudo sobre o Processo de Subjetivação da Criança Autista

RESUMO O brincar primitivo do bebê poderia nos revelar traços precoces de uma provável organização autística em curso na criança pequena? Em que medida o investimento do bebê face aos objetos do mundo externo e do ambiente poderia ser associado a suas primeiras experiências com o objeto materno? Tais questões são levantadas neste artigo, cujo principal objetivo é abordar o processo de subjetivação da criança autista a partir da correlação entre o brincar primitivo do bebê e o brincar simbólico da criança. Por meio de um estudo longitudinal de bebês com risco de autismo, constatou-se que, desde uma idade precoce, é possível detectar particularidades na maneira como eles investem e interagem com os objetos do ambiente.

MOTHER’S FIRST EXPERIENCE IN ASSISTING CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA WHO IS UNDERGOING CHEMOTHERAPY

Introduction. Acute Limfoblastic Leukemia (ALL) is a malignant disease which mostly found in children. The main treatment of ALL is chemotherapy for a long time, so it affects their mother life as the primary caretaker. This research aimed to explore, understand, and give the meaning of mother’s fi rst experience in assisting children with ALL that was undergoing chemotherapy: the induction phase. Method. This research was a qualitative research by using phenomenological. Six participants were taken by using purposive sampling that participated in interview. In-depthinterviews and fi eld note were used to collect data. The result of the interview was transcribed verbatimly and analyzed by Collaizi method. Results. There was six main themes that found in this research including:1) undergoing emotional response, 2) undergoing physical impaired, 3) seeking information, 4) undergoing a spiritual experience, 5) undergoingan economic burden, and 6) the importance of support. Discussion. It suggests that nurses provided nursing care to mother that assisting the children in chemotherapy at the fi rst time like giving intervention concerned emotional problem, physical, and spiritual. It also gives earlier information for mother about chemotherapy.Keywords: mother’s fi rst experiences, chemotherapy, induction phase, acute lymphoblastic leukemia’s children

Towards Realizing Practical Humanoid Robots One Challenge at a Time

This article describes features of FIRST, an approach to introduce science, technology, engineering and math (STEM) concepts to students. One unique aspect of the FIRST experience is that the reward and recognition for achievements are not necessarily gained on the field of play—excellence in design, demonstrated team spirit, Gracious Professionalism, community outreach, and more are recognized with awards. The focus of organized FIRST programs is on pre-college students {LE Comment: Please check whether the introduction of a preposition is required.}. At the college level, there are no formal FIRST programs, except for FIRST-related scholarships. However, as shown in the longitudinal study, the impact of FIRST carries into postsecondary education. There are diverse types of FIRST-related organizations and models at the college level. The article also highlights that during the semester, a sequence of team building, mentoring, project management, fundraising, and FIRST robot design topics are given by faculty, senior FIRST mentors, and professional engineers.

Inspiring Future Generations in STEM Field through Robotics Competition: A College Student Mentoring Approach

This article describes features of FIRST, an approach to introduce science, technology, engineering and math (STEM) concepts to students. One unique aspect of the FIRST experience is that the reward and recognition for achievements are not necessarily gained on the field of play—excellence in design, demonstrated team spirit, Gracious Professionalism, community outreach, and more are recognized with awards. The focus of organized FIRST programs is on pre-college students {LE Comment: Please check whether the introduction of a preposition is required.}. At the college level, there are no formal FIRST programs, except for FIRST-related scholarships. However, as shown in the longitudinal study, the impact of FIRST carries into postsecondary education. There are diverse types of FIRST-related organizations and models at the college level. The article also highlights that during the semester, a sequence of team building, mentoring, project management, fundraising, and FIRST robot design topics are given by faculty, senior FIRST mentors, and professional engineers.

EFFECT OF GROWTH HORMONE THERAPY IN CHILDREN WITH PRADER-WILLI SYNDROME - OUR FIRST EXPERIENCES.

SUMMARY – Prader-Willi syndrome (PWS) is the most common cause of morbid obesity in childhood. It is the consequence of the lack of expression of genes on the paternally inherited 15q11.2-q13 region. Hyperphagia, obesity, short stature, psychomotor retardation and deterioration of behavior predominate in clinical presentation. Recombinant human growth hormone (rhGH) therapy, along with restriction of caloric intake, has become the mainstay in the management of PWS patients. Anthropometric parameters (height, body mass index (BMI)), therapy effect on carbohydrate and lipid metabolism, and occurrence of side effects were monitored in four children with PWS treated with rhGH for ≥2 years at doses of up to 1 mg/m2/day. During the follow-up, the height standard deviation score (SDS) increased in comparison with baseline values, and after ≥2 years of treatment with rhGH it was within the reference range for the general children population. BMI SDS decreased after the first year of treatment, but thereafter increased again; still, the level of BMI SDS was much better in comparison with most children with PWS of the same age and gender. RhGH therapy had no negative effect on glucose and lipid metabolism, nor caused any other adverse effect. Therapy including a customized diet for PWS, along with rhGH therapy, provided a satisfactory growth rate and prevented development of morbid obesity without side effects. This treatment approach would ensure transition of a greater number of PWS patients into adult care, where the multidisciplinary approach in care should be continued.

Электронные формы учебников по социально-гуманитарным дисциплинам: путь в школу

The article includes the analysis of electronic forms of textbooks (EFT) on History, Social studies and Geography and the fi rst experience of using them in Russian schools (since 2015). The main features, components, informational and technical qualities of EFT are characterized. The author presents data of questionnaires, revealing teachers’ attitude towards the new form of textbooks and their approaches to a work with EFT in History, Social studies and Geography courses. The “open questions”, which should be taken into consideration by EFT editors and teachers, are pointed out as well.

ОПИСАНИЕ АМУЛЕТОВ ИЗ «ЕГИПЕТСКОГО» ФАЯНСА С ТЕРРИТОРИИ РОСТОВСКОЙ ОБЛАСТИ В ПЕЧАТНЫХ ИЗДАНИЯХ КОНЦА XIX - НАЧАЛА XXI В

The article is devoted to the historiographical review of publications dated by late XIX - early XXI centuries and containing information about amulets and talismans of the “Egyptian” faience, found in the settlements and burial grounds in Rostovskaya region. In order to refi ne the circumstances of identifi cation and origin of some objects, catalogues and archives where these objects were published were additionally used. This article is the fi rst experience in the Russian historiography related to the history of publishing of faience objects of certain shapes found on the territory of Rostovskaya region.

Sports Tech: Fishing lures

MY FIRST experience of fishing was at a very young age and the equipment involved consisted of a stick, some string, a bent pin and an unfortunate worm. This was used in a muddy pool which at the age of six passed for a 'pond'. Needless to say the catch was negligible i.e. one dead worm. Real anglers have, of course, rather more sophisticated means of catching their prey, with lures in particular being considerably more high-tech than my worm ever was.