Remote Period Research Articles

İNGİLİZCE ÖĞRETİM GÖREVLİLERİNİN PANDEMİ DÖNEMİ UZAKTAN EĞİTİM SÜRECİ: BİR VAKA ÇALIŞMASI

This paper reports on the emergency remote education period of the instructors at the School of Foreign Languages of a Turkish state university. The university the study was conducted in, along with all other higher education institutions in Turkey, switched to online education with the sudden spread of the COVID 19 pandemic. To evaluate how the instructors dealt with this sudden transition, 110 participants teaching at the School of Foreign Languages completed an online survey at the end of the emergency remote education academic semester. Thereafter 24 of them volunteered to be interviewed about their experiences in more detail. The findings reveal that most instructors had some apprehension and difficulty in making the transition to online teaching, yet still considered themselves competent in dealing with the unexpected and unprepared teaching medium. Many thought the experience had been valuable to their personal development and referred to aspects of online education that will be integral to their professional development. It was observed that the instructors also repeatedly expressed that they perceived the experience as one that interaction among colleagues benefitted them most both in developing their digital skills and in providing them with psychological support.

Haloaerosoltherapy: Mechanisms of Curative Effect and Place in the Respiratory Rehabilitation

Introduction. Management of patients with chronic pathology requires development of long-term programs with organic combinations of medicamental and non-medicamental influences. Haloaerosoltherapy is a group inhalation of rock salt aerosol with concentration of more than 2-3mg/m3 and certain dispersion (with presence of large-, medium- and small-grained aerosol) aboveground. Material and method. On the basis of literature data review and results of own researches a comprehensive description of haloaerosoltherapy, its mechanisms, available technologies, indications and effectiveness at pulmonary pathology was given. Results and discussion. Basis of haloaerosol curative influence is hyperosmolar stimulus that improves drainage function of bronchi and provides sanitizing effect, which causes further changes at local and systemic levels. This justifies haloaerosoltherapy usage as method of rehabilitation treatment. Comparison of haloaerosoltherapy and other methods of halotherapy (use of halite), in particular, "salt rooms (caves)" was made. It has been proven that "salt rooms" can be used only as spa procedure. Conclusions. Application of term "halotherapy" to all methods that use halite or underground treatment is incorrect. This determines necessity for stop using this term. It is necessary to differentiate clearly applied methods of treatment using terms that reflect the essence of therapeutic effect. Haloaerosoltherapy should be considered a method of respiratory rehabilitation with a proven mechanism of action and effectiveness. Haloaerosol is obtained using specific devices - halogenegenerators. The effectiveness of haloaerosoltherapy immediately after the course of treatment and in remote period is testified. Keywords: Respiratory rehabilitation, halotherapy, haloaerosoltherapy, speleotherapy,

Learning from the Trees: Using Project Budburst to Enhance Data Literacy and Scientific Writing Skills in an Introductory Biology Laboratory During Remote Learning

Citizen science projects can be used in college laboratory settings to allow students to gain hands-on experience in research during emergency remote learning. During the 2020 spring semester, we used the citizen science project, Budburst, in our introductory biology laboratory during the COVID-19-induced emergency remote learning period. The instructors were able to quickly adapt the project for emergency remote teaching because of the versatility of citizen science projects. The goals of this paper are to describe the project the students completed and to determine which data literacy and scientific writing skills were gained through the process. The students were provided with the research question: “How does temperature affect the phenophases of your trees?” Students collected their own data and downloaded Budburst data sets from the website to compare between years and to connect their results to long-term temperature data sets. The final project was a scientific paper based on their findings from both data sets. After the semester, a subset of papers was scored by two researchers using a previously validated rubric designed to evaluate students’ research skills. We evaluated students’ higher-order thinking by investigating their ability to develop a prediction statement, and to improve their qualitative skills by developing graphs, statements on the limitations for methods and results, and alternative explanations for their findings. We saw that using citizen science during remote teaching enabled the students to gain authentic research experiences and continue to improve their skill set even if they could not be in the laboratory.

Reconstruction of post–burn facial deformities, using stretched flaps

Objective. Improvement of the surgical treatment results in patients with post-burn deformities of the face, using maximal restoration of cutaneous coverings of principal parts with optimal application of stretched tissues in adjacent places.
 Materials and methods. Into the investigation were included 37 patients, who were treated in 2009 - 2019 yrs,23 men and 14 women, ageing 10 - 62 yrs old (median age have constituted 25.7 yrs old). For facial defects plasty were applied the stretched frontal flap (5), lateral and lower facial flaps (4), submandibular and submandibularly-cervical (8), cervical (7) and cervical and cervico-brachial flaps (16). In 2 patients with bilateral affection the cervical and cervico-brachial flaps were applied on both sides.
 Results. All the flaps applied took the root primarily. During first postoperative 24 h in 4 patients venous congestion in cervical and cervical-brachial flaps was noted, which have disappeared after application of the antiaggregate preparations. Main criteria of estimation of the treatment far remote results were: the completeness of the cicatrices excision, the secondary deformity occurrence and restoration of the face main contours. Far emote results were studied in 17 patients and were estimated as good. In other patients the result is unknown.
 Conclusion. Depending on the cicatricial defect localization and presence of unaffected tissues in various anatomical zones of the face and neck, application of the stretched flaps is possible, what permits to obtain a sufficient quantity of viable plastic material with textural properties, which are close to defect. Using stretched flapsin various anatomical zones of face and neck good result was obtained in immediate and far remote periods of observation.

UTILIZING CANVA AS DIGITAL TOOLS TO TEACH GRAMMAR IN REMOTE LEARNING PERIOD

The use of a digital tool in teaching and learning has significantly increased due to the remote learning period. Digital tools in education may be viewed as interference to learning. Still, its role in education is to increase students’ motivation and engagement, enhance visual skills, improve students’ interaction and collaboration abilities with their peers, and apply digital values in a real-world situation. This study aims to discuss the use of Canva as a digital tool in teaching grammar in the remote learning period. Ten third-year students were selected as the participant of this study. The instruments are observation and interview. The design of this study was a descriptive study. The results showed that Canva enhances students' visual skills, interactions, motivation, and engagement in learning grammar.

Біомеханічні особливості ходьби хворих на коксартроз за даними системи GAITRite Частина 1. Геометричні параметри ходьби

Мета роботи: оцінити динаміку та особливості геометричних параметрів ходьби пацієнтів до тотального протезування кульшового суглоба та після нього при збереженні та зменшенні довжини плеча дії абдукторів (ДПДА) стегна після протезування у віддаленому періоді спостереження. Матеріали та методи. Аналізували геометричні параметри ходьби: довжина кроку (Step Length) або короткий крок; довжина довгого кроку (Stride Length); ширина опори (H-H Base Support) та величини кута розвороту стопи (Toe In/Toe Out), що були отримані за допомогою системи GAITRite. Було проаналізовано параметри ходьби 46 хворих на коксартроз. До І групи увійшло 26 хворих, у яких рентгенометрично після протезування кульшового суглоба довжина плеча дії абдукторів стегна не змінилася або різниця не перевищувала 10 мм у бік зменшення. До ІІ групи потрапили хворі (20 пацієнтів), у яких після протезування рентгенометрично було виявлено зменшення ДПДА стегна більше ніж на 10 мм. Обстеження проводили до протезування та у віддалені періоди спостереження — через 1–1,5 та 5–7 років після протезування. Результати. До протезування групи за параметрами ходьби були однаковими. Протезування у більшості хворих приводило до відновлення параметрів ходьби, хоча у більшості випадків нормалізація параметрів і не досягала середньостатистичної референтної норми, але практично відновлювало симетричність ходьби. Через 5–7 років у хворих спостерігали погіршення параметрів ходьби, а у деяких хворих погіршення показників досягало значень до ендопротезування. Особливо це було помітно у хворих зі зменшеною довжиною дії плеча абдукторів стегна. У цих хворих відбувалося постійне перенапруження означених м’язів, що у віддаленому періоді призводить до розвитку чи прогресування дегенеративних змін в інших суглобах нижньої кінцівки — колінному суглобі, гомілково-ступневому суглобі та поперековому відділі хребта, що й обумовлює погіршення ходьби у віддаленому періоді спостереження. Висновки. Проведений аналіз показав, що у хворих зі зменшенням довжини плеча дії абдукторів стегна внаслідок тривалого однобічного перенапруження м’язів протезованої кінцівки у віддаленому періоді спостерігається втрата опорності та надбаних після протезування навичок ходьби.

Вплив зміни довжини важеля дій сил абдукторів стегна після ендопротезування кульшового суглоба на особливості ходьби пацієнтів (аналітичний огляд літератури)

Робота присвячена вивченню основних напрямків досліджень біомеханічних особливостей ходьби людини після тотального ендопротезування кульшового суглоба в історичному аспекті й сучасного стану проблеми. Особлива увага звертається на проблему несиметричності довжини важеля абдукторів стегна після протезування, а саме наслідки, до яких призводить ця помилка. Розглянуті методи досліджень біомеханіки ходьби людини, як теоретичні, зокрема математичне динамічне моделювання, так і апаратні. Аналіз літератури показав, що при тяжких дегенеративно-дистрофічних ураженнях кульшового суглоба у хворих відбувається тяжке спотворення біомеханіки ходьби, що виражається в зменшені часу опори на стопу, переносі ваги тіла на здорову чи порівняно здорову кінцівку, зменшенні довжини кроку через виражену контрактуру в кульшовому суглобі. У хворих спостерігається зростання асиметрії кроків, що робляться здоровою й хворою кінцівками, за різними параметрами. Часто спостерігається нестабільність параметрів від кроку до кроку. Ендопротезування кульшового суглоба приводить до позитивних зсувів параметрів ходьби, а саме збільшення довжини кроку, відновлення опори на протезовану кінцівку. Зростає швидкість пересування. Але в більшості хворих зберігається недостатність м’язового апарату, який під час перебігу захворювання втратив спроможність повноцінного функціонування. Крім того, проведене хірургічне втручання теж впливає на якість ходьби. За даними літератури було виявлено, що асиметрія довжини важеля абдукторів стегна відіграє свою негативну роль в уповільнені відновлення ходьби, особливо у віддалені періоди.

Анализ результатов микрохирургической поясничной дискэктомии, характеристика осложнений в раннем и отдаленном периоде: современное состояние вопроса (обзор литературы)

Технологии хирургического лечения грыж межпозвоночных дисков поясничного отдела позвоночника прогрессивно развиваются, при этом основным направлением совершенствования является стремление минимизировать травматичность операционного доступа, не снижая радикальность операции. До настоящего времени микродискэктомия является золотым стандартом в лечении дискогенных заболеваний пояснично-крестцового отдела позвоночника, и доказана высокая эффективность данного метода. Однако при сопоставлении результатов оперативных вмешательств по этой методике различных авторов выявлено их значительное расхождение: соотношение удовлетворительных и неудовлетворительных результатов, соотношение осложнений в раннем и позднем послеоперационном периоде. Эпидуральный фиброз является частой причиной синдрома неудачно оперированного позвоночника. В нашем исследовании представлен анализ 82 литературных источников, которые наиболее полно отражают частоту и структуру интраоперационных осложнений, возможных послеоперационных осложнений и формирования эпидурального фиброза.

Moodle as e-learning system for esp class

The aim of the paper is to examine the correlation of the knowledge gained by students in online and offline classes, consequently, the overall performance of e-learning, as well as the effectiveness of the certain language skills among the main four (listening, speaking, reading, writing) by virtue of students’ feedback and objective experimental results using statistical methods data processing. The paper demonstrates the results of the e-learning experimental research conducted during the academic year 2020/21, including the remote learning period due to the Covid19 pandemic situation in the spring semester, at the State Agrarian and Engineering University in Podilya, Kamianets-Podilskyi, Ukraine. Online study support for ESP was personally created as a four-credit course due to ECTS in the Moodle Learning Management System (LMS) with the application of Big Blue Button. The research sample is represented by 100 students majoring in veterinary medicine and enrolled in the mandatory subject of English for Specific Purposes. The group of students was enrolled in the lessons based on their bachelor curriculum. The subjects, referred to as experimental and control groups, accordingly, both wrote the primary test, at the beginning of the course, and the final one at the end. For pre-test content, the online standard test for B1 level was applied. The post-test was created by the educators, who were involved in the experiment. Due to the results procession and test analysis, it is admitted that the students of the experimental group showed slightly worse results in listening comprehension section, while having the same indicators concerning writing skills, and they had essentially worse outcomes in speaking and reading comprehension if compared to their peers from the control group. Mann-Whitney and Wilcoxon non-parametrical pair tests were selected to check the statistical hypotheses, due to the character of input data.

Impact of isometric exercising as to development of physical characteristics typical of dorsopathy patients at incomplete remission stage

BACKGROUND: The positive impact of isometric exercising, which makes muscle strength indicators grow, has been known for a long time. However, very few studies have been devoted so far to the examination and assessment of the effect in terms of their application for practical healthcare purposes.
 AIM: It is aimed to assess how a therapeutic isometric exercising impacts the dynamics of basic physical conditions of abdominal and back muscle groups as well as the decrease in pain syndrome severity, which Lumbar spine dorsopathy patients have during an incomplete remission state after the treatment is over and in a remote period (in six-month period).
 MATERIALS AND METHODS: The retrospective analysis of data based on clinical and functional examination methods and treatment results was conducted involving 72 patients aged 2550 years old with the confirmed dorsopahy diagnosis. The data were acquired with the use of FSSD profile and tension dynamometry Back-Check Dr. Wolff (Physiomed Elektromedizin AG, Germany). The visual analogue scale (VAS) was applied to determine the pain syndrome intensity.
 RESULTS: Further analysis of the acquired results showed the increased rate of the BPC indicators of strength (p 0.05) and endurance to static and dynamic loads produced with the key posture-dependent muscle groups (p 0.05) as well as decreased intensity of the pain syndrome the dorsopathy patients had (p 0.05).
 CONCLUSION: Isometric exercising helps to lower the pain syndrome intensity assessed as per the VAS (p 0.05), increase the muscle strength and the core endurance towards static and dynamic loads.

The arch-like plasty of the left atrium in correction of a mitral valve failure

Objective. Studying the possibilities of the method of the left atrium arch-like plasty while correcting of a mitral failure in combination with the left atrium dilatation.
 Materials and methods. Into the analysis of the surgical treatment results in 190 patients, suffering mitral failure in combination with the left atrium dilatation, who were operated in the National Institute of Cardio-Vascular Surgery named after N. M. Amosov NAMS of Ukraine in a period from 01.01.2012 to 01.01.2021 yr, were included. The main group consisted of 103 patients, to whom correction of a mitral failure in combination with original procedure of the arch-like plasty of left atrium was performed. Into a control group 87 patients were included, to whom the correction of a mitral valve failure was done without concomitant plasty of left atrium.
 Results. Of 103 operated patients of the main group on the hospital stage 1 have died (0.9% lethality). Dynamics of echocardiographic indices on the treatment stages was following: definitely-systolic index of the left ventricle - (63.1 ± 11.3) ml/m2 (preoperatively), (58.3 ± 8.4) ml/m2 (postoperatively), (49.4 ± 9.2) ml/m2 (remote period); the left ventricle ejection fraction: 0.52 ± 0.04 (preoperatively), 0.55 ± 0.04 (postoperatively), 0.57 ± 0.03 (remote period). Diameter of left atrium: (58.8 ± 6.4) mm (preoperatively), (41.4 ± 5.3) mm (postoperatively), (43.9 ± 2.3) mm (remote period). Sinus rhythm in a remote period was stable in 75 (78.9%) of 95 patients. Of 87 operated patients of a control group 2 died (lethality 2.3%). Dynamics of the echocardiographic indices on the treatment stages was following: definitely-systolic index of left ventricle- (67.3 ± 11.3) ml/m2 (preoperatively), (60.4 ± 9.3) ml/m2 (postoperatively), (52.7 ± 7.2) ml/m2 (remote period); the left ventricle ejection fraction: 0.52 ± 0.05 (preoperatively), 0.54 ± 0.05 (postoperatively), 0.54 ± 0.03 (remote period). Diameter of left atrium: (59.5 ± 2.3) mm (preoperatively), (57.5 ± 3.7) mm (postoperatively), (68.5 ± 3.4) mm (in remote period). Sinus rhythm was stable in 18 (22.5%) of 80 patients, followed in the remote period.
 Conclusion. The arch-like plasty of left atrium is a low-traumatic and effective procedure, leading to significant improvement of the left atrium morphometry and accompanied by low risk for postoperative lethality.

Study Protocol for "Psilocybin as a Treatment for Anorexia Nervosa: A Pilot Study".

Background: Anorexia nervosa (AN) is a serious and life-threatening psychiatric condition. With a paucity of approved treatments, there is a desperate need for novel treatment avenues to be explored. Here, we present (1) an overview of the ways through which Public Patient Involvement (PPI) has informed a trial of psilocybin-assisted therapy for AN and (2) a protocol for a pilot study of psilocybin-assisted therapy in AN currently underway at Imperial College London. The study aims to assess the feasibility, brain mechanisms and preliminary outcomes of treating anorexia nervosa with psilocybin.Methods: (1) PPI: Across two online focus groups, eleven individuals with lived experience of AN were presented with an overview of the protocol. Their feedback not only identified solutions to possible barriers for future participants, but also helped the research team to better understand the concept of “recovery” from the perspective of those with lived experience. (2) Protocol: Twenty female participants [21–65 years old, body mass index (BMI) 15 kg/m2 or above] will receive three oral doses of psilocybin (up to 25 mg) over a 6-week period delivered in a therapeutic environment and enveloped by psychological preparation and integration. We will work with participant support networks (care teams and an identified support person) throughout and there will be an extended remote follow-up period of 12 months. Our two-fold primary outcomes are (1) psychopathology (Eating Disorder Examination) across the 6-month follow-up and (2) readiness and motivation to engage in recovery (Readiness and Motivation Questionnaire) across the 6-week trial period. Neurophysiological outcome measures will be: (1) functional magnetic resonance imaging (fMRI) brain changes from baseline to 6-week endpoint and (2) post-acute changes in electroencephalography (EEG) activity, including an electrophysiological marker of neuronal plasticity.Discussion: The results of this pilot study will not only shed light on the acceptability, brain mechanisms, and impression of the potential efficacy of psilocybin as an adjunct treatment for AN but will be essential in shaping a subsequent Randomised Control Trial (RCT) that would test this treatment against a suitable control condition.Clinical Trial Registration: identifier: NCT04505189.

Teachers’ Perceptions of Assessment and Feedback Practices in Finland’s Foreign Language Classes During the Covid-19 Pandemic

In this paper, we examine how the Covid-19 pandemic affected the quality of teachers’ assessment and feedback in Finland’s foreign language classes during the remote teaching period in spring 2020. Multifaceted assessment and feedback practices are underscored in Finland’s core curricula, forming a focal aspect of learning. Therefore, we studied teachers’ perceptions of their assessment and feedback practices at different school levels during the remote teaching period and how they considered the remote teaching period in students’ final assessment at the end of basic education. Data were collected through an online questionnaire and analysed using both quantitative and qualitative methods. Most of the 176 respondents felt that assessment and feedback practices were implemented successfully, and the final assessment was realistic and reliable. However, teachers’ perceptions were mixed on several issues, and differences were found in the amount and form of feedback between respondents and school levels or what competence demonstration or assignments to count towards the final assessment. In addition, the remote teaching period usually had less influence on students’ final grades than the last few months of basic education. The results suggest that more attention should be paid to enhancing feedback practices and connecting with students during remote teaching periods.

TREATMENT OF AORTA MESENTERIC COMPRESSION: CURRENT PROBLEMS AND PROSPECTS

Left renal vein compression between the aorta and the superior mesenteric artery at an acute angle of the origin of the latter (“the nutcracker syndrome”) often leads to phlebohypertension in the left renal vein causing a combination of structural and functional changes in the kidneys and pelvic organs, different clinical manifestations such as left-sided varicocele, hematuria, pelvic venous congestion syndrome, the development of renal failure.
 The objective of the research: to determine indications for surgical and conservative treatment of aorta mesenteric compression.
 Materials and methods. The study included 210 patients (142 men and 68 women) with suspected “nutcracker syndrome” who were referred to vascular surgeons for a consultation by urologists and gynecologists during the period from 1999 to 2020, mainly from the western regions of Ukraine (about 11 million population). The age of the patients ranged from 12 to 52. All patients were interviewed for specific complaints: pain in the left lumbar region and left half of abdomen, inability to eat large amounts of food, hematuria, proteinuria, hemospermia, erectile dysfunction, left sided varicocele in men, and left sided pudendal varicosity and dysmenorrhea in women. All referred patients with suspected “nutcracker syndrome” underwent color Doppler ultrasound to determine the presence of pathological reflux in the left renal and gonadal veins by measuring peak systolic velocities in order to confirm or exclude that pathology. The patients with confirmed left renal vein stenosis underwent CT angiography.
 Results. According to color Doppler ultrasound, different degree of aorta mesenteric compression was confirmed in 138 (65.7%) patients (83 men and 55 women), critical left renal vein stenosis was observed in 35 of them. Two patients were diagnosed with the retroaortic left renal vein (“posterior nutcracker”).
 According to observations, clinical manifestations of AMC syndrome severe forms occurred in case of an increase in the diameter of the distal part of the LRV compared to its proximal segment by 3-6 times as well as in case of an increase in peak systolic velocity in the stenosed proximal segment by 6-14 times (by 8.7 times on average) compared to the left renal vein distal segment.
 Conclusions. Color Doppler ultrasound with determination of peak systolic velocities and diameters of the left renal and gonadal veins, pathological reflux in them must be the obligatory diagnostic stage in the patients with suspected AMC. The choice of treatment approach should be made taking into account clinical and laboratory indices, as well as the assessment of AMC severity according to instrumental data (ultrasound, CT angiography, MRA, etc.). The severity of pathomorphological changes in the pelvic organs and their consequences proves the need to eliminate phlebohypertension in the left renal and gonadal veins. LRV transposition proves its effectiveness in the remote postoperative period.

AN INVESTIGATION OF MATHEMATICS TEACHERS’ EMERGENCY REMOTE TEACHING EXPERIENCES

With the confirmation of the coronavirus epidemic as a global pandemic, and with the suspension of face-to- face teaching and learning activities for all educational institutions, the concept of emergency remote teaching has come into prominence. As a process that affects a large number of students, the effective management of emergency remote teaching process has important effects on ensuring the sustainability of learning and students’ well-being. It becomes an important issue to examine teachers’ evaluations about their emergency remote teaching experiences. The purpose of this study was to examine the evaluations of mathematics teachers’ emergency remote teaching experiences. The case study method was used and the participants consisted of 10 middle school mathematics teachers. The data were collected by semi-structured interviews. In the data analysis process content analysis method was used. As a result, it was seen that participating teachers’ current understanding of the concept of distance education has influenced the way they conduct their online lessons. It was revealed that participating teachers carried out emergency remote teaching period in ways that they could transfer the face-to-face learning environment to online environment. Again, it was seen that mathematics teachers pointed to their lack of knowledge and skill about online learning.

How emotion influences the details recalled in autobiographical memory

AbstractA wealth of research suggests that emotion enhances memory. Yet, this enhancement is not uniform. While some theories posit that emotion enhances memory for sensory/perceptual information, such an enhancement has not been observed in mnemonic detail production. However, a focus on remote events (often more semanticized) may be masking an effect. Focusing on perceptual details, we examined the effects of emotion on mnemonic detail, sampling both remote and recent autobiographical events. We administered the Autobiographical Interview, a protocol that parses autobiographical details into categories (perceptual, event, emotion/thoughts, place, and time). Participants (N = 56) recalled memories that were positive, negative, and neutral from recent (≲3 months old) and remote (~1–5 years old) time periods. Recollection of perceptual details did not differ for emotional versus neutral memories at either retention interval. However, emotion affected memory for other detail types, contingent on time period. Our findings enrich our understanding of the nuance of emotional memory.

Condition of vegetative regulation at concussion of a head brain in children of preschool age

Peculiarities of infringement of the vegetative status in children, having had concussion of a head brain are revealed. Infringements of vegetative systems activity was displayed by an oppression of eigotrops link, causing unsufficient vegetative reaction and inadequate vegetative maintenance of activity. Interrelation of character of vegetative reaction with terms of remote period was shown. Influence of age of the children, character of perynatal anamnes, degree of clinical indemnification were revealed.

Reproductive aspects of long-term consequences of ovarian apoplexy

The objective: to determine the long-term consequences of surgical treatment of ovarian apoplexy, taking into account the risk factors of this urgent pathology. Materials and methods. The study included 112 women (main group, n=112), who underwent surgery for ovarian apoplexy, and 40 patients in the control group (n=40), who had no history of this pathology. All patients underwent a comprehensive examination using clinical, instrumental and laboratory research methods. The groups were homogeneous in age (mean age was 23,6±4,2) and statistically comparable. Results. Based on the analysis of clinical and anamnestic data of patients who underwent surgical treatment of ovarian apoplexy, we identified the main risk factors for this pathology: chronic diseases of the urinary, respiratory and digestive systems, genital infantilism, ovarian retention cysts, chronic salpingo-oophoritis, menstrual disorders by type of hyperpolymenorrhea and/or algodysmenorrhea, family thrombophilic history, bleeding of various localizations in the anamnesis, artificial abortions, weight loss, smoking. Our proposed comprehensive two-stage rehabilitation system included treatment and prevention measures from the acute period of ovarian apoplexy to the time of reproductive function. The first stage of the treatment complex (early postoperative period) helped to eliminate the effects of ovarian injury, pain relief and hypercoagulable changes in the blood coagulation system, improving the quality of life during inpatient treatment. The second stage (2 months after surgery) provided the restoration of ovarian function and balance of the hemostasis system, thus preparing a woman’s reproductive system for future pregnancy and childbirth. In the remote postoperative period, the complex stage of rehabilitation in 23 treated patients resulted in the birth of healthy children and the absence of obstetric complications in 22 of them. Conclusion. Identification and structuring of risk factors for ovarian apoplexy is an important step for comprehensive treatment and prevention of recurrence of this disease. Eliminating or reducing the impact of these factors will help restore the reproductive system and improve quality of life. A comprehensive assessment of the state of the whole organism in the remote postoperative period indicates the need for rehabilitation measures aimed at increasing the natural resistance of the macroorganism and the effective restoration of reproductive function.

Primary Students’ Experiences of Remote Learning during COVID-19 School Closures: A Case Study of Finland

The remote learning period that took place due to the outbreak of the COVID-19 pandemic in the spring of 2020 was a novel experience for many students, teachers and guardians in Finland and globally. To be prepared for similar occasions in the future and to support all students appropriately, it is important to be aware of students’ experiences. In this study, instant video blogging (IVB) was used to collect primary school students’ first-hand reports of their emotions in remote learning situations. Through an experience sampling method, 23 Finnish fifth-grade students (aged 11–12 years) took part in IVB during the remote learning period 18 March 2020–13 May 2020. Students’ expressions related to negative emotional experiences were more diverse than those related to positive ones. Nice was the most often reported positive evaluation related to studying. The most often reported negative feelings were bored and irritated, and the most often reported negative aspects related to learning were difficult tasks or not having learned anything. Towards the end of the research period, positive mentions about returning to school increased. The IVB method offered direct insight into how primary students experienced the remote learning period, which can support preparation for exceptional periods in the future and the development of digital learning solutions.

Biomedical graduate student experiences during the COVID-19 university closure.

COVID-19-associated university closures moved classes online and interrupted ongoing research in universities throughout the US. In Vanderbilt University, first year biomedical sciences PhD students were in the middle of their spring semester coursework and in the process of identifying a thesis research lab, while senior students who had already completed the first year were at various stages of their graduate training and were working on their thesis research projects. To learn how the university closure and resulting interruptions impacted our students’ learning and well-being, we administered two surveys, one to the first year students and the other to the senior students. Our main findings show that the university closure negatively impacted the overall psychological health of about one-third of the survey respondents, time management was the aspect of remote learning that caused the highest stress for close to 50% of the students, and interaction with their peers and in-person discussions were the aspects of on-campus learning that students missed the most during the remote learning period. Additionally, survey responses also show that students experienced positive outcomes as a result of remote learning that included spending increased time on additional learning interests, with family, on self-care, and for dissertation or manuscript writing. Though a variety of supportive resources are already available to students in our institution, results from our survey suggest enhancing these measures and identifying new ones targeted to addressing the academic and emotional needs of PhD students would be beneficial. Such support measures may be appropriate for students in other institutions as well.