3 research outputs found

    Abernethy malformation: A case report

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    Congenital portosystemic shunts are rare congenital vascular malformations characterized by a partial or complete portal blood diversion into the systemic circulation. Congenital extrahepatic portosystemic shunts, known as Abernethy malformations, pose a diagnostic challenge due to their low incidence and clinical presentations. A 15-year-old male with a history of chronic epigastric pain and nausea, high arterial blood pressure, recurrent nose bleeds, chest pain, dizziness, dyspnea, low exercise tolerance, hematochezia, and itching was diagnosed with Abernethy malformation type Ib. Imaging studies revealed a dilated portal vein conduit flowing into the inferior vena cava, bypassing the porta hepatis. Multiple liver nodules, heart chamber dilatation, myocardial hypertrophy, and pulmonary hypertension were also discovered. Following multidisciplinary panel meetings, liver transplantation was advised due to the severity of the patients symptoms and shunt anatomy. Furthermore, diagnostic algorithms and other treatment options are discussed

    The role of dual-energy computed tomography in the diagnosis of gout and other crystalline arthropathies: A review

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    The importance of dual-energy computed tomography in the diagnosis of gout, the principles of dual-energy computed tomography, the accuracy of the methodology, and the types of artifacts are discussed in this study. The possible dependence of the presence of deposits of sodium monourate on other clinical data and the role of dual-energy computed tomography in the differential diagnosis of other crystalline arthropathies are considered. The dual-energy computed tomography has several advantages, including noninvasiveness, speed of execution, and a significant reduction in the risk of iatrogenic consequences compared with diagnostic arthrocentesis, which is the gold standard in diagnosing gout. Dual-energy computed tomography can accomplish gout detection, treatment, and differential diagnosis

    МЕТОДОЛОГИЧЕСКИЕ ОСНОВЫ ФОРМИРОВАНИЯ НАЦИОНАЛЬНОЙ РАМКИ КВАЛИФИКАЦИЙ РОССИИ

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    The author examines the need for the approval of the National Qualifications Framework of the Russian Federation which is necessary to ensure comparability of national qualifications with qualifications issued in other countries. Also, the presence of the NQF is an important toolfor the integration of Russian educationin the European Higher Education Area.The article presents the author’s detailed analysis of the levels of qualifi cations in the European Qualifi cations Framework and the establishment of compliance withthese paths levels in the Russian systemof education and training.Автор рассматривает необходимость официального утверждения Национальной рамки квалификаций Российской Федерации, необходимой для обеспечения сравнимости национальных квалификацийс квалификациями, выдаваемымив других странах. Также наличиеНРКявляетсяважныминструментом интеграции российского образования в Европейское пространство высшего образования. В статье подробно представлен авторский анализ уровней квалификаций в Европейской рамке квалификаций и установление соответствия этим уровням путей в российской системе образования и обучения
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