http://ir.librarynmu.com/handle/123456789/15610 Tue, 14 Apr 2026 18:23:56 GMT 2026-04-14T18:23:56Z http://ir.librarynmu.com/handle/123456789/15638 Название: Medical science of Ukraine / Медична наука України, 2024, Vol. 20, № 3 Mon, 01 Jan 2024 00:00:00 GMT http://ir.librarynmu.com/handle/123456789/15638 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/15637 Название: Cryptococcosis And Hiv-Infection/Aids Авторы: Vitorino M. dos Santos; Taciana A. M. Sugai; Lister A. M. dos Santos Mon, 01 Jan 2024 00:00:00 GMT http://ir.librarynmu.com/handle/123456789/15637 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/15636 Название: Progressive Venous Thromboembolism And Warfarin-Induced Skin Necrosis On Background Diabetus Mellitus Type 2 In Combination With Accompanied Disease: A Clinical Case Авторы: Malchevska, Т.; Lukianchuk, V. Краткий осмотр (реферат): Background. Oral anticoagulants used in clinical practice in atrial fibrillation, deep vein thrombosis, pulmonary embolism (PE), as well as in heart valves protesis, heart thrombosis. Warfarin is the medicine with the largest evidence base and a long history of use more than 70 years. The optimal anticoagulant effect of warfarin is INR from 2,0-3,0 with 70% of measurements (TTR 70%). In one case there is a risk of ischemic stroke in non-compliance, in another - bleeding. Although cutaneous manifestations are rare, however, warfarin-induced skin necrosis is extremely dangerous. Present`s clinical case of progressive venous thromboembolism on the background of anticoagulant therapy in a 64-yearold woman with comorbid pathology. The described clinical, laboratory and instrumental data, that confirmed thrombotic and thromboembolic complications, which were ineffective in relation to the traditional anticoagulant strategy Aim: to describe a clinical case and analyze the challenges in diagnosing and treatment of progressive venous thromboembolism in a patient with concomitant diabetus mellitus type 2, obese,cirrhosis of liver , ineffective anticoagulants and developing warfarin skin necrosis. Materials and methods. The article presents the clinical case of pulmonary embolism, progressive venous thromboembolism in a 64- year -old woman with concomitant diabetus mellitus type 2, obese,cirrhosis of liver that was observed in IUC in the Hospital” Medbud’. Mon, 01 Jan 2024 00:00:00 GMT http://ir.librarynmu.com/handle/123456789/15636 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/15635 Название: Clinical Utility Of Multimodal Imaging And Neuro-Monitoring In Awake Craniotomy For Low-Grade Glioma: A Case Report And Literature Review Авторы: Chaulagain, D.; Smolanka, V.; Smolanka, A.; Havryliv, T. Краткий осмотр (реферат): Insular gliomas pose a therapeutic challenge due to their intricate anatomy and proximity to eloquent brain regions. Functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) tractography are useful ways to learn about the insular region's neuronal connections and how they work before surgery. The purpose of this case report is to show how awake craniotomy, with intraoperative neuromonitoring (IONM), can be used to remove low-grade gliomas, especially from the insular region. By carefully drawing functional boundaries using fMRI and DTI data collected before surgery, surgical methods were created to protect important brain areas as much as possible while removing as much of the tumor as possible. A 31-year-old male presented with a 5-month history of headaches, seizures, and right-sided numbness. Neurological examination revealed difficulty with word finding and organization but no overt speech deficits. An MRI revealed a non-enhancing lesion in the left frontotemporal region. An awake craniotomy was conducted to protect language centres and brain function during surgical resection, with guidance from DTI, fMRI, and IONM.The study underscores the importance of integrating advanced imaging modalities with intraoperative techniques to optimize surgical outcomes for insular gliomas. To maximize success and minimize postoperative complications, a comprehensive understanding of tumor biology, neuroanatomy, and patient-specific factors is imperative. Incorporating preoperative fMRI and DTI into surgical planning enhances the accuracy and efficacy of awake craniotomy procedures. Further research is warranted to validate these findings and refine treatment strategies for insular gliomas. Mon, 01 Jan 2024 00:00:00 GMT http://ir.librarynmu.com/handle/123456789/15635 2024-01-01T00:00:00Z