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Research paper thumbnail of Социально-психологические особенности профессионального самоопределения студентов консерватории

Общество: социология, психология, педагогика, May 30, 2018

Вострикова Татьяна Анатольевна кандидат психологических наук, доцент, доцент кафедры социальной п... more Вострикова Татьяна Анатольевна кандидат психологических наук, доцент, доцент кафедры социальной педагогики и психологии Астраханского государственного университета Рекешева Фарида Марсильевна кандидат психологических наук, доцент кафедры общей и когнитивной психологии Астраханского государственного университета СОЦИАЛЬНО-ПСИХОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ПРОФЕССИОНАЛЬНОГО САМООПРЕДЕЛЕНИЯ СТУДЕНТОВ КОНСЕРВАТОРИИ Аннотация: В статье представлены результаты исследования социально-психологических особенностей профессионального самоопределения студентов консерватории. В работе со студентами консерватории особое внимание уделялось самооценке обучающихся, а также созданию условий, способствующих улучшению значимых для профессионального самоопределения показателей. Исследование включало четыре этапа: планирование совместной работы со студентами, диагностику и интерпретацию методик (теста М. Куна и Т. Макпартленда «Кто я?» в модификации Т.В. Румянцевой, методики «Мотивы выбора профессии» Р.В. Овчаровой), проведение профориентационных занятий со студентами, анализ результатов и подготовку рекомендаций. Многие опрошенные студенты отметили, что самостоятельно выбрали вуз. Они осознают свои достоинства, которые помогают достигать успеха, и недостатки, над которыми предстоит трудиться, чтобы развиваться. Уверенность студентов консерватории в себе позволяет им регулировать уровень притязаний, правильно оценивать собственные возможности применительно к различным жизненным ситуациям. К моменту окончания высшего учебного заведения студент консерватории осознает себя музыкантом, имеет представление о своем профессиональном будущем. По итогам исследования были систематизированы проблемы профессионального самоопределения студентов консерватории и обозначены пути их решения.

Research paper thumbnail of A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique

Lung India, 2020

Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for ident... more Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for identifying malignancy and granulomatous disease affecting the mediastinum and hilum. CP-EBUS can be used for intraparenchymal lesions also and has been shown to be efficacious. A subset of lesions particularly suited for CP-EBUS are those completely surrounded by lung parenchyma, centrally located, and typically close to but without an airway leading directly to them. We report a case of transbronchial needle aspiration (TBNA) done from a nodule of size 11 mm in the superior segment of the right lower lobe. EBUS-TBNA was done from this lesion, which was 5 mm away from the bronchus in the lung parenchyma with intervening normal lung tissue in between. TBNA was performed by compressing the abutting normal lung tissue, thus causing compression collapse of the intervening normal lung. We labeled this Zealous Unique Trans Arterial Maneuver as the “ZUTAM” technique.

Research paper thumbnail of Systemic Sclerosis with Multiple Pulmonary Manifestations

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016

with complaints of generalized itching, stiffness and darkening of skin since four years, bluish ... more with complaints of generalized itching, stiffness and darkening of skin since four years, bluish discoloration of both hands and feet on exposure to cold since one year, cough with expectoration and progressive breathlessness since three months, difficulty in swallowing, and loss of appetite since two months. On examination-Scleroderma involving both the upper limbs, face, trunk and lower limbs was present. Sclerodactyly of all fingers was present with salt and pepper appearance of skin [Table/Fig-1] over the scalp, fore head, upper back, chest, trunk and limbs and bilateral basal crackles were present. Abdomen was soft and nontender with no organomegaly. Routine lab investigations revealed-Hb of 11g%, total count-11,000 cells/ cumm, platelets-5.4 lac cells/ cumm, RBS-147 mg/dl, LFT's, RFT's and serum electrolytes within normal limits. Chest X-Ray showed bilateral reticulo-nodular opacities with basal predominance [Table/Fig-2]. HRCT chest showed lung architectural distortion with bilateral diffuse reticulonodular pattern and traction bronchiectasis with sub pleural predominance and right sided minimal pleural effusion [Table/Fig-3,4]. Spirometry showed restrictive defect with an FEV1/ FVC of 88, FEV1= 70% and FVC= 60%. Two dimensional ECHO revealed normal chambers with PAH (PASP-60 mm hg). Connective tissue profile was sent. ANA= 1.56 and Anti Scl-70= 1.6U were positive, whereas RA factor, anti-RNP, anti-Sm, c-ANCA and p-ANCA were negative. As the patient had dysphagia, an upper GI Endoscopy and USG abdomen were performed. Both were reported as normal studies. Skin biopsy (right arm lesion)-Dermis showed homogenous appearing thickened collagen bundles, consistent with scleroderma [Table/Fig-5].

Research paper thumbnail of Ipsilateral Re-Expansion Pulmonary Oedema After Drainage of a Spontaneous Pneumothorax

Journal of Evolution of medical and Dental Sciences, 2014

We report a case of an ipsilateral re-expansion pulmonary edema occurring after the insertion of ... more We report a case of an ipsilateral re-expansion pulmonary edema occurring after the insertion of an intercostal drainage tube in a young male patient with spontaneous pneumothorax. The patient was managed with oxygen via a non-rebreathing face mask to compensate for his hypoxemia. In about 24 hours after the event, the patient gradually improved and recovered completely without any residual hypoxemia. Re expansion pulmonary edema occurring after the insertion of an intercostal drainage tube for pneumothorax or pleural effusion is a rare complication with a high mortality rate up to 20%. This condition should be considered if the patient develops cough, dyspnea and hypoxemia following the insertion of a chest tube. The exact pathophysiology leading to this complication is still unknown. The risk factors for re-expansion pulmonary edema should be evaluated and considered prior to the insertion of chest tubes. Treatment remains supportive only. INTRODUCTION: In 1853, Pinault (1) descri...

Research paper thumbnail of Социально-психологические особенности профессионального самоопределения студентов консерватории

Общество: социология, психология, педагогика, May 30, 2018

Вострикова Татьяна Анатольевна кандидат психологических наук, доцент, доцент кафедры социальной п... more Вострикова Татьяна Анатольевна кандидат психологических наук, доцент, доцент кафедры социальной педагогики и психологии Астраханского государственного университета Рекешева Фарида Марсильевна кандидат психологических наук, доцент кафедры общей и когнитивной психологии Астраханского государственного университета СОЦИАЛЬНО-ПСИХОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ПРОФЕССИОНАЛЬНОГО САМООПРЕДЕЛЕНИЯ СТУДЕНТОВ КОНСЕРВАТОРИИ Аннотация: В статье представлены результаты исследования социально-психологических особенностей профессионального самоопределения студентов консерватории. В работе со студентами консерватории особое внимание уделялось самооценке обучающихся, а также созданию условий, способствующих улучшению значимых для профессионального самоопределения показателей. Исследование включало четыре этапа: планирование совместной работы со студентами, диагностику и интерпретацию методик (теста М. Куна и Т. Макпартленда «Кто я?» в модификации Т.В. Румянцевой, методики «Мотивы выбора профессии» Р.В. Овчаровой), проведение профориентационных занятий со студентами, анализ результатов и подготовку рекомендаций. Многие опрошенные студенты отметили, что самостоятельно выбрали вуз. Они осознают свои достоинства, которые помогают достигать успеха, и недостатки, над которыми предстоит трудиться, чтобы развиваться. Уверенность студентов консерватории в себе позволяет им регулировать уровень притязаний, правильно оценивать собственные возможности применительно к различным жизненным ситуациям. К моменту окончания высшего учебного заведения студент консерватории осознает себя музыкантом, имеет представление о своем профессиональном будущем. По итогам исследования были систематизированы проблемы профессионального самоопределения студентов консерватории и обозначены пути их решения.

Research paper thumbnail of A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique

Lung India, 2020

Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for ident... more Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for identifying malignancy and granulomatous disease affecting the mediastinum and hilum. CP-EBUS can be used for intraparenchymal lesions also and has been shown to be efficacious. A subset of lesions particularly suited for CP-EBUS are those completely surrounded by lung parenchyma, centrally located, and typically close to but without an airway leading directly to them. We report a case of transbronchial needle aspiration (TBNA) done from a nodule of size 11 mm in the superior segment of the right lower lobe. EBUS-TBNA was done from this lesion, which was 5 mm away from the bronchus in the lung parenchyma with intervening normal lung tissue in between. TBNA was performed by compressing the abutting normal lung tissue, thus causing compression collapse of the intervening normal lung. We labeled this Zealous Unique Trans Arterial Maneuver as the “ZUTAM” technique.

Research paper thumbnail of Systemic Sclerosis with Multiple Pulmonary Manifestations

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016

with complaints of generalized itching, stiffness and darkening of skin since four years, bluish ... more with complaints of generalized itching, stiffness and darkening of skin since four years, bluish discoloration of both hands and feet on exposure to cold since one year, cough with expectoration and progressive breathlessness since three months, difficulty in swallowing, and loss of appetite since two months. On examination-Scleroderma involving both the upper limbs, face, trunk and lower limbs was present. Sclerodactyly of all fingers was present with salt and pepper appearance of skin [Table/Fig-1] over the scalp, fore head, upper back, chest, trunk and limbs and bilateral basal crackles were present. Abdomen was soft and nontender with no organomegaly. Routine lab investigations revealed-Hb of 11g%, total count-11,000 cells/ cumm, platelets-5.4 lac cells/ cumm, RBS-147 mg/dl, LFT's, RFT's and serum electrolytes within normal limits. Chest X-Ray showed bilateral reticulo-nodular opacities with basal predominance [Table/Fig-2]. HRCT chest showed lung architectural distortion with bilateral diffuse reticulonodular pattern and traction bronchiectasis with sub pleural predominance and right sided minimal pleural effusion [Table/Fig-3,4]. Spirometry showed restrictive defect with an FEV1/ FVC of 88, FEV1= 70% and FVC= 60%. Two dimensional ECHO revealed normal chambers with PAH (PASP-60 mm hg). Connective tissue profile was sent. ANA= 1.56 and Anti Scl-70= 1.6U were positive, whereas RA factor, anti-RNP, anti-Sm, c-ANCA and p-ANCA were negative. As the patient had dysphagia, an upper GI Endoscopy and USG abdomen were performed. Both were reported as normal studies. Skin biopsy (right arm lesion)-Dermis showed homogenous appearing thickened collagen bundles, consistent with scleroderma [Table/Fig-5].

Research paper thumbnail of Ipsilateral Re-Expansion Pulmonary Oedema After Drainage of a Spontaneous Pneumothorax

Journal of Evolution of medical and Dental Sciences, 2014

We report a case of an ipsilateral re-expansion pulmonary edema occurring after the insertion of ... more We report a case of an ipsilateral re-expansion pulmonary edema occurring after the insertion of an intercostal drainage tube in a young male patient with spontaneous pneumothorax. The patient was managed with oxygen via a non-rebreathing face mask to compensate for his hypoxemia. In about 24 hours after the event, the patient gradually improved and recovered completely without any residual hypoxemia. Re expansion pulmonary edema occurring after the insertion of an intercostal drainage tube for pneumothorax or pleural effusion is a rare complication with a high mortality rate up to 20%. This condition should be considered if the patient develops cough, dyspnea and hypoxemia following the insertion of a chest tube. The exact pathophysiology leading to this complication is still unknown. The risk factors for re-expansion pulmonary edema should be evaluated and considered prior to the insertion of chest tubes. Treatment remains supportive only. INTRODUCTION: In 1853, Pinault (1) descri...