[Clinical features of temporal lobe epilepsy with involvement of the insular lobe]. / Klinicheskie osobennosti visochnoi epilepsii pri vovlechenii v protsess ostrovkovoi doli.

OBJECTIVE: To determine the clinical features of the course of the disease when the insular lobe is involved in the epileptic process. MATERIAL AND METHODS: A comparative analysis of the results of diagnosis and treatment of 55 patients with temporal lobe epilepsy and 46 patients with temporal plus epilepsy was carried out. The results of neuroimaging, clinical and EEG studies were compared. RESULTS: Autonomic paroxysms of nausea and hypersalivation, skin changes, simple motor seizures, emotional seizure and sensory paroxysms are the most reliable signs of the involvement of the insular lobe in the epileptic process in temporal plus epilepsy. For 'pure' temporal lobe epilepsy, cognitive paroxysms of the déjà vu and aura are common. When the insular lobe is involved in the epileptic process, the seizures have a reliably high frequency, polymorphism and are more complex by structure. CONCLUSION: Paroxysmal syndrome in temporal plus epilepsy with involvement of the insular lobe undergoes significant changes in the form of increased seizures and the appearance of specific seizures and characteristic polymorphism.

[Clinical, structural and functional features of paroxismal syndrome in insular and temporal lobe tumors]. / Klinicheskie i strukturno-funktsional'nye osobennosti paroksizmal'nykh rasstroistv, obuslovlennykh opukholyami ostrovkovoi i visochnoi dolei.

OBJECTIVE: To analyze the characteristics of paroxysmal syndrome in insular and temporal lobe tumors, to determine their relationship with the histological structure of tumor, to assess the effect of tumor growth nature on severity of disease. MATERIAL AND METHODS: A retrospective analysis enrolled 80 patients aged 11 - 80 years with insular and temporal lobe tumors and symptomatic epilepsy. All patients underwent surgery at the Polenov National Research Neurosurgery Center in Almazov National Medical Research Center for the period from 2012 to 2018. RESULTS: The main group consisted of 29 patients with tumors of temporal and insular lobes. Control group of 51 patients with temporal gliomas was formed for comparative analysis. It was found that involvement of insular lobe into paroxysmal syndrome is characterized by attacks with a motor component, somatosensory paroxysms, vegetative manifestations (respiratory attacks, salivation, nausea), speech disorders and taste hallucinations. Derealization, motor arrest and déjà vu/jamis vu paroxysms were more common in patients with temporal lobe lesion. Neoplastic lesion of the insular lobe shortens the period between manifestation of paroxysms and surgical treatment. Moreover, this type of disease is characterized by higher incidence of seizures compared to isolated temporal lobe tumors.

Evaluation and implementation of quality standards to ensure relevant medical care in the system of military medical services of Armenia.

It was the goal of this review to determine if the MHS of Armenia meets benchmarks for health care quality; to provide military medical officials with relevant information to create an adequate environment for all the quality improvement initiatives being undertaken at the medical care level; to design and implement effective interventions to make informed strategic choices and promote quality and a culture of safety in. Documents addressing the quality of care in the MHS of Armenia were reviewed.

On the issues of implementation of the unified military medical electronic information network in the Republic of Armenia.

The article is based on literature reviews and personal observations on the medical service practice in the armed forces of the Republic of Armenia. It is declared that the military medical service in Armenia is an adequately functioning system, which guarantees the medical safety of the military service and could provide quality medical services to servicemen and other people equaled to servicemen entitled to free medical care prescribed by the legislation of the Republic of Armenia. However, the analysis showed that the means of uniform informational database and automatic control system are not actively used for patient's diagnosis and treatment; there is not the uniform informational database between medical service and the management of the armed forces. Thus, there is clearly a need to implement new information technologies to improve the management in unified military medical system.

X-ray interferometry with microelectronvolt resolution.

We demonstrate an interferometer for hard x rays with two back-reflecting sapphire crystal mirrors--a prototype x-ray Fabry-Pérot interferometer. A finesse of 15 and 0.76 mu eV broad Fabry-Pérot transmission resonances are measured by the time response of the interferometer. Interference patterns are observed directly in spectral dependences of reflectivity.