O potencial educacional das tecnologias da informação e comunicação na educação patriótica dos alunos é investigado e fundamentado no artigo. Conduzindo um experimento pedagógico, foi comprovado teoricamente e praticamente comprovou a eficiência do uso de tecnologias da informação e comunicação na educação patriótica dos alunos. A experiência do trabalho de instituições de ensino médio em educação patriótica é analisada, métodos de diagnóstico para estudar o nível de educação patriótica dos alunos em instituições de ensino médio geral são selecionados e implementados. O conjunto de métodos de diagnóstico aplicados com o objetivo de revelar o potencial educacional das tecnologias da informação e comunicação na educação patriótica dos estudantes é fundamentado. Também elaboramos o sistema de indicadores de qualidade dos principais componentes da educação e dos critérios patrióticos. Com base na análise da literatura psicológica e pedagógica e no estudo das idéias dos cientistas, quatro níveis de educação patriótica foram cientificamente substanciados por certos critérios e indicadores. A escala dos critérios correspondentes de indicadores que levam em conta indicadores de sua aparência em 0-3 pontos executa-se.

The coexistence of severe extracranial large vessel stenosis and unruptured intracranial aneurysms is not rare. There are different treatment approaches for these conditions, such as initial treatment of the aneurysm before revascularization of the stenosis; single-stage endovascular treatment of both lesions; stenosis eliminating followed by treatment of the aneurysm, or without treating the aneurysm. But, taking into account the risk of aneurysm rupture on the one hand and the risk of ischemic stroke on the other, it is sometimes difficult to choose the right management strategy. Despite this fact, there are still no guidelines or consensus on the management of these coexistent lesions. The article describes a clinical case of endovascular treatment of multiple extracranial stenosis and coexistent unruptured wide-neck aneurysm of the middle cerebral artery. The endovascular treatment of the carotid stenosis and aneurysm using a woven endobridge device was performed in one session; endovascular treatment of vertebral artery stenosis with Szabo technique was performed in another session.

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A case of treating of 59 years old patient with a multifocal occlusive and stenotic lesion of the main arteries of the head is described. Patients has occlusions of both internal carotid arteries, left external carotid artery, right vertebral artery, severe stenosis in the initial segment of the left subclavian artery and severe stenosis in the ostium of the left vertebral artery, with cognitive impairment and coordination disorders.A single-session stenting of the stenosis in the ostium of left vertebral artery with balloon-expan-dable elution-stent with usage of the modified Szabo anchor technique and stenting of the stenosis in the initial segment of the subclavian artery with a balloon-expandable peripheral stent was performed. Stenoses are eliminated, all cerebral arteries of the vertebrobasilar basin and both carotid basins are supplied by the left vertebral artery.After 50 days, the patient’s neurological status was assessed and a computed tomographic perfusiography of the brain was performed. The cognitive status improved significantly (initially – 23 points on the MoCA scale, after the operation – 27 points), coordination disorders regressed. According to computed tomographic brain perfusion, there are increase in CBF (cerebral blood flow) above normal in all areas except for the area of ​​stroke; an increase in CBV (cerebral blood volume) above normal, which is a reflection of arterioles vasodilation; increase in MTT (mean transit time) in all zones, which is a sign of collateral blood flow. Based on these data, it was concluded that further revascularization operations on the occluded cerebral arterial basins can lead to the hyperperfusion syndrome clinical manifestation. The performed endovascular stage of treatment was effective and sufficient to significantly improve the patient’s neurological and cognitive status and prevent the development of recurrent ischemic stroke.

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