This article considers the issues of adaptation and organization of the educational process, barrier-free environment and readiness for professional activity of students with disabilities in inclusive education in conditions of inclusive education in a medical university. The relevance of this work is determined by one of the priority areas of state policy in the field of higher education – access to higher education for people with disabilities in inclusive education. Inclusive education at the university is designed to ensure not only the realization of the right of students with disabilities in inclusive education to higher education, but also to solve the problems of socialization and professional demand for such people. In order to improve the process of introducing inclusive education at the Ryazan State Medical University named after Academician I.P. Pavlov, a study was conducted, the main problems and ways of solving them were identified, related to the organization of the educational process, the conditions of the barrier-free environment and the readiness for professional activity of students with disabilities in inclusive education. An increase in the proportion of university teachers who have undergone advanced training in inclusive education also contributes to solving problems. Adaptation of educational programs and educational and methodological support for persons with disabilities includes psychological, pedagogical and tutor support etc. The organization of the educational process using distance education technologies is one of the priority conditions for teaching students with disabilities and/or HIA. The use of this technology makes it possible to significant-ly expand and modify some educational standards for students with disabilities in inclusive education, namely, to create an individual way for each student with disabilities in inclusive education in a medical university. It is proposed to use training techniques such as: online consultation of teachers; VR technologies; availability of training materials 24/7; online webinars that facilitate the inclusion of such students in the educational and research activities of the university. The professionally organized educational space and educational process of the university provide not only a high level of mastery of professional competencies, but also contribute to the formation of personal qualities of students with disabilities in inclusive education, necessary for their successful socialization, life and activity in society.

The article presents the results of a study of personal and emotional states of teachers of the Ryazan State Medical University named after Academician I.P. Pavlov, working with students with mental disabilities. As practice shows, training is associated with a number of problems associated with psychological barriers, both among students with disabilities or disabilities themselves, and psychological and pedagogical ones among university teachers who do not have special training for working in inclusive groups. To identify and analyze these problems in the educational process, as well as the emotional state of teachers, a survey and testing of the teaching staff of the university was conducted. Teachers believe that students with mental disabilities need special teaching aids and methodological developments, video materials and other technical means. It is also important to provide additional psychological and pedagogical training for teachers on the organization of the educational process with persons with disabilities or disabilities in order to adapt and improve the quality of educational work.

This article describes the trends in online education caused by the COVID-19 pandemic. The introduction of learning analytics into the educational process is substantiated. The main methods and tools of educational analytics are considered. Using a specific example, we will understand the construction and assessment of a student classification model using the high-level programming language Python.

Despite the study of the epidemiology of tuberculosis and its co-infection over the past decades, a number of questions remain, including those related to the impact of co-infection on survival depending on the chosen tuberculosis treatment regimen, the likelihood of adverse outcomes in the form of gastrointestinal bleeding and cirrhosis of the liver and their relationship with the therapy of the underlying disease. The purpose of the study: to evaluate the survival of patients with tuberculosis who have co-infection (viral hepatitis B and C) and receive multicomponent chemotherapy. Materials and Methods: The study included all patients who received treatment for active tuberculosis and had viral hepatitis B and/or C from 01/01/2004 to 12/31/2020. A total of 1687 patients were included. Twenty-two patients were lost to follow-up, and attempts to ascertain their clinical status were unsuccessful. Vital status was assessed in all patients. The mean duration of follow-up was 10.5±3.0 years. Median follow-up was 11.3 years (95% confidence interval (CI) 8.2-14.3). The average age of the cohort was 53.3±7.7 years. The study assessed survival and all-cause mortality annually. Results: The frequency of chronic hepatitis B in the group of patients with active tuberculosis was 3.8%, hepatitis C - 14.8%, hepatitis B and C - 0.5% of cases. Such an incidence of viral hepatitis is associated with a high frequency of illicit drug users (62.4%). It should be noted that the frequency of hepatitis treatment was low and amounted to 8.7%. When assessing the contribution of hepatitis B and C to the mortality of patients with active tuberculosis, it was found that hepatitis is not a predictor of death in patients. At the same time, patients who did not receive hepatitis therapy had a higher risk of death (unadjusted odds ratio (OR) - 1.28, 95% CI 1.04-1.65). The adjusted OR for hepatitis B was - 1.87 95% CI 0.67-1.52, C - 1.24 95% CI 0.90-2.18, B and C - 1.72 95% CI 0.99-2.02. Conclusion: The presence of chronic viral hepatitis B and/or C in patients with active tuberculosis did not affect mortality from all causes and regardless of the type of virus during a long period of observation. Patients who did not receive treatment for viral hepatitis and who had a history of tuberculosis had a higher risk of death from all causes (OR 1.28, 95% CI 1.04-1.65).

The article discusses the issues of communication between doctors and patients with hearing impairments, including communication methods, communication barriers, the need for sign language interpreters to be present at a medical appointment and the effectiveness of communication using alternative communication methods. Communication problems are considered from the perspective of the lack of an accessible environment, as well as an understanding of sign language as a separate linguistic system. The aim of the study is to study the existing barriers of communication with patients with disabling hearing disorders in the practice of doctors. A theoretical review of domestic and foreign studies on the communication of patients with hearing impairments in the framework of medical admission is presented. Among the main problems of people with hearing impairments related to medical care the following ones were highlighted: the complexity of communication with a doctor affects the effectiveness and quality of medical care; access to sign language interpreter services is quite limited; insufficient provision of hearing disabled people with devices for doctor–patient communication is observed. The results presented in the article were obtained by means of a survey of 49 doctors of various specialties. The survey was aimed at studying the peculiarities of communication between medical personnel and patients with hearing impairments. The questionnaire questions were open. The analysis of the responses was carried out through content analysis. As a result, problematic areas in the communication of hearing-impaired patients and doctors were identified, these are: a lack of an individual approach to such patients within the medical care, a narrow understanding of disability, a lack of sufficient number of sign language interpreters and the need for medical organizations for additional specialized training of medical personnel. Further directions of research were also defined.