IMPACT OF MOTOR ACTIVITY ON THE DYNAMICS OF INTELLECTUAL WORKING CAPACITY AND MENTAL COGNITIVE PROCESSES IN STUDENTS.

OBJECTIVE: The aim: To study the impact of physical exercises of different intensity on the dynamics of intellectual working capacity and mental cognitive processes in students. PATIENTS AND METHODS: Materials and methods: The research involved 293 students. The research was conducted in 2 stages. The 1st stage involved the study of the level of intellectual activity of students with sufficient (the experimental group, n = 76) and insufficient levels of their motor activity (the control group, n = 217). The 2nd stage provided for the determination of the dynamics of intellectual activity indicators in students (n = 76) before and after physical exercises of different intensity. RESULTS: Results: It was found that students with sufficient motor activity are characterized by significantly better indicators of intellectual working capacity and mental cognitive processes than students with insufficient motor activity. It was found that low-intensity physical exercises of a recreational nature had a more positive effect on intellectual working capacity in the course of training sessions. CONCLUSION: Conclusions: Organized motor activity and optimal physical exertion both during and after the end of intellectual functioning can directly affect the preser¬vation and improvement of students' intellectual working capacity.

WAYS OF IMPROVING THE QUALITY OF PROSTHETICS OF MILITARY PERSONNEL.

OBJECTIVE: The aim: Justify the choice of the construction material of dental prostheses, taking into account the clinical picture and concomitant diseases in military personnel and the study of the dynamics of military personnel seeking orthopedic dental care. PATIENTS AND METHODS: Materials and methods: 185 military personnel were examined and fitted with prosthetics in the period from March 2022 to March 2023. Methods: general clinical, content analysis, bibliosemantic, medical and statistical. RESULTS: Results: All patients who came to us for dental care had previously been replaced with fixed metal structures. Of them, 121 people indicated problems related to the use of metal prostheses. From these patients, a risk group of intolerance to prosthesis materials was formed and a search was made for base materials that would be biologically indifferent. For the manufacture of partial removable prostheses, we chose the basic thermoplastic material Acron, manufactured by Roko (Poland), which has high biocompatibility with the tissues of the prosthetic bed. When choosing the structures of partial removable prostheses in patients with various defects of the dentition, we were guided by a small number of clinical visits, which is relevant for military personnel who are on rotation and treated in the hospital. CONCLUSION: Conclusions: Our careful selection of structural material made it possible to prevent complications and produce high-quality removable prostheses in a short period of time. An analysis of the reasons for orthopedic care showed low awareness of the servicemen regarding the need for timely orthopedic treatment.

ANALYSIS OF THE LEGISLATIVE ACTIVITY OF THE MINISTRY OF HEALTH OF UKRAINE IN THE CONDITIONS OF THE RUSSIAN-UKRAINIAN WAR IN 2022.

OBJECTIVE: The aim: To analize the legislative activity of MOH of Ukraine in wartime. PATIENTS AND METHODS: Materials and methods: Were conducted a study of the orders for the first 30 days of the Russian military invasion by the method of content analysis. Using the method of deduction, the all orders was divided into areas of their influence. CONCLUSION: Conclusions: Twenty-nine orders were found during the first month of the war, which regulated the issues of medical care, circulation of drugs, blood transfusions, drugs, medical records, etc. Particular attention is paid to the organization of affordable medical care for all segments of the population, including the involvement of interns, senior students of medical institutions of higher education, as well as foreign professionals. The analysis of the legislative activity of the Ministry of Health of Ukraine to optimize the functioning of the medical care system for both military and civilian population in the context of Russian military aggression showed the Ministry's prompt response to time and high activity in the first two weeks of the war.

COMPREHENSIVE APPROACH IN CORRECTIONAL WORK WITH OLDER PRESCHOOL CHILDREN WITH SPEECH DISORDERS.

OBJECTIVE: The aim: To investigate the effectiveness of comprehensive approach in correctional work with older preschool children with speech disorders. PATIENTS AND METHODS: Materials and methods: The research was conducted in 2018-2022. The research involved 250 children aged 5-7 years, who were divided into two groups. The experimental group consisted of 150 children with motor alalia (57 girls and 93 boys). The control group consisted of 100 children without speech disorders (48 girls and 52 boys). RESULTS: Results: The analysis of outpatient cards of children with speech disorders of various aetiology was carried out. The main results of a comprehensive medical as well as psychological and pedagogical examination of children with motor alalia are highlighted. The result of the research revealed that organic lesion of the brain affects not only the clinical presentation of nonverbal symptoms, but also psychospeech development, in particular. CONCLUSION: Conclusions: The expediency of using a comprehensive diagnostic methodology was proved, where the medical component consisted in studying the peculiarities of bioelectrical activity of the brain on electroencephalography, which reflects the process of its morphological maturation in ontogenesis.

THE ROLE OF ADVERSE CHILDREN'S EXPERIENCE IN THE DEVELOPMENT OF PSYCHOLOGICAL DISORDERS AMONG PARTICIPANTS IN ANTI-TERRORISM OPERATION.

OBJECTIVE: The aim: The sense of our research was to examine the reason for the consequential links between negative childhood experiences and the mental state of participants of anti-terrorist operations. PATIENTS AND METHODS: Materials and methods: A standard "Adverse Childhood Experiences (ACEs)" questionnaire was used to obtain primary data. Conflict tactics scales were used to determine emotional, physical, and domestic violence in respondents. RESULTS: Results: The study evaluated 7 categories of ACEs: physical indifference (lack of care and protection); emotional neglect (lack of love); physical violence (pushing, grabbing or slapping); emotional violence (scolded, insulted or suppressed); sexual violence; domestic violence and a family history of mental disorders, diseases or alcohol abuse. All respondents were divided into two groups: those who had psychological disorders and those who were healthy. CONCLUSION: Conclusions: The data obtained in the study indicate that the chances of having psychological disorders increase in those fighters who complained of emotional violence - the feeling of humiliation; physical violence - those who were beaten in childhood; domestic violence was manifested in the fact that the mother was beaten; disadvantaged families where a family member has used drugs or abused alcohol; the presence of depression in parents.

RELATIONSHIP BETWEEN CERVICAL CANCER AND THE LEVEL OF PREVENTIVE ONCOLOGICAL EXAMINATIONS.

OBJECTIVE: The aim: Of this study is to determine the relationship between the development of cervical cancer and the level ofconducting of preventive oncological examinations. To identify risk factors of cervical cancer, we considered seven prognostic variables, that are associated with the development of cervical cancer. PATIENTS AND METHODS: Matherials and methods: We conducted a survey of 120 women, among them 40 (33.3%) women had a confirmed diagnosis of cervical cancer, and 80 (66.7%) women were healthy. RESULTS: Results: We find, that factors that increase risk of cervical canser is age after 40 years increases the chances of cervical cancer by 14 times; untimely medical examinations increase by 5,4 times; the number of sexual partners, more than 4 - in 6 times. CONCLUSION: Conclusions: A comprehensive medical and social study has established a reliable relationship between the development of cervical cancer and the level of preventive cancer examinations.

FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION.

OBJECTIVE: The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. PATIENTS AND METHODS: Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. CONCLUSION: Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergencymedical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

STUDYING AND ANALYZE THE FACTORS THAT AFFECT COMPLIANCE DENTIST RECOMMENDATIONS FROM PARENTS OF CHILD PATIENTS.

OBJECTIVE: The aim: Investigate the factors that influence the tendency of parents to follow the advice of a dentist on the way to improving the dental health of their children and build a prognostic model. PATIENTS AND METHODS: Materials and methods: Materials: we analyzed 406 questionnaires (specially created by the author), which contain the answers of parents of schoolchildren of Poltava. Methods: questionnaires, medical and statistical, modeling. RESULTS: Results: The statistical processing of the questionnaires revealed a number of factors those that affect parents' compliance with the advice of a dentist, increasing or decreasing the chances of it: low sanitary and hygienic awareness of parents; non-observance of hygiene rules by parents; parents do not teach the child to care for the oral cavity;opinion of the parents that only state must take care of children's health; the recommendations of the dentist wasn`t received; child had never visited a dentist for prevention. The operational characteristics of the obtained prognostic model: the area under the curve is 0,762, which indicates a good predictability of the model. Sensitivity is 82,2%, specificity - 79,8%. CONCLUSION: Conclusions: The data obtained as a result of our study and the constructed prognostic model: they indicate low sanitary and hygienic awareness of parents, paternalism of their thinking (shifting responsibility to someone, unwillingness to take responsibility), lack of medical and hygienic knowledge, as a result of which they do not apply them to themselves and, of course, to their children. The solution to this problem is possible only through informational and explanatory activities with the involvement of modern methods of communication and people who have passed appropriate training.

Prevalence of postpartum endometritis and antimicrobial resistance of responsible pathogens in ukraine: results a multicenter study (2015-2017).

OBJECTIVE: The aim: To obtain the prevalence of postpartum endometritis women and antimicrobial resistance of responsible pathogens in Ukraine. PATIENTS AND METHODS: Materials and methods: We performed a retrospective multicenter cohort study. The study population consisted of all women who had a vaginal delivery or cesarean section in 14 Regional Women's Hospitals of Ukraine. RESULTS: Results: Total 2460 of 25,344 patients were found to have postpartum endometritis, for an overall infection rate of 9.7%. The postpartum endometritis rates were 7.6% after vaginal delivery and 16.4% after cesarean section. Incidence of postpartum endometritis after cesarean section is affected mainly by the mode of delivery (scheduled caesarean deliveries (done before labor starts) - 13.8% and unscheduled caesarean deliveries (done after labor starts) - 22.5%. The predominant pathogens were: Escherichia coli (32.7%), Enterococcus faecalis (13.0%), Streptococcus spp. (12.1%), Klebsiella spp. (10.4%) and Enterobacter spp. (10%). Among the antimicrobial agents tested, the ertapenem, piperacillin/tazobactam, and cefotaxim were the most consistently active in vitro against Enterobacteriaceae in both vaginal deliveries and after cesarean section infections. The overall proportion of extended spectrum beta-lactamase (ESBL) production among Enterobacteriaceae was 22.8% and of methicillin-resistance in Staphylococcus aureus (MRSA) 15.4%. CONCLUSION: Conclusions: Postpartum endometritis and antimicrobial resistance of responsible pathogens presents a significant burden to the hospital system. Postpartum infections surveillance is required in all women's hospitals. This knowledge is essential to develop targeted strategies to reduce the incidence of postpartum infections.

Risk factors associated with the occurrence of early complications of acute myocardial infarction after cardio-intervention treatment.

OBJECTIVE: The aim of our study was to identify the main risk factors for the occurrence of early complications of acute myocardial infarction after cardio-interventional treatment and to evaluate prognostic risk indicators. PATIENTS AND METHODS: Materials and methods: Risk factors of myocardial infarction were determined by copying the case history data and calculating on their basis of the odds ratio and ±95% confidence interval. After it, we made a prediction of the risk of early complications of AMI with cardiovascular intervention by using a Cox regression that took into account the patient's transportation time by ambulance. RESULTS: Results: Thus, the factors that increase the chances of their occurrence were: summer time of year; recurrent myocardial infarction of another specified localization (I122.8); the relevance of the established STEMI diagnosis; diabetes mellitus; renal pathology; smoking; high rate of BMI. Factors that reduce the chances of their occurrence: men gender - in 35%; the age over of 70 - by 50%; the timely arrival of an emergency medical team - by 55%. The factors that increase the chances of their occurrence were: age over 70 years; subsequent myocardial infarction of unspecified site; diabetes mellitus. Using of a Cox regression analysis, it was proved that the cumulative risk of early complications of AMI with cardio-intervention treatment increased from the 10th minute of ambulance arrival at place, when ECG diagnosis (STEMI), presence of diabetes mellitus, smoking and high BMI. CONCLUSION: Conclusions: As a result of the conducted research, the risk factors for early complications of AIM with cardio-interventional treatment were identified.

Mathematical modeling of the elastic properties of the mucous flaps in conducting patchwork operations of the oral cavity.

OBJECTIVE: Introduction: To date, there are techniques that allow dental surgeons to restore the lost volume of bone mass, but the level of complications during augmentation remains consistently high. One of the main types of postoperative complications is the exposure of bone augmentate and its infection as a result of ischemic or destructive processes in the mucous shreds, which cover the augmentate, resulting from their overgrowth. The aim: The purpose of our research was to increase bone augmentation effectiveness in patients with secondary edentulism and to reduce risk of postoperative complications caused by ischemia of the mucous membranes because of their tension by mathematical simulation of tensile limits and permissible deformation for the mucous membranes of the oral cavity. PATIENTS AND METHODS: Materials and methods: As a research method was selected a two-component Mooney-Rivlin model, taking into account the indicators of elasticity and static strength of flat samples in tension, which allows them to perform hyperprime behavior at small and moderate deformations. For computer simulation of epithelial flap deformation during operation by finite element method we used ANSYS software environment. RESULTS: Results: Since elastic forces are potential, the work of forces does not depend on the way of tension. Only the initial and final states of the sample, i.e. its initial and final forms, play a role. CONCLUSION: Conclusions: The flap of 30 × 25 mm can be stretched and thus it is necessary to eliminate the deficit of fabric up to 5 mm wide in the direction of the Y axis (vertical axis). The relative elongation is λ = 25/20 = 1.25. The flap tension first occurs in the y direction.

Comparative analysis of the dynamics of modified risk factors of non-communicable diseases among the population of China and Ukraine.

OBJECTIVE: Introduction: In the modern world, the problem of non-communicable diseases, which nowadays constitute the main cause of social and economic losses, is extremely topical: the main causes of disability and mortality of the working population are caused by non-communicable diseases. The aim is a comparative analysis of the prevalence and dynamics of the risk factors of the NCDs, and the overall mortality rate between the economically developed country - China and the developing country - Ukraine. PATIENTS AND METHODS: Materials and methods: To achieve the set goal, the method of data analysis was used - the alignment of dynamic rows with the definition of increasing rates, the determination of reliability between two unrelated aggregates, triangulation. Material: annual reports of the State Statistics Service of Ukraine and the National Bureau of Statistics of China. RESULTS: Review: As a result of the study, it was found that with the tendency to reduce the mortality rate, the mortality rate in Ukraine exceeds the rate in China, especially among men (2.5-3 times); the percentage of smoking is 6 times higher among Ukrainian women; an increase in malnutrition is observed in Ukraine, while in China it is constantly decreasing; in both countries there is an increase in the frequency of obesity in both sexes, but in Ukraine the prevalence is 4-6 times higher. CONCLUSION: Conclusions: Thus, using the obtained data, one can conclude that, despite the difference in the level of economic development between countries, behavioral risk factors remain an extremely important problem.

Lubny pharmacy as a foundating structure of military farmacy in Ukraine.

OBJECTIVE: Introduction: Military pharmacy has always been a priority, being widely supported by the state with any social order. Field pharmacy development has always been considered a national safety factor. After creation of the numerous military commands and improvement of medical conditions relating to preserving and restoring the military men health, the importance of development of pharmacy as a science has only been increasing. The object of the study in this article is development of Ukrainian pharmacy as illustrated by the Poltava region example. The aim: The study is research of the pharmacy development and its influence on to the neighbor fields within the Poltava region. PATIENTS AND METHODS: Material and methods: systemic approach, historical and dialectical methods, methods of theoretical and empirical learning. CONCLUSION: Conclusions: The Lubny pharmacy was the basis for the military pharmaceutical service in Ukraine and triggered foundation of private pharmacies in the Poltava region. Also, the Lubny pharmacy had effected on the development of pharmaceutical service and industrial agricultural cultivation of medical plants in Ukraine.

Prevalence of bad habits among students of the institutions of higher medical education and ways of counteraction.

OBJECTIVE: Introduction: The relevance of scientific research is determined by the significant importance of lifestyle in preserving and strengthening the health of the population especially young people what determines the future of any society. Among the numerous youth lifestyle characteristics, particular attention is paid to behavioral factors, including the presence of bad habits. Data of scientific publications indicate a significant prevalence in student environment of tobacco-smoking, consumption of alcohol and other manifestations of unhealthy behavior, which are powerful factors of the risk of developing non-communicable diseases, injuries and other health disorders. One of the most important tasks is the formation and establishment of a healthy lifestyle among medical students, because in the future they will not only treat patients, but also carry out professional activities for the prevention of diseases and risk factors for their development, correcting and overcoming already existing risk factors. Doctors must be conscious supporter of healthy lifestyle and serve as a role model for their patients. The aim: To identify the features of prevalence of tobacco use, alcohol and energy drinks among medical students and justify ways of counteraction based on the results of own sociological research, scientific literature, WHO program and strategic documents. PATIENTS AND METHODS: Materials and methods: An anonymous questioning was covered 948 students of institutions of higher medical education including 34.5% of men and 65.5% women. It had been used bibliosemantic, sociological and medical-statistical methods. The information base of the study included program and strategic documents of WHO, sources of scientific literature, data of own research. Statistical processing of the obtained results was carried out using generally accepted medical statistics methods using licensed programs (SPSS, STATA, Statistica 10.0 and MS Excel XP). RESULTS: Results: The results of the study indicate a sufficient significant prevalence in the student environment of tobacco, alcohol and energy drinks. Third part of students consumes tobacco, of which 15.2 per 100 respondents are regular smokers with experience, 9.3 per 100 respondents smoked 10 or more cigarettes a day. A new negative trend is the use of hookah by almost half of the interviewed students and consumption of electronic cigarettes (8.5 per 100 respondents), what must be taken into account when substantiating counteraction ways. Three quarters of the respondents consume alcohol. Despite the prevailing consumption of low-alcohol beverages and wine by respondents, every seventh of the respondents consumes strong drinks. The reason for the worrying is the fact that 13.6 ± 4.7 in 100 respondents combine the consuming of energy drinks with alcohol. By 4.9 per 100 students interviewed, energy drink increases the desire to drink alcohol. CONCLUSION: Conclusions: The revealed connection between tobacco, alcohol and energy drinks consumption among medical students proves the need for an integrated approach to reduce the prevalence of risk factors in the context of a healthy lifestyle.

Epidemiology of diseases of the circulatory system among the population of Poltava region.

OBJECTIVE: Introduction: In Ukraine more than half of deaths have been caused by cardio-vascular diseases (CVD). Among the able-bodied population, the share of CVD in the structure of causes of mortality is 29,9%. In the structure of causes of mortality among the persons of retirement age, CVDs accounted for 75,9% and exceeded the proportion of neoplasms in 6,5 times. The aim is to analyze of morbidity and mortality rates of diseases of the CVD among the population of Ukraine and Poltava region, to conduct a comparative analysis of data to identify possible ways to improve the situation. PATIENTS AND METHODS: Materials and methods: A retrospective study of morbidity and mortality rates by age, gender and cause (2014-2018) was conducted and the statistical method was used to analyze dynamic (time) series. RESULTS: Review: An analysis of the dynamics of population mortality indicates significant fluctuations in it`s levels over ten years. At the same time, by the method of alignment of the dynamic series, a tendency to a slight decrease in the mortality rate of the population from 17,1‰ to 16,9 ‰ was established. The mortality of the population of Ukraine in 2018 from diseases of the circulatory system was 1000,8 per 100 thousand people. Data on mortality rate in the Poltava region significantly higher than those in Ukraine. CONCLUSION: Conclusions: The age structure of the population of Poltava region belongs to the regressive type. The mortality rate among the population of Poltava region is slightly decreasing but remains at a very high level (16,9 ‰). In the structure of causes of death, diseases of the circulatory system are at the first place (70,8%), the second place belongs to neoplasm (13,5%), and third are the external causes of death (4,8%).

Аnalysis of knowledge of students of higher educational institutions of poltava about the harmfulness of drug use.

OBJECTIVE: Introduction: The urgency of the topic is due to the fact that in recent years in Ukraine a part of youth who use narcotic drugs and psychoactive substances is growing. Today there are more than a quarter of billion drug addicts in the world. This number includes those who have tried drugs at least once. Among them - about 27 million drug addicts that are in need of treatment. The aim: to analyze the knowledge of the students of higher educational institutions of Poltava about various issues related to drug addiction. PATIENTS AND METHODS: Materials and method: 600 questionnaires of students who study at the universities (Poltava). The following methods were used: historical - analytical and bibliosemantic, medico-statistical, sociological, system approach and system analysis. RESULTS: Results: Student youth responded to various questions that were presented in the questionnaire, about various issues related to drug addiction. 26 % of respondents indicated that they know places where drugs can be purchased. To the question «Do you know what drugs are?¼ оnly 7 % answered «No¼. 2, 5 % of those surveyed met with drug users on the street. 13 ± 1, 51 % (р<0, 05) of the respondents admitted that they were irritated when they were criticized for using narcotic drugs and only 9 ± 1, 25 % (р<0, 05) felt guilty about abuse. CONCLUSION: Сonclusions: Students should be aware of the problem of the use of psychoactive substances, be aware of the legislative framework for the prevention of consumption, turnover and any manipulations with psychoactive substances.

Studying the skills attitudes on factors affecting dental health of children.

OBJECTIVE: Introduction: Nowadays, the high level of dental morbidity among children is an urgent medical problem. Healthy lifestyles and sanitary-hygienic upbringing in the family is most important components of the formation of dental health of children. But in order to be able to teach their children, parents need to be themselves knowledgeable about hygiene and prevention, have the necessary skills and desire to instill it in their children. The aim: The aim of our study was to assess the level of awareness of schoolchildren parents about the factors affecting the dental health of their children according to the questionnaire. PATIENTS AND METHODS: Materials and methods: The article presents the results of a sociological survey in the form of anonymous polls on a specially designed questionnaire. With the help of the sociological method, 408 questionnaires, which were filled up by parents of students of general school №19 in Poltava, were processed and analyzed. RESULTS: Results: Among the interviewed individuals, we investigated groups of predictors that could increase the parents' awareness of the factors influencing the formation of health; to teach children by parents of the rules of personal hygiene of oral cavity and skills of self-prevention of dental diseases; on factors that lead to proper orthodontic pathology. CONCLUSION: Conclusions: Based on the parents' answers to the factors which form the health of the population, we can conclude that their awareness on this issue is insufficient. The results of the survey show insufficient level of knowledge in the issues of the formation of health and prevention of dental diseases among the respondents. Thus, the necessity to carry out the corresponding work in educational institutions with the involvement of teachers, dental doctors, pediatricians and doctors of other specialties is determined.

Prevalence of risk factors of allergic diseases among children aged 8-9 years in poltava region (the results of the first stage of the research).

OBJECTIVE: Introduction: According to the European Academy of Allergology and Clinical Immunology (EAACI, 2016), allergy is the most common chronic disease in Europe. The aim: The aim of the investigation is to study the spread of risk factors of allergic reactions in children who are 8-9 years old of Poltava region. PATIENTS AND METHODS: Materials and methods: The investigation included two stages: the 1st contained interviewing; the 2nd one - additional clinical and lab investigation of children, who require the further diagnosis specification. RESULTS: Results: 1068 children who are 8-9 years old were interviewed based on questionnaires: 56,2% males and 43,8% females. Children were divided into residents (49,2%), and villagers (50,8%). In order to identify allergic diseases the division in family was the next: the presence of bronchial asthma was present in 38 people (3,6%), allergic rhinitis or allergic conjunctivitis - 128 people (12,0%), atopic dermatitis - 54 people (5,1%), food allergy - 129 people (12,1%), medicinal allergy - 25 people (11,7%). Analyzing the influence of trigger factors, it should be noted that in the risk group there are children who received cow's milk as substitutes for breast milk (38.1%), children who had a history of helminthal invasion (19.6%), children where parents smoke (45.9%), one third of parents (31.9%) complained of frequent respiratory viral infections in their children. CONCLUSION: Conclusions: Presented epidemiological investigation allowed studying the prevalence of diagnosed allergic diseases in children of Poltava region and determining children's category who require additional diagnostics of chronic allergic diseases.

Planning of effective evaluation of the activities of hospital district at the example of poltava region.

OBJECTIVE: Introduction: Increasing of the availability and quality of health care in rural areas is one of the priority directions of public health and regional development policy. The need for reforming of the network of secondary health care facilities is due to the fact, that they are unable to meet the needs of the population in this specialized type of medical care in the conditions of the existing structure and funding system. The aim: to analyze the existing legislation regulating the establishment and operation of hospital districts; to determine the methodology for monitoring and evaluating of the activity of the hospital district on the example of the Poltava region. PATIENTS AND METHODS: Materials and methods: In this work a set of methods is used: system approach, bibliosemantic, legal, logical modeling. RESULTS: Review: A managerial tool capable of tracking the process and demonstrating the impact of projects, programs and development policies is monitoring and evaluation. The basis of evaluation is the creation of different indicators and indexes. The system of these indicators provides an opportunity to assess the social, medical, economic and environmental aspects of development of hospital district. The monitoring and evaluation program should include monitoring of implementation (contributions and activities) and monitoring of the results of work of the hospital districts (short-term and long-term). CONCLUSION: Conclusions: Hospital districts are created with the aim of optimizing of the organization and functioning of the network of health facilities. The Management Board's decision should be based on valid, reliable information on the development of the hospital district. Compliance with the monitoring and evaluation methodology makes it possible to provide the health care system with qualitative and timely data at all stages of its reformation.

[Retrospective analysis of post-traumatic stress disorder].

OBJECTIVE: Introduction: The most common form of disorder in the victims of extreme events that are difficult to treat and correct and are manifested by psychological, social and somatic changes is post-traumatic stress disorder (PTSD). The aim: To study the experience of rehabilitation of participants based on the municipal institution Poltava Regional Clinical Hospital for War Veterans. PATIENTS AND METHODS: Materials and methods: We used statistical observation, consolidation and grouping of materials of statistical observation, method of absolute and relative values. RESULTS: Review: In our country, mental disorders in emergency situations began to be studied especially intensively after the Chernobyl disaster. A considerable amount of research is devoted to this issue. Neuropsychiatric and psychoneurological disorders were analyzed carefully and it was established that in those people who were in the enhanced radiation zone, mental maladaptation arose due to psychological traumas, but not because of ionizing radiation. CONCLUSION: Conclusions: Art therapy turned out to be a popular activity for improving well-being, where the demobilized could do handmade work. Another good way to improve their mood was watching movies with a certain idea, sense. The most influential therapy is relaxation sessions, where the warriors can abstract their mind from everything and enjoy good music or landscapes. Among the group sessions, the "road to peace" theme was the most popular one, where veterans could communicate with a psychologist, express their thoughts and feelings, and, if necessary, consult for the future.