Clinical anatomy of pulmonary connections in young people.

OBJECTIVE: Aim: To study the clinical anatomy of the pulmonary ligaments of young people. PATIENTS AND METHODS: Materials and Methods: The study was carried out when performing 28 autopsies of young people aged 25 to 44 years. Methods of dissection of chest organocomplexes, macro-microscopy, morphometry and planimetry, and statistical processing were used. The shape and topography of the pulmonary ligaments was assessed, their area, the localization of lymph nodes was examined. RESULTS: Results: The pulmonary ligament is an anatomical formation, which is formed as a result of a combination of leaves of the mediastinal pleura, which, covering the surfaces of the roots of the lungs, descend towards the diaphragm and are located between the mediastinal organs and the lungs. Pulmonary connections on both sides have a few edges: the inner, outer and lower free. The pulmonary ligaments with lower free edges do not pass to the diaphragmatic surface of the pleura, but only with inner ones, which are located on the right along the esophagus, and on the left along the aorta. Pulmonary ligaments on both sides pass into the mediastinal part of the pleura, covering the pericardium. CONCLUSION: Conclusions: There are individual differences between the shape and size of the right and left pulmonary ligaments in males and females. There is no significant difference between the sizes of the right and left pulmonary ligaments, but such dimensions as: the width, the angle of inclination and the ratio of their lower free edge to the lower edge of the lungs are not found in all cases.

Tendencies in disability of the population as a result of malignant neoplasms in Ukraine (on the example of the Poltavia region).

OBJECTIVE: Aim: To study the dynamics of the prevalence and structure of primary disability, including due to cancer, among the population of the Poltava region. PATIENTS AND METHODS: Materials and Methods: The study used a retrospective analysis - the depth of the research search was six years (2019-2023); a comparative analysis - to establish the differences in disability indicators. Determining the trends of disability: analyzing the dynamic series. RESULTS: Results: The rate of initial disability due to neoplasms (including malignant) for 2019-2023 in Ukraine population is generally stable with a slight downward trend, in the Poltava region, there is a slight downward trend during the years 2019-2021, starting from 2022, begins to increase sharply, while throughout Ukraine the indicator remains stable. Among the able-bodied population of the Poltava region: if until 2021 the picture is identical to the indicators among the adult population, then starting from 2022 the disability of this contingent in the Poltava region begins to increase, while in Ukraine - to decrease. In 2023 among the population of the Poltava region, diseases of the musculoskeletal system became the cause of disability in 20.5 per 10,000 working-age population (І rank place) ; from circulatory system diseases was 12.3 (ІІ rank place); the rate of disability from a neoplasm is 16.1(ІІІ rank place). CONCLUSION: Conclusions: Analysis of the dynamics and structure of disabling pathology is important and necessary, as it allows to identify diseases that lead to permanent disability, as well as to develop medical and social measures to prevent disability.

STRATEGY FOR THE DEVELOPMENT OF PEDIATRIC SERVICE AT THE LEVEL OF MEDICAL INSTITUTION POLTAVA.

THE AIM: To analyze the activities of a medical institution in providing medical care to the children's population. One of the priorities of the work of the Poltava Children's City Clinical Hospital team is close cooperation and contact with the National Health Service of Ukraine under the program of medical guarantees. Since March 2020, on the basis of the Pediatric Department No. 1, infectious and diagnostic beds have been opened for medical care for patients with COVID-19 for residents of the city of Poltava and the Poltava region, which are 100% equipped with a centralized oxygen supply. The main principles for the effective formation and implementation of the strategic tasks of the hospital are: a programmatic and targeted approach to the management of the institution, the implementation of state, regional and local programs. It is important to form a financial, personnel, material and technical plan, to determine the economic efficiency of the measures taken. The main strategic directions of the hospital are active work on the formation and signing of packages of medical guarantees for 2022 with the National Health Service of Ukraine, carrying out analytical work to comply with quality standards during the treatment and diagnostic process. Important is the high level of surgical activity in the surgical departments with the implementation of modern surgical interventions.

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.