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1.
Wiad Lek ; 73(8): 1650-1654, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055327

RESUMO

OBJECTIVE: The aim: to substantiate conceptual approaches to organizing the model of university stomatological clinic based on the public-private partnership principles (PPP). PATIENTS AND METHODS: Materials and methods: To achieve the aim the author used general scientific methods of analysis, synthesis, generalization, interpreting scientific data as well as systemic and structural-functional approaches. The conceptual approaches comply with the Constitution of Ukraine, laws and other legislative standards of Ukraine, generally accepted standards and principles of world law in the healthcare, considering the Ukrainian and foreign experience. RESULTS: Results: The article represents conceptual approaches to organizing university clinic, based on the public-private partnership principles, in order to provide development of theoretical and practical stomatology, training professionals as well as to providing accessible and affordable high-quality stomatological service to population. Introduction of the conceptual approaches will provide for development of a modern model of the university clinic, creating public-private healthcare institution which will provide affordable and high-quality stomatological service corresponding to modern requirements and approaches ( last advances of science and technology). Implementation of the public-private partnership mechanisms will be a guarantee of steady long-lasting social-economic development of the clinic. CONCLUSION: Conclusions: The priority way of development of the university clinics under new economic conditions is basing their economic mechanisms on the PPP principles. To realize this, the conceptual approaches to organizing university stomatological clinic model based on the public-private partnership principles were introduced (with the example of university stomatological clinic).


Assuntos
Medicina Bucal , Parcerias Público-Privadas , Assistência à Saúde , Ucrânia , Universidades
2.
Wiad Lek ; 73(8): 1668-1670, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055331

RESUMO

OBJECTIVE: The aim: To evaluate the effect of overweight on the quality of life of chronic obstructive pulmonary disease (COPD) patients GOLD III. PATIENTS AND METHODS: Materials and methods: 65 patients with chronic obstructive pulmonary disease (COPD GOLD III) were examined in different phases of pathological process. The pulmonary function (PF) test was performed by means of "SPIROKOM" device (Ukraine). The degree of overweight was determined by calculating the body mass index (BMI) using the formula І = m/h² (m - body mass in kilograms, h - height, square of the height in meters (kg/m²). Patients' quality of life was evaluated with the help of standardized St.George's Respiratory Questionnaire (SGRQ). RESULTS: Results: The study revealed changes in the PF indices and the decrease in quality of life in overweight patients, especially in case of destabilization of the pathological process. CONCLUSION: Conclusions: The obtained results show that overweight is the underlying condition for more severe course of the pathology and requires further study of its impact on the health and quality of life of patients in order to improve the effectiveness of treatment.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Qualidade de Vida , Humanos , Sobrepeso/complicações , Inquéritos e Questionários , Ucrânia
3.
Wiad Lek ; 73(8): 1681-1689, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055334

RESUMO

OBJECTIVE: The aim: To evaluate the quality of life (QoL) of palliative patients receiving general palliative care and the impact of palliative care provided by mobile palliative care team (MPCT) on their QoL. PATIENTS AND METHODS: Materials and methods: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core30 (QLQ-C30) was used to evaluate QoL of 219 palliative patients receiving general palliative care from family physicians in the Center for primary health care of Uzhhorod city, Ukraine. In the second part of the study, the subgroup of 25 patients who had at least one of fifteen QLQ-C30 scales evaluated lower than 50 points were selected. They were provided with PC from the MPCT for 2 weeks and their QoL was measured again. RESULTS: Results: For the patients who received general palliative care from a family physicians mean m (SD) QoL value was 38.63 (16.9), and the main symptoms that affected QoL were fatigue 48.60 (23.30) and pain 46.11 (20.97). The most impact on QoL scores had role (rs=0,430;), emotional (0.321) and physical (0.301) functioning and such symptoms as pain (-0.392), insomnia (-0.311), dyspnoea (-0.294), financial difficulties (-0.255). For the patients who received palliative care from MPCT mean the mean QoL score increased by 30.0 points, mean pain score decreased by 42.22 points, fatigue score decreased by 38.0 points and level of financial difficulties also decreased by 76.0 points. CONCLUSION: Conclusions: The involvement of the MPCT could have a significant positive impact on the QoL of palliative patients.


Assuntos
Cuidados Paliativos , Qualidade de Vida , Fadiga , Humanos , Médicos de Família , Ucrânia
4.
Wiad Lek ; 73(8): 1717-1722, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055340

RESUMO

OBJECTIVE: The aim: This study aims to determine specific predictive factors of bronchiectasis exacerbations. PATIENTS AND METHODS: Materials and methods: 47 patients with bronchiectasis were prospectively recruited into the study in Dnipro, Ukraine. Following the number of exacerbations during the previous year, they were divided into two groups: frequent exacerbators - ≥ 3 cases per year (n = 24) and non-frequent exacerbators - < 3 cases per year (n = 23). Demographic and anthropometric data, medical history, smoking status, shortness of breath by Modified Medical Research Council Dyspnea Scale, sputum culture, respiratory function by computed spirometry, disease severity by Bronchiectasis Severity index and FACED scales were evaluated in both groups. RESULTS: Results: The factors found to be independently associated with frequent exacerbations were: overweight, airway obstruction, longer duration of the disease, more severe dyspnea, greater number of involved pulmonary lobes and presence of one or more comorbid conditions. Non-influencing factors were: underweight, age, sex, smoking status and, unexpectedly, presence of Pseudomonas aeruginosa or other pathogens in sputum culture. CONCLUSION: Conclusions: Particular attention is required for patients with bronchiectasis who have overweight, airway obstruction, longer duration of the disease, more severe dyspnea, the greater number of involved pulmonary lobes and presence of one or more comorbid conditions in order to correct modifiable risk factors of future exacerbations.


Assuntos
Bronquiectasia , Adulto , Bronquiectasia/epidemiologia , Progressão da Doença , Humanos , Índice de Gravidade de Doença , Espirometria , Ucrânia
5.
Wiad Lek ; 73(8): 1726-1729, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055342

RESUMO

OBJECTIVE: The aim of out research was to determine the effectiveness of the sealing property of adhesive systems V and VII generations by studying the depth of curing, water absorption and water solubility of their samples. PATIENTS AND METHODS: Materials and methods: The study was performed according to ISO / TS 11405: 2015 at the Central Factory Laboratory of JSC "CTOMA", Kharkiv, Ukraine, Certificate of Attestation No. 100-062 / 2015 dated 03/04/2015. For the study we used specially prepared laboratory samples which were made in the form of plates from adhesive system "DC Adhesive NF" (Dental Central) of V generation "Single bond Universal" (3M ESPE) of VII generation. А monitor and analyze the results obtained used micrometer MK-25, №4694, №03 / 5321 from 08/18/17; caliper SC-1, No. 267447, No. 03/5322 from 08/18/17; scales AP 210, №112144137, №87027 / 9 from 24.11.2017. RESULTS: Results: According to the results of the investigation the following results were obtained: 1) the average curing depth of V and VII generation of adhesive systems was 4.08mm and 3.51mm respectively at the rate of 2mm; 2) average water absorption: 45.97 µg/mm3 and 30.89 µg/mm3 for V and VII generations respectively; 3) the average water solubility was 6.94 µg / mm3 and 4.17 µg / mm3, respectively. CONCLUSION: Conclusions: According to the results of our laboratory studies, it can be concluded that adhesive systems of V and VII generations can be used for restoration of lesions of tooth hard tissued. Along with this, it can be recommended to use V generation adhesives in closed defects where direct polymerization should be performed and oral fluid access is minimal. Adhesive sysyems of VII generation can be recommended in such cases as: opened restorations, pregingival areas of teeth, cases where a permanent contact of restorations with oral fluid be found along with the cases of autonomic application of adhesive system.


Assuntos
Adesivos , Água , Ucrânia
6.
Wiad Lek ; 73(8): 1735-1746, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055344

RESUMO

OBJECTIVE: The aim is to analyze the factors that affect the students' health both positively and negatively and to evaluate the real health status of Ukrainian student youth. PATIENTS AND METHODS: Materials and methods: The research was conducted at Zhytomyr Ivan Franko State University and University of State Fiscal Service of Ukraine, 647 students of the 1st - 4th years of study were examined. To study both negative and positive factors, we conducted a survey of the students of different genders of several education departments, using original questionnaires. To analyze the results of the students' self-assessment of their health state, the methodology of V. P. Voitenko, which contains 27 questions that characterize the most important aspects of well-being, mood, activity, sleep quality, pain senses and lifestyle of students, was applied. RESULTS: Results: It was determined that the most important factors for the preservation of health included nutrition, physical activity, active leisure, sleep, love and sex. 56.3 % of male students and 49.9 % of female ones indicated that motor activity is of great importance for health care. The students stated that the most dangerous health factors included drug use, radioactive contamination of the environment, smoking, alcohol abuse, stress, etc. It was found that the highest percentage of students had satisfactory and poor health levels - 44.8-54.9 % and 17.8-29.5 % respectively. CONCLUSION: Conclusions: A wide range of specific components of the educational process and the healthy lifestyle of students can have different effects on life. Lifestyle is one of the many factors that affect students' health. The students' self-assessment of their health state lets to manage the educational process of physical education efficiently, allocate physical activity and apply individual tasks rationally.


Assuntos
Exercício Físico , Universidades , Adolescente , Feminino , Humanos , Estilo de Vida , Masculino , Estudantes , Ucrânia
7.
Zootaxa ; 4836(1): zootaxa.4836.1.1, 2020 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-33056841

RESUMO

Data on the subfamily Ichneumoninae Latreille, 1802 (Hymenopera: Ichneumonidae) from the Ukrainian Carpathians is summarized, with 196 species from eight tribes, of which 88 species are recorded from Ukraine for the first time. The new Ukrainian records belong to four tribes, Heresiarchini Ashmead, 1900, Ichneumonini Latreille, 1802, Phaeogenini Förster, 1869, and Platylabini Berthoumieu, 1904. Phaeogenini is the most poorly studied with 75% of species recorded for the country for the first time. High-altitude zone distribution is discussed: oak forest zone is the most species-rich (125 species), while the subalpine zone is the most poorly studied (57% of species found only in this zone are new records for Ukraine). The flying adults of Ichneumoninae were found from April until October, with a maximum number of species and genera collected in July, and with most specimens collected in May. Stenobarichneumon ridibitor Aubert, 1994 is transferred to the genus Baranisobas Heinrich, 1972 (comb. nov.).


Assuntos
Himenópteros , Animais , Florestas , Ucrânia
8.
Georgian Med News ; (304-305): 85-90, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32965255

RESUMO

Aortic arch hypoplasia is a congenital anomaly of the development of the aortic arch, characterized by hemodynamically significant narrowing of one or more segments of the aortic arch. The combination of simple transposition of the great arteries (TGA) and obstruction at the level of the aortic arch is not very common. However, when transposition is combined with the VSD, Taussig-Bing anomaly, this combination is more common. The degree of obstruction at the level of the aortic arch may vary from discrete coarctation of the aorta, tubular hypoplasia of the aortic arch, to interruption. Despite the improvement in the results of surgical treatment of this pathology in recent years, the question of the stage of treatment remains debatable.; The objective of the study was to analyze immediate and long-term results of the correction of transposition of the great arteries and aortic arch hypoplasia.; From 2010 to 2019 at the "Amosov National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine" and "Scientific Center For Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine" 76 infants underwent repair of TGA and aortic arch hypoplasia. The study included only patients with two-ventrical physiology and subsequent two-ventrical repair. There were 49 (64%) male patients and 27 (36%) female patients. The mean age of patients was 1.1 ± 0.5 months, mean body weight was 3.7 ± 1.4 kg. The average body surface area was 0.23 ± 0.05 m². Patients were divided into two groups: group I involved 52 (68%) individuals - patients who underwent one-stage repair of TGA and aortic arch hypoplasia, group II included 24 (32%) patients with two-stage repair, consisting of aortic arch reconstruction and pulmonary banding at the first stage and correction of TGA at the second stage. Antegrade selective cerebral perfusion was performed in 24 (46%) patients during reconstruction of the aortic arch.; The in-hospital mortality rate was 5.3% (n= 4). In group I, in-hospital mortality was 3.8% (n=2), and was significantly lower compared to the group II - 8.3% (n=2), p<0.05. Eight patients (14.5%) had delayed sternal closure in the early postoperative period. The average long-term follow-up was 3.7±2.8 years (from one months to 9.1 years). One late death occurred in group II. Aortic arch restenosis developed in 11 (14.4%) patients: 7 (13.4%) patients in group I and 4 (16.6%) patients in group II. Right ventricle outflow tract and pulmonary artery obstruction occurred in 9 (11.8%) patients: in 2 (3.8%) patients from group I and in 7 (29.1%) patients from group II. In the long term follow-up there were no neurological complications and compression of the trachea.; Surgical treatment of TGA with aortic arch hypoplasia is effective in infants with good immediate and long-term results. The study indicates that one-stage repair has better immediate and long-term results, compared to two-stage treatment and may be the method of choice in the treatment of this complex pathology.


Assuntos
Coartação Aórtica/cirurgia , Transposição dos Grandes Vasos/cirurgia , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Criança , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Resultado do Tratamento , Ucrânia
9.
Georgian Med News ; (304-305): 177-182, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965271

RESUMO

The article explores the issue of the human right to health as a fundamental one in a democratic society, international norms and standards, international obligations of Ukraine, as well as the financial activities of public authorities in the context of radical reform of the health care system in Ukraine. It is being focused onto the WHO's "Health for All" policy, as well as "Health 2020", which became the basis for a new European Health Strategy, the nationwide Health 2020: Ukrainian Dimension. It is emphasized that the financing function of the WHO and other international organizations is considered to be the key function of the health system. The purpose of this article is of this article is to identify the peculiarities of the financial activities of public authorities in the context of a thorough reform of the healthcare system in Ukraine and to evaluate the compliance of national legislation with international norms and standards. The methodological basis of the conducted research is the general methods of scientific cognitivism as well as concerning those used in legal science: methods of analysis and synthesis, formal logic, comparative law etc.; The norms of international documents of universal and regional status, adopted by the new legislation of Ukraine in the light of radical reform of the health care system, are analyzed. The object of the study is the public relations that arise during implementation of financial activities by public authorities.; The research revealed measures taken by the state to fulfill its obligations under international treaties in the field of healthcare: amending the current legislation and practice of its implementation; making changes to administrative practice; providing legal expertise of bills; provision of training in the study of international treaties and the practice of international judicial institutions to categories of the employees whose professional activity is related to law enforcement, as well as to the detention of people (imprisoned); measures taken to ensure the elimination of systemic deficiencies and the cessation of breaches within international treaties caused by these deficiencies. Attention is drawn to the relation between the concepts of "public finances" and "public financial activities". The peculiarities of the legal organization of financial activity of the state and bodies of local self-government, the content of financial activity in the sphere of healthcare are revealed. The role of the state and local self-government bodies in financial activity as subjects of financial function is revealed. The principles, methods, forms of financial activity are described. It is emphasized that the new model of financing healthcare in Ukraine is based on the following principles: financial protection; universality of coverage and equity of access to care; transparency and accountability; efficiency; free choice; competition among suppliers; predictability of the volume of funds for medical services in the state budget; subsidiarity.


Assuntos
Administração Financeira , Direito à Saúde , Assistência à Saúde , Direitos Humanos , Humanos , Ucrânia
10.
Georgian Med News ; (304-305): 189-194, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32965273

RESUMO

The aim of the article is a comprehensive analysis of the possibility of realizing the human right to health protection based on the practice of the European Court of Human Rights.; To achieve this goal, general scientific and special methods of cognition were used, chosen taking into account the purpose of the work. The epistemological method was used to study the general prerequisites, means and patterns of development of mechanisms for protecting the human right to health protection, including in the ECHR. The dialectical method - when searching for the right approaches to solving theoretical and legal problems that arise in the legal regulation of the human right to health protection. Using the method of legal analysis, the scope of medical human rights is determined. The statistical method was used to study the dynamics in the processes associated with the realization of the human right to health at the ECHR. The comparative legal method made it possible to compare the norms of the national legislation of Ukraine and other countries with the practice of the ECHR in the field of ensuring the human right to health protection. The structural method is used to study the types of medical human rights that are protected by the ECHR.; The article concludes that the right to health protection ensures the natural existence of an individual, is of great importance in the system of rights, and is an integral, natural achievement of mankind. It is emphasized that it is advisable for states to pay attention to the practice of the ECHR to ensure medical human rights in order to prevent violations of these rights and provide effective mechanisms for their implementation. The article notes that the ECHR does not recognize abortion and euthanasia as violations of the Convention. It is noted that the practice of the ECHR in dealing with cases of violation of the human right to health has become a guideline for health care reform in most countries of the European Union and has made it possible to achieve significant changes in the work of healthcare systems for the better. It has been determined that the main task of the ECHR and international organizations in resolving issues related to the protection of the human right to health care is the observance by the participating states of the Convention in this area.


Assuntos
Assistência à Saúde , Direitos Humanos , União Europeia , Humanos , Ucrânia
11.
Georgian Med News ; (304-305): 182-189, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965272

RESUMO

The article deals with issues related to the use of specialist medical knowledge by a specialist in the investigation of illegal medical activities. The procedural status of a specialist in criminal procedural legislation of Georgia, Ukraine and certain EU countries has been carried out. The analysis of forms and directions of the use of special knowledge in the course of interaction with the investigator, allows to establish a special value for the process of proving the involvement of a specialist in the field of medicine to conduct procedural actions. It was found that by means of special medical knowledge in the course of the investigation there will be more chances to establish the circumstances to be proven, to properly record the evidence and to increase the effectiveness of the procedural action. Based on the consultations with a medical specialist, in the course of organizational and technical cooperation with the investigator, it will help to identify all circumstances that will influence the qualification of the person's actions in conducting illegal medical activity. On the basis of comparison with the Ukrainian legislation, the role in the form of involvement in procedural actions is determined; coverage of procedural and forensic aspects of using specialist medical knowledge by a specialist. Emphasis is placed on procedural interactions between the investigator and the medical specialist by involving his investigative (search) actions, such as: review of scene of action, search, interrogation and investigative experiment. While characterizing the non-procedural form of interaction between the investigator and medical specialist, the role of the latter in providing consultations on the preparation and conduct of individual procedural actions, reference and advisory assistance regarding the availability of special medical knowledge and consequences resulting from treatment, as well as in formulating questions during the appointment of forensic investigations during the investigation of illicit medical activities has been established.


Assuntos
Criminosos , República da Geórgia , Humanos , Aplicação da Lei , Ucrânia
12.
Georgian Med News ; (304-305): 195-199, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32965274

RESUMO

The objective of this article is a comprehensive analysis and study of normative and legal acts regulating the reform of financing the health care system, the introduction of the programs of state guarantees for medical care of the population and determining the perspectives for implementing the programs of state guarantees for medical care of the population in Ukraine. The authors of the study have used theoretical (analysis, generalization, systematization, etc.) and empirical (observation, classification, comparison, etc.) methods.; The conducted analysis of international experience has established that countries such as Bulgaria, Georgia, Estonia, Lithuania, Moldova, Poland, Romania, Croatia and others had already gone through the process of introducing guarantees in the health care sector. It has been concluded that the main features of the term of "guaranteed package" should include: a clear definition of the rights to receive medical services; financing from the budget; consideration of the priority of various types of medical services.; The programs of medical guarantees of Ukraine during 2018-2020 have been analyzed. Specific features of their implementation have been determined; the tariff rates and correction factors have been analyzed. The main tariff rates for financing medical services have been distinguished: capitation rate; rate for the treated case or payment for diagnostically related groups; the rate on a medical service, where a separate service is the chargeable unit; global rate; rate on the results of the implementation of medical service contracts.


Assuntos
Assistência à Saúde , Bulgária , República da Geórgia , Lituânia , Ucrânia
13.
Wiad Lek ; 73(7): 1334-1338, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759415

RESUMO

OBJECTIVE: The aim: to study the possible role of psychosocial stressors in the emergence of anomalies of childbirth, as well as to examine their nature using the example of pregnant women who have been forcefully displaced from Donetsk and Luhansk regions of Ukraine. PATIENTS AND METHODS: Materials and methods: 115 internally displaced pregnant women from Donetsk and Luhansk regions, were surveyed. All women underwent a comprehensive neuropsychological examination of their psycho-emotional status via interviews, questioning, and psychological testing (Spielberg-Haning's Situational and Personal Anxiety Scale). The following analysis of the childbirth process' nature was conducted. RESULTS: Results: The prevalence of high level of situational and personal anxiety by the Spielberg-Haning's test were determined in the internally displaced women. This indicates a high level of social anxiety (stress) in these pregnant women. Labours in women in this group can be characterized by 3 main features: rapid (precipitated) labour with high levels of obstetric traumatism (tear of perineum) and labour medicalization (EDA). The characteristics described above are due to such labour activity anomalies as hypertensive uterine dysfunction - the cases when the speed and strength of uterine contractions significantly exceed the normative parameters. The reasons for the high level of pain in labour in displaced women could be objecttive and subjective factors: excessive nociceptor irritation due to cervical-uterine dysfunction and impaired individual perception of pain. CONCLUSION: Conclusions: Chronic psychosocial stress has an impact on labour activity in displaced women. A mandatory standard for managing such pregnancy is psychological counselling and correction of the identified disorders.


Assuntos
Distocia , Trabalho de Parto , Feminino , Humanos , Gravidez , Estresse Psicológico , Ucrânia
14.
Wiad Lek ; 73(7): 1397-1401, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759427

RESUMO

OBJECTIVE: The aim: To perform a retrospective analysis of leptospirosis morbidity in Ivano-Frankivsk region, to give the etiological characteristics of leptospirosis according to clinicallaboratory parameters, to determine the peculiarities of the course, prognostic features. PATIENTS AND METHODS: Materials and methods: Data of the State Enterprise "Ivano-Frankivsk Regional Laboratory Center of the Ministry of Health of Ukraine", reports and abstracts of medical records of the Regional Clinical Infectious Diseases Hospital for 2009-2018 were used. Clinical observation of patients, analysis of general-clinical, biochemical, and serological indices were carried out. RESULTS: Results: The leptospirosis morbidity in Ivano-Frankivsk region during 2009-2018 was higher than in general in Ukraine. Activation of foci of leptospirosis L. pomona and grippotyphosa in 2009-2013, decrease of L. grippotyphosa and increase of L. pomona foci and "new" L. autumnalis, australis, bataviae, cynopteri in 2014-2018 were noted. The emergence of leptospirosis L. autumnalis, which had a high virulence and caused a severe course, was noted. CONCLUSION: Conclusions: The leptospirosis morbidity in the Ivano-Frankivsk region over the past 10 years has exceeded the incidence in Ukraine and varied within 0.62-2.2 per 100,000. During the last 5 years, the serological structure has changed: L. pomona (27.7%) prevailed, L. grippotyphosa decreased (2.1%), L. bataviae and cynopteri, autumnalis increased (by 8.5%). Seasonality is shifted in the autumn-winter period (November-February) (L. grippotyphosa, australis, pomona, canicola). According to forecasts, leptospirosis induced by L. autumnalis was most adverse. Leptospiroses of serogroups L. australis, bataviae, cynopteri had a mild course, there were fewer complications.


Assuntos
Leptospirose , Hospitais , Humanos , Incidência , Estudos Retrospectivos , Ucrânia
15.
Wiad Lek ; 73(7): 1410-1414, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759429

RESUMO

OBJECTIVE: The aim: To analyze the epidemiological data and clinical course of pneumonia as a complication of influenza in the Poltava region, depending on the etiological agent. PATIENTS AND METHODS: Materials and methods: We have analysed the data of the official reporting documentation provided by the State Institution "Poltava Regional Laboratory Center of the Ministry of Health of Ukraine" and the chart of patients with a laboratory confirmed diagnosis of influenza who were in inpatient treatment at the Poltava Regional Clinical Infectious Hospital (PRCIH) in 2016-2018 years. In more detail, we examined 95 patients with pneumonia, which complicated the course of the flu. There were 43 (45.26%) female patients, - 52 (54.74%) male patients, aged 18 to 80 years. RESULTS: Results: Studies have shown that despite a decrease in the incidence of influenza in recent years, the incidence of pneumonia, which complicated the course of the flu, remained consistently high (19.7% - 20.8%) with bacteriological isolation of S.pneumoniae (22.11%), S.aureus (13.68%), Haemophilus influenza (4.21%) and E.coli (3.16%). Severe course of pneumonia with bloody sputum, evident shortness of breath, bilateral lung damage, and need for oxygen support were significantly more frequently reported in patients with isolated S.pneumoniae and S.aureus. However, the severe course of the disease with the formation of abscesses in the lungs was observed only in the group S.aureus despite the relatively young age of such patients and significantly fewer risk factors for severe influenza and comorbidities. CONCLUSION: Conclusions: The study showed a consistently high incidence of pneumonia, which complicated the flu and caused by S.pneumoniae, S.aureus, Haemophilus influenza and E.coli. Pneumonia caused by S.pneumoniae and S.aureus, were characterizedthe most severe course; however, a severe course with the formation of abscesses in the lung tissue was observed only in the group of S.aureus.


Assuntos
Influenza Humana , Pneumonia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Streptococcus pneumoniae , Ucrânia , Adulto Jovem
16.
Wiad Lek ; 73(7): 1415-1419, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759430

RESUMO

OBJECTIVE: The aim: To study the species composition of microorganisms isolated from patients with inflammatory processes of different localization and to monitor the sensitivity of isolated microorganisms to the most commonly used antibiotics. PATIENTS AND METHODS: Materials and methods: During 2017-2019, we examined 517 patients with acute inflammatory processes of the nasopharynx. To establish the etiological structure of pathogens of inflammatory processes, a microbiological study of nasopharyngeal washes was carried out using classical methods of isolation and identification of microorganisms. The sampling of the test material from patients was performed during the first visit to a doctor, before the appointment and implementation of etiopathogenetic therapy. To study the sensitivity of isolated microorganisms to antibacterial drugs, we used the method of paper disks (manufactured by "Pharmaktiv" Ltd. (Kyiv, Ukraine) and Himedia (India). RESULTS: Results and conclusions:The microflora of the mucous membranes of the nose and throat in patients with acute inflammatory processes of the nasopharynx is represented mainly by monoisolates of staphylococci and streptococci. The sensitivity of isolated microorganisms to antibiotics varied between different types of microorganisms and between different antibiotics.Cefazolin showed efficacy against all types of microorganisms. K. pneumonia strains showed the highest antibiotic resistance. Among the gram-positive cocci, 18 strains (4.2%) resistant to all antibiotics were isolated, which can be regarded as the circulation of hospital strains outside the medical institutions.


Assuntos
Microbiota , Antibacterianos , Resistência Microbiana a Medicamentos , Humanos , Testes de Sensibilidade Microbiana , Ucrânia
17.
Wiad Lek ; 73(7): 1438-1447, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759434

RESUMO

OBJECTIVE: The aim is to investigate the state of health of the students of Ukrainian higher education institutions. PATIENTS AND METHODS: Materials and methods: The study of state of health was conducted at Polissia National University and Zhytomyr Ivan Franko State University in 2008-2019. The results of a medical examination of 3737 students of different faculties between the ages of 17 and 22 were examined. Medical examinations were conducted by the doctors of the medical centers of universities. Totally 1208 pupils (male and female) of the schools of Zhytomyr region were involved in the questionnaire, which was conducted to analyze the attendance of physical education classes by pupils while studying at school. 648 students of Polissia National University participated in the study of the self-assessment of their own health, causes, and structure of disease incidence, the dynamics of the loss of labor capacity. RESULTS: Results: It was established that from 24 to 30.8 % of the students had diseases and a low level of physical development that indicated a low level of physical education at schools. It was revealed that the number of sick students was increasing during the study at higher educational institutions (HEI) that led to missing classes. Besides, up to 35.5 % of students had health disorders and belonged to a special medical group. And 1.7 % of the students had chronic diseases and disabilities and were exempted from sports. It was found that physical education and sports took the 5th place in the system of life values of male students and the 12th place in the system of life values of female students. CONCLUSION: Conclusions:Physical education, aimed at enhancing the functional capacity of an organism, the development of physical qualities, the improvement of the special physical and technical readiness in the sphere of physical activity types and the acquisition of professionally applied skills and abilities, is the basis for strengthening the health of students of Ukraine.


Assuntos
Educação Física e Treinamento , Estudantes , Adolescente , Feminino , Humanos , Masculino , Instituições Acadêmicas , Ucrânia , Universidades , Adulto Jovem
18.
Wiad Lek ; 73(7): 1459-1464, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32759437

RESUMO

OBJECTIVE: The aim: The toxicological-hygienic assessment of dermal absorption of diquat in terms of potential risk of its bioavailability in professional use. PATIENTS AND METHODS: Materials and methods: The object of the study was cutaneous exposure of diquat, determined in toxicological experiments of different duration (data of scientific literature) and at the stage of state testing of pesticide preparations based on diquat dibromide (data of a full-scale hygiene experiment, prognostic model of risk assessment), the technical concentrate of diquat dibromide (active substance content not less than 377 g / kg) contains relevant supplements, the content of which is regulated by the Food and Agriculture Organization. RESULTS: Results and conclusions: Due to the high risk of the diquat adverse effects affecting the personnel, general public and environment, the European Union has introduced administrative decisions to forbid plant protection products containing the diquat. Fulfillment of the conditions of the Association Agreement between Ukraine and the European Union indicates the need to develop common regulations and risk assessment methods aimed at ensuring high level of protection of human health and the environment.


Assuntos
Exposição Ocupacional , Diquat , Humanos , Praguicidas , Fatores de Risco , Ucrânia
19.
Wiad Lek ; 73(4): 638-641, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32731689

RESUMO

OBJECTIVE: The aim of the study was to conduct a comparative evaluation of the effectiveness of surgical treatment of acute ascending thrombophlebitis of the great saphenous vein using the endovascular high-frequency welding technique and traditional phlebectomy. PATIENTS AND METHODS: Materials and methods: Two groups were formed in the conducted study. Group I included patients (n=42) with the acute ascending thrombophlebitis of the great saphenous vein, in whom their thrombosed great saphenous vein was removed using the endovascular high-frequency welding technique. As a source of current, an EK300M1 Svarmed electric welding machine (Ukraine) was used. Electric welding of a thrombosed vein segment was carried out using the endovenous electric welding catheter. Group II included patients (n=31) with the acute ascending thrombophlebitis of the great saphenous vein, who underwent the traditional phlebectomy of the thrombosed great saphenous vein according to Babcock's technique. RESULTS: Results: In group I no patient revealed presence of pain syndrome with significant intensity during the postoperative period. An infiltrate along the coagulated segments ofnthe great saphenous vein, postoperative oedema and paresthesiae were observed in considerably fewer cases from group I versus group II (р=0.0005, р=0.0001, р=0.0018). During their follow-up for more than 12 months, 2 (4.76 %) of 42 patients from group I revealed partial recanalization of the great saphenous vein (р=0.632). In group I the postoperative inpatient period was 1.3±0.1 days. In group II the above period averaged 4.8±0.8 days (p<0.001). Absence of an intense pain syndrome in group I was caused by a gentle effect of high-frequency electric current itself on the venous wall and paravasal structures. A significant reduction of side effects and complications with a shorter stay of patients in hospital versus the traditional phlebectomy was achieved owing to reduction in the extent of injury of the surgical operation itself with the use of endovascular high-frequency welding. CONCLUSION: Conclusions: The technique of endovascular high-frequency welding in treatment of acute ascending thrombophlebitis of the great saphenous vein makes it possible to reduce the extent of injury of the surgical operation versus the traditional phlebectomy, results in a significant decrease in the number of side effects and complications and shortens the period of the patient's stay in hospital.


Assuntos
Tromboflebite , Insuficiência Venosa , Soldagem , Humanos , Veia Safena , Resultado do Tratamento , Ucrânia
20.
Wiad Lek ; 73(4): 679-683, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32731696

RESUMO

OBJECTIVE: The aim: To determine the dynamics of adaptation resources and the level of psychological safety of the personality in service members of the National Guard of Ukraine who participated in combat operations in the East of Ukraine. PATIENTS AND METHODS: Materials and methods: To determine the peculiarities of military personnel adaptation to the combat activity, the "Adaptability-200" and "Disdaptability-45" methodologies were used. To determine the level of psychological safety of combatants we used "Diagnosis of psychological safety personality" and "Express diagnosis of psychological safety personality" Methodologies. The study was carried out during 2017, with 163 military participating. RESULTS: Results: Being 2-3 weeks in combat conditions, 54% service members revealed high, 32% - average level of adaptability, and in 14% of them signs of non-adaptability were detected. The data of adaptation resources of combatants correlates with the results of diagnostics of psychological safety of personality: in 43% of them high level, 42% - average and 15% - low level of psychological safety were revealed. CONCLUSION: Conclusions: The data obtained in the absolute majority of service members (86%) shows a good adaptability to combat conditions, and allows predicting adequate response to extreme conditions, high probability of preserving of the mental health and disability after the influence of vital factors.


Assuntos
Militares , Adaptação Fisiológica , Humanos , Saúde Mental , Personalidade , Ucrânia
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