DSpace Собрание:http://repo.knmu.edu.ua/handle/123456789/3782024-03-28T09:31:18Z2024-03-28T09:31:18ZMechanisms for Managing the Health Care System within the Conditions of the Coronavirus Pandemic (COVID-19)Chornyi, OlegIskiv, MarianaZagurska-Antoniuk, ViktoriiaBorysiuk, IrynaVolkova, YuliyaTerentieva, Nataliiahttp://repo.knmu.edu.ua/handle/123456789/280682022-06-28T09:01:57Z2020-11-01T00:00:00ZНазвание: Mechanisms for Managing the Health Care System within the Conditions of the Coronavirus Pandemic (COVID-19)
Авторы: Chornyi, Oleg; Iskiv, Mariana; Zagurska-Antoniuk, Viktoriia; Borysiuk, Iryna; Volkova, Yuliya; Terentieva, Nataliia
Краткий осмотр (реферат): The purpose of the academic paper is to study the most effective mechanisms for managing the health care system in the crisis caused by the spread of COVID-19. Methodology. The qualitative research methods (content analysis of strategic leadership) and a strategic approach to the formation of a mechanism for managing the health care system within the conditions of the coronavirus
pandemic have been used in the academic paper. The study is based on the concept of strategic management within the conditions of crisis based on data from the World Health Organization, which contains information on the response of health care systems to the coronavirus pandemic, management policy in terms of basic governance criteria. In order to analyze and assess the differences, advantages and disadvantages of governance, four countries with different levels of social-economic development and geographical location have been selected, namely: Germany, Georgia, Italy, and Ukraine. The results show the dependence of the effectiveness of health care management mechanisms within the conditions of the crisis on the level of centralization, social-economic development of the country. Advanced countries rely on their own governance apparatus with a greater level of regional independence in decision-making, in particular on legal regulation. Countries with economies in transition are dependent on the governance and coordination recommendations of international organizations due to the weakness of legal regulation, institutions, research organizations and the level of development of civil society institutions. The level of centralization of management mechanisms determines the level of effectiveness of legal regulation and institutional support. In terms of advanced countries, this causes some shortcomings in the management of the health care system, however in countries with economies in transition it leads to inefficient management due to excessive centralization. The practical significance lies in the possibility of transition economies to use the experience of advanced countries in the management of the health care system.2020-11-01T00:00:00ZМеханізми розвитку та інтенсивна терапія ускладнень травматичної хвороби у хворих з підвищеним індексом маси тілаКучерявченко, Валерій Вікторовичhttp://repo.knmu.edu.ua/handle/123456789/261592023-07-31T14:34:05Z2019-01-01T00:00:00ZНазвание: Механізми розвитку та інтенсивна терапія ускладнень травматичної хвороби у хворих з підвищеним індексом маси тіла
Авторы: Кучерявченко, Валерій Вікторович2019-01-01T00:00:00ZChanges in carbon exchange in patients with post-operative cognitive dysfunctionDubivska, SvitlanaHryhorov, Yuriihttp://repo.knmu.edu.ua/handle/123456789/259932022-09-08T13:33:26Z2020-04-01T00:00:00ZНазвание: Changes in carbon exchange in patients with post-operative cognitive dysfunction
Авторы: Dubivska, Svitlana; Hryhorov, Yurii
Краткий осмотр (реферат): The main blood cells involved in the transport of oxygen and carbon dioxide are erythrocytes [1-4, 8]. Basically, all factors that cause an increase in lactate content, as a rule, lead to an increase in the concentration of pyruvate in the blood, so lactate and pyruvate are recognized at the same time. Lactic acid (lactate) in the body is the end product of glycolysis (anaerobic oxidation of glucose) and glycogenolysis - the processes of glycogen oxidation. Lactate in energy exchange reactions is a metabolic ―dead end‖ because lactate can further be converted into gluconeogenesis reactions. Lactate does not accumulate as a final product and maintains equilibrium with pyruvate. The lactate concentration may depend on the concentration of pyruvate, the intracellular redox state, pH. The effect of the cumulative effect of these factors determines the concentration of lactate, in particular under general anesthesia.2020-04-01T00:00:00ZInfluence of anesthesia type on intraocular pressure during spine surgery in prone positionLyzohub, MykolaGeorgiyants, MarineLyzohub, KseniiaVolkova, JuliiaDmytriiev, DmytroDmytriiev, Kostiantynhttp://repo.knmu.edu.ua/handle/123456789/259672022-06-28T04:05:28Z2020-01-01T00:00:00ZНазвание: Influence of anesthesia type on intraocular pressure during spine surgery in prone position
Авторы: Lyzohub, Mykola; Georgiyants, Marine; Lyzohub, Kseniia; Volkova, Juliia; Dmytriiev, Dmytro; Dmytriiev, Kostiantyn
Краткий осмотр (реферат): The aim was to examine intraocular pressure (IOP) during lumbar spine surgery in PP under general vs spinal anesthesia and to compare it with volunteers in PP. Materials and methods: We performed randomized prospective single institutional trial. Patients were operated in PP with fxation of 1-2 spinal segments. Patients of group I (n = 30) were operated under SA, group 2A (n = 25) – under TIVA (total intravenous anesthesia) with 45° head rotation (left eye was located lower, than right eye), group 2B (n=25) – under TIVA with no head rotation (both eyes were located on the same level). IOP was measured with Maklakov method before and after surgery. Volunteers (n = 20) were examined before and 90 minutes after lying in PP with 45° head rotation.
Results: In all patients and volunteers after lying in PP, we found that IOP have increased. In SA patients and in TIVA patients with no head rotation there was no difference between eyes. The most signifcant raise of IOP was found in the dependent eye of IIA group patients: it was higher than in volunteers and I group patients (p < 0.01), and IIB group patients (p < 0.05). In SA patients there was no difference in IOP comparing to volunteers.
Conclusions: IOP increased in PP in healthy people and patients under anesthesia (SA and TIVA). IOP in SA patients did not differ from volunteers. IOP increased superiorly in the dependent eye in TIVA patients.2020-01-01T00:00:00Z