01. Кафедри
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Publication Burnout risk among german and ukrainiankindergarten teachers depending on individual stress coping strategies(2024) Darius, Sabine; Lysak, Maryna; Лисак, Марина Сергіївна; Zavgorodnii, Igor; Завгородній, Ігор Володимирович; Böckelmann, Irina; Kuhrmeier, M.Item Crossword puzzles as a tool for communication with students during independent work(International Scientific Unity, 2024-01) Syrova, Ganna; Chalenko, Natalya; Kozub, Svitlana; Kozub, PavloItem Deficiency of Klotho protein as a cause of linked angina in young patients with thoracalgic phenotype of gastroesophageal reflux disease(2024-10-11) Zazdravnov, A.; Pasiieshvili, Т.; Pasiyeshvili L.; Zhelezniakova, N.Item Особливості ехографії органів малого тазу при порушеннях менструальної функціїв періоді пубертату(2024-09-27) Диннік, Олександра Олексіївна; Dynnik, Oleksandra; Диннік, Вікторія Олександрівна; Dynnik, Viktoriia; Багацька, Наталья Володимирівна; Bagatska, NatalieItem Нealthy way of life for the human body, providing its prevention and treatment(2024) Kuzmina, Iryna; Kuzmina, OlgaA study was conducted, which makes it possible to increase the level of health of the population in the field of health care. The features of the influence of factors on health that affect the level of physical and mental health of a person are determined. Completed tasks that contribute to state policy and lead to the formation of a healthy lifestyle. and strengthening the health of the population.Item Vasyl Yakovych Danylevskyi's lecture on the doctor, the patient, and the successes of medicine (1921): annotated translation(2024) Biletska, O.; Korneyko, I.; Markovska, O.; Shevchenko, А.; Aleksanian, K.; Cherkova, N.; Dushyk, L.Unlike a mechanic, in front of a doctor there is a human being with all the manifestations of the feelings, with a painful soul, with aggravated egoistic intentions. The public easily forgives great failures and blunders of a quack but not a doctor. The doctor's duty is to forget about his personal troubles for the sake of his weak patient and to instill in him cheerfulness, spiritual fortitude, and optimistic expectations. In functional nervous disorders, the doctor can limit himself to psychotherapy only. A family doctor deserves greater respect and trust. A profound knowledge of all medicine is absolutely necessary for any specialized doctor. The doctor is obliged to serve public health – to supervise schools, factories, markets, railways, etc. The success of scientific medicine is not always known to the low-cultural public due to their insufficient popularization by the doctors. However, over the past 50 years, scientific medicine and medical practice have made tremendous progress: local and general anesthesia for operations, antisepsis and asepsis have been applied in surgery, organ transplant operations have been performed, vaccinations against cholera and bubonic plague in humans have been introduced, a new science – medical bacteriology has been founded, a successful fight against epidemic contagious diseases has been carried out, diagnostic reactions to typhoid fever, syphilis, Pasteur institutes have been established; fluoroscopy, chemotherapy are carried out, salvarsan has been invented to treat syphilis and relapsing fever; the therapeutic use of light rays and electrotherapy has begun; study of immunity, innate and acquired, anaphylaxis, study of immunity both innate and acquired, anaphylaxis, scientific psychiatry and psychotherapy is being developed, etc.Item Non-operative treatment of gunshot wounds of soft tissues(2024) Khoroshun, Eduard; Makarov, Vitaly; Nehoduiko, Volodymyr; Shypilov, Sergiy; Tertyshnyi, S.; Veryovkin, I.; Vastyanov, R.The purpose of the study was to analyze own experience of soft tissues gunshot wounds non-operative treatment. Clinical observations were performed on 829 wounded which were admitted to the Military Medical Clinical Centre of the Northern Region of the Command of the Medical Forces of the Armed Forces of Ukraine. All of the wounded were men. The wounded were randomized on 3 groups according to the needs for primary surgical treatment of the wound. All wounded received the same treatment. Foreign bodies (metal fragments) were partially removed with the help of a modern surgical magnetic tool. A third of all soft tissue gunshot wounds were proved do not require primary surgical treatment. The criteria for primary surgical treatment not performing are soft tissues gunshot wounds of small sizes, of different localization and number without signs of inflammation. Non-operative treatment of soft tissues gunshot wounds includes antibiotic prophylaxis, anti-tetanus toxoid administration, anesthesia, treatment of wounds with antiseptic solutions, aseptic wound dressings. Non-operative treatment of wounded with soft tissue gunshot wounds using the magnetic detection turned out to be highly effective in modern conditions for a significant number of people due to the acceleration of diagnostic process, treatment and recovery and due to entirely medical accompanying advantages.Item Mortality analysis in blunt combined trauma and polytrauma(2024) Panasenko, S.; Nehoduiko, Volodymyr; Nizar KerbazhIntroduction. Modern traumatism from the standpoint of clinical epidemiology meets the classification criteria of a global pandemic. Important factors triggering the global clinical and epidemiological picture are the unsatisfactory state of prevention of all types of injuries in developing countries, traffic injuries in industrialized countries and the progressively increasing number of armed conflicts. The aim of the study. To conduct a comparative clinical and epidemiological analysis of mortality in blunt combined trauma and polytrauma. Materials and methods. A retrospective single- center cohort 10-year clinical and epidemiological study of 933 fatal clinical cases of blunt combined trauma on the basis of polytrauma department of the Kyiv City Clinical Emergency Hospital has been conducted. Clinical diagnoses and forensic medical conclusions were transformed into Hannover Polytrauma Score scale codes. The clinical and epidemiological experiment was based on the clustering of the research array according to the severity of the injury. Results. As a result of the clinical and epidemiological experiment, 5 stable clusters which can be characterized as separate randomized clinical- epidemiological groups were obtained. Clinical profile was determined by the dominant injury: cluster-1 (patients with an extremely severe thoracic profile), cluster-2 (patients with a severe thoracic profile), cluster-3 (patients with an extremely severe abdominal profile), cluster-4 (patients with a severe neurosurgical profile), cluster-5 (patients with an extremely severe neurosurgical profile). Conclusions. Lethal blunt combined injury has a clear hierarchical structure based on the severity of the injury and the presence of dominant damage to the corresponding anatomical and functional area. The results obtained during the current study indicate the need to find new technological approaches to the treatment of extremely severe injuries, as well as treatment and prevention of the development of complications of severe injuries in order to reduce mortality in polytrauma.Item A rare case of blast injury of the chest and spine on the background of a congenital malformation in the form of a complete mirror image arrangement of internal organs(2024) Khoroshun, Eduard; Makarov, Vitaliy; Nehoduiko, Volodymyr; Shypilov, Serhii; Tertyshnyi, S.; Slesarenko, K.The aim is to demonstrate a clinical case of blast injury of the chest and spine against the background of a complete mirror image arrangement of internal organs. Clinical case. The injured S., 37 years old, received a blast injury during mortar shelling. Upon admission, the injured person complained of aching pain in the area of the X rib on the left and in the lumbar region. The pain worsened during movement. He has known about the malformations of internal organs since childhood, but only about the right-sided location of the heart. The final established diagnosis is combined blast injury of the chest and spine. Closed chest injury on the left, closed fracture of the X rib on the left. Closed fracture of the lumbar processes L3–4 on the right. Congenital malformation. A complete mirror image arrangement of internal organs. The injured person was taken to a territorial hospital base for further treatment, where he received painkillers, anti-inflammatory therapy, and prescribed multivitamins. The total bed-day was 7 days. The injured was taken to the Military Medical Commission and discharged in satisfactory condition to implement the decision of the Military Medical Commission. Conclusions. A congenital malformation in the form of a complete mirror image arrangement of internal organs is a rare pathology. Diagnosing a complete mirror image arrangement of internal organs is not difficult and is an accidental finding during the examination for the injury in this case. Anamnestic data help in the diagnostic search. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of a participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.Item Eryptosis contributes to gestational diabetes mellitus in maternal obesity(2024) Лазуренко, Вікторія Валентинівна; Железняков, Олександр Юрійович; Прокопюк Володимир Юрійович; Lazurenko, V.; Zhelezniakov, O.; Prokopiuk, V.Obesity is considered to be a risk factor for Gestational Diabetes Mellitus, which is characterised by hyperglycaemia in pregnant women. Recent studies have demonstrated that glycated erythrocytes are more prone to eryptosis, a unique regulated cell death observed only in mature erythrocytes.