Proceedings of the Shevchenko Scientific Society. Medical Sciences最新文献

{"title":"STATEMENT IN SUPPORT OF ACADEMICIANS OF UKRAINE","authors":"G. Jaskiw","doi":"10.25040/ntsh2022.01.01","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.01","url":null,"abstract":"In 2017, I was invited by Dr. Zayachkivska, Chair of the Physiology Department in Danylo Halytsky Lviv National Medical University, to participate in a scientifi c conference at your institution in Lviv. I had the pleasure of discussing the neurobiology of PTSD, evaluating the work of your young scientists, and, of course, meeting many of you, I very fondly recall our time together in your beautiful city. Since then, we have maintained contact. I’m honored to be editor and reviewer for the Proceedings of the Shevchenko Scientifi c Society nowadays. Today I would like to express my unequivocal solidarity with you and with all Ukrainians, who are resisting the unprovoked, totally unjustified and brutal war being waged against you by the Russian Federation. Along with the rest of the civilized world, I recoil in horror at the indiscriminate bombing of hospitals, schools, and homes and the murder of so many innocents, including women and children. Know that I, and countless others like me, are with you in our thoughts and in our actions. We condemn the brutal and illegal acts of Putin’s regime. I call on members of the global academic community to recognize that, as scientists, we cannot sit idly in our laboratories or offices while war crimes are being committed in front of our eyes. We have a moral obligation to end this wanton killing and destruction. Let us urge our respective governments to continuously increase economic and political pressure on the Russian Federation to immediately stop the war. In the interim, we need to demand a no fly zone to allow those who wish to leave safe passage and allow humanitarian aid to reach those living under siege in basements and bunkers, often without food, water, and medical assistance. In parallel, our countries need to be prepared to receive refugees and to provide financial support to Ukraine as she fights for her existence. In addition, I call on all my colleagues to personally and through their institutions suspend all academic activity with scientists and institutions in the Russian Federation, with two exceptions. We should continue collaborations that impact direct clinical care. We cannot descend to the abject evil practiced by those who have lost their humanity. We should also recognize and reward those colleagues in the Russian Federation who declare their opposition to the systematic and wide-ranging violence their government is engaged in. The suspension of academic contacts must continue until the killing stops and the armed forces of the Russian Federation leave every part of Ukraine’s territory. I also have this appeal to academics and scientists in the Russian Federation. We know that Russia’s descent into its present autocracy has been gradual. We also know that many of you are quietly opposed to the ongoing crimes against humanity. There is no animus towards Russians as a people. There is, however, revulsion and righteous anger at the actions of the Russian Federation, which is supported ac","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128467577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MENTAL HEALTH OF HEALTHCARE WORKERS DURING COVID-19 PANDEMIC IN UKRAINE","authors":"V. Pishel, M. Polyvianaia, I. Pinchuk, Olha Myshakivska, G. Thornicroft, C. Hanlon","doi":"10.25040/ntsh2022.01.12","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.12","url":null,"abstract":"Introduction. Health care professionals experience severe occupational and psycho-emotional stress during the COVID-19 pandemic, which put them at high risk of mental disorders. The aim of the study was to examine the mental health of healthcare workers who provided treatment and support to patients with COVID-19. Materials and methods. A set of standardized psycho-diagnostic scales to assess the symptoms of depression (PHQ-9), anxiety (GAD-7), insomnia (ISI) and the impact of traumatic events on psycho-emotional state (IES-R) was used for an online survey of healthcare professionals from all regions of Ukraine during 04/04/2021 to 05/29/2021. A comparative study was conducted comparing two groups of specialists who provided (n = 441) or who did not support (n = 40) patients with COVID-19 on socio-demographic characteristics and indicators of psycho-diagnostic scales. Results. In total 500 staff were invited to take part in this survey. A signifi cant number of health workers in both groups experienced symptoms of mental disorders, indicating the negative impact of the COVID-19 pandemic on their mental health. However, in the group of medical professionals who provided care to patients with COVID-19, there were more pronounced symptoms of depression (p = 0.010), anxiety (p = 0.010), sleep disturbances (p = 0.018) compared with the group of specialists who did not provide direct care to COVID-19 patients. Statistically signifi cant diff erences were also obtained on the IES-R scale: subscales “avoidance” (p = 0.048), “intrusion” (p = 0.021), “hyperarousal” (p = 0.035). Conclusions. Healthcare professionals who care forCOVID-19 patients have a signifi cantly increased risk of mental health problems and require particular attention and the development of special programs of psychological support and psychiatric care","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"76 s324","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113953565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CEREBRAL VASCULAR MALFORMATIONS AND TUMORS IN THE ELOQUENT BRAIN AREAS: RADIOLOGICAL CRITERIA FOR NEUROSURGICAL TREATMENT","authors":"A. Netliukh, T. Malysheva, O. Kobyletskyi, Ruslana Falion Falion, I. Dutka, Iryna Komnatska","doi":"10.25040/ntsh2022.01.15","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.15","url":null,"abstract":"Introduction. We believe, that in the planning of the surgical removal of cerebral vascular malformations (CVM) of eloquent brain areas, a question of whether they include the functionally sustainable brain tissue remains relevant. The question of whether the surgical procedure is safe is paramount. Aim. To assess the value of magnetic resonance (MR) tractography in deciding on the tactics of surgical treatment of CVM through comparison with morphological studies. Study methods. A review of the literature concerning the surgical treatment of cavernous malformations (CM) and arteriovenous malformations (AVM) localized in eloquent brain areas (EBA). Four patients with CVM of EBA were selected based on the availability of MR tractography data and histologic specimens. The method of optical microscopy was used to study microslides stained with the classic (hematoxylin-eosin) and specialized methods (Masson’s and Hart’s methods). Results. Patients’ MR-tractography data showed the presence of conductive paths in the tissues of CM and AVM and the reduced fractional anisotropy in the regions of interest, which indicates their involvement. During optical microscopy of specimens of CVMs, we found brain tissues between pathological vessels. To our opinion, this explains the visualization of conducting paths in CVMs during MR tractography. Conclusions. When planning surgeries in case of CVMs, attention should be paid to the results of conductive path visualization. According to MR tractography and morphological data, in some cases, there is brain parenchyma in the structure of CMs and AVMs, which may require additional attention in deciding on the radical resection of CVMs of EBAs.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122322702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"10TH INTERNATIONAL SCIENTIFI C-PRACTICAL CONFERENCE “CHRISTMAS READINGS IN LVIV”: “COVID-19, LONG-COVID-19, POST- COVID-19: THEIR MULTIPLICITY AND IMMUNE DISORDERS”","authors":"S. Zubchenko, Olena Nadizhko, Natalya Horbal, I. Gaiduchok, A. Gasparyan","doi":"10.25040/ntsh2022.01.03","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.03","url":null,"abstract":"Traditionally, before the beginning of the Christmas season in Lviv, the Department of Clinical Immunology and Allergology of Danylo Halytsky Lviv National Medical Uni- versity, headed by the Honorary Doctor of Ukraine, Doctor of Medical Science, Pro- fessor Valentyna Chopyak, organizes inter- national conferences on clinical immunolo- gy, allergology and related disciplines. This year, which is the tenth anniversary of this tradition, the Conference, held on December 9-10, was dedicated to the most urgent issue of the year “COVID-19, LONG-COVID-19, POST-COVID-19: THEIR MULTIPLICITY AND IMMUNE DISORDERS”. The conference was organized jointly with the Ministry of Health of Ukraine, NAS of Ukraine and NAMS of Ukraine, Danylo Halytsky Lviv National Medical University, Department of Health of Lviv Regional Administration, Lviv Regional Clinical Diagnostic Center, LLC “Lviv Medical Institute”, Ukrainian Society of Immu- nology, Allergology and Immunorehabilitation and the Shevchenko Scientific Society.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115984844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VOLUME SELECTION OF SURGICAL TREATMENT IN PATIENTS WITH CARPAL TUNNEL SYNDROME","authors":"A. Rushay, Y. Lisaychuk, I. Voyennyy","doi":"10.25040/ntsh2022.01.17","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.17","url":null,"abstract":"Carpal tunnel syndrome CTS most often occurs among compression neuropathies and tunnel syndromes of the upper limb. The existence of many surgical treatment methods indicates the need for an individual approach in their implementation. The purpose of the paper is to clarify the determining factors for the best intervention in terms of the scope and to evaluate the eff ectiveness of proposed principles. Materials and methods. We observed 52 patients with carpal tunnel syndrome with unsuccessful conservative treatment; electroneuromyographic and ultrasound signs of gross changes in the structures of the carpal tunnel. There were 19 men and 33 women (36.5% and 63.5%, respectively). In all patients, the intervention started with a 2.5 cm access and revision of the carpal tunnel structures. In cases where their gross anatomical changes were verifi ed, the access was expanded to 5-5.5 cm and the intervention was performed not only on the carpal ligament but also on altered structures using microsurgical techniques and optical magnifi cation. Results. The dynamics of indicators of the Boston BCTQ questionnaire and the VAS were in full agreement with the degree of anatomical and functional disorders. This trend persisted after 4 weeks, and by the 3rd and 6th months, the results were close and, in the end, practically did not diff er. Conclusions. Carpal tunnel syndrome is the most common of compression neuropathies and upper limb tunnel syndromes. Surgical treatments are diverse. Clarifi cations of the indications for using each of them will allow personalizing the intervention.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129728380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PROFESSIONAL BURNOUT IN HEALTHCARE WORKERS: SIGNS, CAUSES, PREVENTION AND TREATMENT","authors":"P. Oliinyk, V. Chaplyk, Ye.N. Timchenko","doi":"10.25040/ntsh2022.01.08","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.08","url":null,"abstract":"Introduction. The article provides a review and analysis of scientifi c works on the issue of professional burnout in healthcare workers. The two important indicators of the health organization’s effi ciency are the prevention of professional burnout in healthcare workers and the quality of provided medical care. This review aims to analyze the available scientifi c information and summarize the data on preventive measures to prevent professional burnout in healthcare workers. Methods. The full-text articles published in the databases E-Library, CrossRef, PubMed, Web of Science, and Scopus were analyzed to systematize the data on measures aimed at preventing professional burnout in healthcare workers. Moreover, a couple of earlier publications of historical interest were analyzed as well. Results. The core symptoms and factors that trigger professional burnout in healthcare workers were analyzed, including doctors, dealing with the consequences of the COVID-19 pandemic and military physicians. Both its causes and consequences were determined. Professional burnout can be described as a combination of psychosomatic and somatic disorders, as well as symptoms of social dysfunction. Preventive measures against professional burnout have to cover a wide range of causes and include various treatment tools. Meanwhile, determining the exact causes of professional burnout in healthcare workers should become the top priority direction. Conclusion. Methodologically sound studies of professional burnout in healthcare workers should be fi nanced. If the issue of professional burnout prevention is not resolved at the state level, it will jeopardize the sustainability of the entire healthcare system’s functioning.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126134695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CEREBROCARDIAL SYNDROME IN ISCHEMIC STROKE","authors":"Sergiy Stadnik","doi":"10.25040/ntsh2022.01.09","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.09","url":null,"abstract":"Cerebrocardial syndrome is a complex of cardiac disorders that occur against the background of damage to the central nervous system and most often develop as a result of cerebral stroke. The article presents a description of a clinical case of cerebrocardial syndrome in a patient with ischemic stroke, the results of diagnostic measures, the dynamics of the electrocardiogram. The clinical significance of cerebrocardial syndrome is that it can cause diagnostic errors and overdiagnosis of cardiac pathology in situations where it does not exist, and, accordingly, lead to improper treatment. An individual approach to the assessment of cardiac disorders in patients with cerebral stroke and regular changes in the neuroendocrine, immune systems, hemostasis system will provide for a timely diagnosis of cerebrocardial syndrome, optimization of treatment and improved prognosis.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132790312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEMYELINATING DISEASE AFTER COVID-19 INFECTION","authors":"N. Bozhenko, M. Shorobura, A.V. Paenok, L. Lapovets, T. Nehrych","doi":"10.25040/ntsh2022.01.06","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.06","url":null,"abstract":"SARS-COV-2 is a neurotropic virus that can trigger a large-scale outbreak of neurological complications in the future. SARS-COV-2 virus has neuroinvasive and neurotropic properties allow it to enter the central nervous system (CNS) and infect neurons, accumulate in nervous tissue and promote the development of delayed neurodegenerative processes. Among the neurological complications of SARS-CoV-2 to date, we can distinguish a group of demyelinating lesions of the CNS. The paper describes two cases of severe COVID-19, which were accompanied by neurological disorders and multifocal white matter lesions on MRI, which may correspond to demyelinating CNS disease. Both cases may be a manifestation of an acute infectious demyelinating process associated with COVID-19, as the clinical picture was appropriate, and neuroimaging showed multifocal lesions of the white matter. Other clinical signs confi rming this diagnosis were previously confi rmed acute viral COVID-19 infection and the absence of a history of demyelinating diseases such as multiple sclerosis in both patients. Monitoring such patients can help to understand better and identify factors in the early stages of the disease and to predict its progression. In the future, it will also allow the development of eff ective treatment strategies and the ability to reduce the risk of demyelinating process or its progression during SARS-CoV-2 infection.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"364 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134503314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE STUDY OF CHEMOSENSORY DYSFUNCTION IN PATIENTS AFTER COVID-19","authors":"Oksana Moskalyk, O. Semenyuk, Myroslav Kruk, V. Hayevskyy, O. Tynitovska, O. Chorniy, Ira von-Nagy, Nataliya Pidkovka","doi":"10.25040/ntsh2022.01.13","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.13","url":null,"abstract":"Introduction. Olfactory disorders are observed in infectious and non-infectious diseases, but caused a new wave of attention as one of the fi rst and often the only symptoms of COVID-19 at the beginning of the pandemic. Aim. To evaluate the prevalence, degree, duration of olfactory and taste disorders in patients with COVID-19, their relationship with the severity of the disease and the impact on the quality of life. Materials and methods. 699 patients after COVID-19 were interviewed using the electronic questionnaire, which was developed based on the available data and our observations about the most common symptoms in COVID-19 patients. The questionnaire consisted of 35 main questions on the topic of the study organized in 3 sections. Response forms were closed, semi-closed or open. Two questions on screening for mood disorders were taken from the Patient Health Questionnaire (PHQ). Patients were asked to rate their sense of smell and taste on a 10-point visual analog scale (VAS). Results. In most cases, olfactory and taste impairment occurred immediately after the appearance of other symptoms reaching a peak on 3-5th days of illness and did not improve after clinical recovery. Patients experienced varying degrees of hypo-, par- and cacosmia, subsequently even changing their food and behavioral habits (such as reducing or quitting smoking). Conclusions. The recovery of smell and taste had a clear direct correlation. More than half of the patients needed an in-depth assessment of their mental health most likely due to the combination of factors, including the impairment of smell and taste.","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127814611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACUTE KIDNEY INJURY INDUCED WITH INTRAVENOUS CONTRAST AGENTS FOR MEDICAL RADIOLOGICAL INTERVENTIONS: INCIDENCE AND DETERMINATION OF THE INFLUENCING FACTORS","authors":"Stanislav Kukhlevskyy, C. Erley, M. Tölle","doi":"10.25040/ntsh2022.01.18","DOIUrl":"https://doi.org/10.25040/ntsh2022.01.18","url":null,"abstract":"Medical radiological diagnostic or therapeutic interventions are widely used as routine medical procedures in patients of all ages. At the same time, radiographic contrast agent exposure has been increasingly blamed for acute kidney injury (AKI) which reduces patients’ quality of life. This study aimed to explore the diff erences in incidence and infl uencing factors for AKI and its subtypes among patients after radiological diagnostic or therapeutic interventions with intravenous contrast agents, including computed tomography (CT), angiography, and magnetic resonance imaging (MRI). This observational study included 8060 patients (from the large nephrological clinic in Berlin, Germany) and AKI was diagnosed according to AKIN criteria ranging. The pooled prevalence of AKI was 9 %. Patients with AKI aged 60–79 years (51%) and 80–100 years (37%), respectively, were predominant. AKI was signifi cantly associated with using iodinated radiographic contrast agents (94 %) after CT and angiography and 92 % of patients had AKIN 1. The prevalence of AKIN 2 and AKIN 3 was higher among patients after MRI with non-iodinated radiographic contrast agents. To sum up obtained results, the incidence of AKI among patients after intravenous contrast agents for medical radiological interventions is low. Diff erences in the prevalence of AKI were found to be related to age and the type of contrast agents used","PeriodicalId":140699,"journal":{"name":"Proceedings of the Shevchenko Scientific Society. Medical Sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125642081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}