Journal of the Grodno State Medical University最新文献

{"title":"HISTORY OF AMPUTATION PRACTICE IN CONNECTION WITH WARFARE. PART 1. ART OF AMPUTATIONS FROM THE ANCIENT TIMES TO THE SECOND HALF OF XVIII CENTURY","authors":"A. A. Bakhta, N. E. Khilmonchyk","doi":"10.25298/2221-8785-2024-22-3-282-287","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-3-282-287","url":null,"abstract":"Limb amputations are one of the oldest surgical operations that are known to the humankind. Over the millennia of medical practice, the technique of amputations has been constantly changing and improving, either under the influence of the inventions made by outstanding surgeons or new stages of technical progress. In the first part of the article on the ground of literary sources, the main stages of the development of the mastership of amputation from the Primitive era to the second half of the XVIII century in direct connection with the evolution of warfare as well as key inventions and outstanding personalities are reviewed. The further development of the art of amputations from the second half of the XVIII century to Modern times is reviewed in the second part of the article.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"2009 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851569","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":"SUICIDAL ACTIVITY: A STATISTICAL RETROSPECTIVE","authors":"S. Bukin","doi":"10.25298/2221-8785-2024-22-3-229-238","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-3-229-238","url":null,"abstract":"Purpose. To determine the statistical features of the frequency of suicides in the Grodno region with regard to time intervals as well as medical and social risk factors for suicide. Material and methods. In the present study we used statistical data for the Grodno region for the period 2004-2023 concerning the population size and the number of suicides as well as the maps of analysis of the causes of suicides committed in 2010-2023 (n=1520). Results. The established statistical features of the frequency of suicides in the Grodno region indicate that suicidal activity, as a population feature, is independent of the population size; it is determined and has characteristic dynamics over annual intervals and extremes within the year, month, week and day. In the structure of pre-suicide, medical and social factors not related to health conditions and comorbid with alcohol abuse predominate. Сonclusions. The established in the study statistical patterns of suicidal activity of the population of the Grodno region, which are quantitatively associated with time intervals within the day, week, month and year and qualitatively with the dominant medical and social characteristics present in pre-suicide, indicate that suicide is a population feature and causes of suicides in particular cases are determined by the suicider’s inheriting of some features of a society as an element and a formal model of this society.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"9 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838445","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":"POPULATION’S ATTITUDE IN THE REPUBLIC OF BELARUS TO THE USE OF IN VITRO FERTILIZATION","authors":"A. V. Salmina","doi":"10.25298/2221-8785-2024-22-2-154-160","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-154-160","url":null,"abstract":"Purpose. To identify the attitude and stereotypical perception of the population about the use of in vitro fertilization (IVF) in the Republic of Belarus. Material and methods. A sociological survey of a representative republican sample, which consisted of 1805 respondents (851 (47%) men, 954 (53%) women) aged 18 to 65 years, was performed. Results. In general, there is a positive attitude on the part of society towards reproductive technologies (21.6% of respondents claimed absolutely positive attitude and 30.2% had rather positive attitude to IVF; a neutral attitude was revealed in 37.1% of respondents). Some of the population retain stereotypes associated with varying degrees of influence of reproductive technologies on the psychophysical health of children (about 34%). Conclusion. A system of measures is needed to improve the preparation of married couples with an established diagnosis of infertility and the ineffectiveness of other treatment methods for artificial conception. This approach will minimize the number of failed IVF cycles and reduce the risk of complications for the mother and child. The effective use of assisted reproductive technologies (ART) with positive outcomes in overcoming infertility will contribute to the formation of a positive attitude towards reproductive technologies on the part of society.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031121","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 WAY TO HEALTH AND PROGRESS IN THE FIELD OF PUBLIC HEALTH AND HEALTH CARE (TO THE 80TH ANNIVERSARY OF THE BIRTH OF GENRIKH IVANOVICH ZABOROVSKY)","authors":"N. E. Khilmonchyk","doi":"10.25298/2221-8785-2024-22-2-190-192","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-190-192","url":null,"abstract":"This article presents a biography of a well-known specialist in our University with many years of experience in the field of public health and healthcare, Candidate of Medical Sciences, associate professor G. I. Zaborovsky. Key moments of his career, scientific interests and achievements are highlighted.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"69 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032592","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":"SURGICAL APPROACH TO INFECTION TREATMENT IN RECONSTRUCTIVE SURGERY ON THE AORTA AND ARTERIES OF THE LOWER LIMB","authors":"N. N. Iaskevich, Ya. I. Kepurko, T. I. Lapai, V. P. Vasilevsky","doi":"10.25298/2221-8785-2024-22-2-107-118","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-107-118","url":null,"abstract":"Background. The relevance of the literature review is explained by the frequent development of purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities. Objective. To analyze the literature covering the problem of purulent-septic complications after reconstructive surgery on the aorto-femoral-popliteal arterial segment. Material and methods. A total of 50 literature sources were analyzed. Results. Purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities are caused by many factors. There are various types of purulent and septic complications arising after arterial surgery, and several algorithms of their treatment have been proposed. However, the results of their practical use do not allow us to claim a positive solution to this problem in angiosurgery. Conclusions. With the development of purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities, individual surgical solutions are required.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"2000 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027343","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":"ALGORITHM FOR EFFECTIVE USE OF VITAMIN AND MINERAL SUPPLEMENTS","authors":"V. Kodentsova, D. Risnik, A. G. Moiseenok","doi":"10.25298/2221-8785-2024-22-2-177-184","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-177-184","url":null,"abstract":"At present time, there is a huge range of vitamin and mineral supplements (VMS), that differ in composition and doses of micronutrients, which complicates the choice and their effective use. The purpose of the review is to substantiate the algorithm for effective use of VMS for the correction of micronutrient deficiency. The general pattern in the VMS administration is that there is an inverse relationship between the dose of micronutrients and the increase in their concentration in a fasting blood test after an overnight break. Improving vitamin status requires time, that is longer when taking VMS with low doses, and for each vitamin the time to achieve optimal concentrations is different. To optimize the vitamin status by means of VMS administration containing vitamins in doses corresponding to 100% of the recommended daily intake (RDI) takes from 1.5 months for B vitamins to 3-5 months for vitamin D. A course of VMS administration for 1 months may not be enough to correct the deficiency of all vitamins. After stopping additional use of VMS, a “wash-out” of vitamins occurs for one to several weeks, i.e. decrease of blood concentration and return to the original state of deficiency. A universal, scientifically based scheme for the effective use of VMS consists of a course of VMS administration with high (200-300% of the RDI) micronutrients, especially after an illness or taking antibiotics, and then switching to constant use of VMS containing deficient micronutrients in a dose of 50-100 % of RDI. Women during the periconceptional period and throughout pregnancy are recommended to take daily multicomponent VMS, specifically designed for pregnant women, containing doses of micronutrients that correspond to the physiological needs of the body.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"8 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058017","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 POTENTIAL OF USING THE DYNAMICS OF ELECTROCARDIOGRAPHIC PARAMETERS IN DETECTING CARDIOTOXICITY 12 MONTHS AFTER THE END OF CHEMOTHERAPY FOR BREAST CANCER WITH DOXORUBICIN","authors":"I. A. Karputs, V. A. Snezhitskiy, M. N. Kurbat, E. A. Snezhitskaya, О. М. Kropa, I. N. Korabach, A. Babenka","doi":"10.25298/2221-8785-2024-22-2-127-136","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-127-136","url":null,"abstract":"Background. Changes in electrocardiographic parameters of the heart, reflecting the processes of depolarization and repolarization of the myocardium, can be signs of early cardiotoxicity (CT). Aim. To study changes in electrocardiographic parameters of the myocardium in patients with verified breast cancer 12 months after the end of chemotherapy with doxorubicin. Material and methods. The study included 100 patients with a confirmed diagnosis of breast cancer who were treated at the health care institution “Grodno University Clinic” (Grodno, Belarus). A number of electrocardiographic parameters of the myocardium were measured in patients before and 12 months after the end of chemotherapy using electrocardiography and 24-hour Holter monitoring. Results. A statistically significant increase in electrocardiographic parameters of depolarization and repolarization was revealed (P, P-Q, Tpeak-Tend, Q-Tc / QRS, Q-Tc - p<0.007; p<0.001; p=0.042; p=0.009; p<0.001, respectively) before and 12 months after the end of chemotherapy. A change in the time and total number of episodes of sinus tachycardia and supraventricular extrasystoles was also noted (p=0.029, p=0.026 and p=0.002). The Tpeak-Tend indicator changed statistically significantly in the CT+ subgroup (p=0.032) after 12 months. The dynamics of the Q-Tc indicator before and 12 months after the end of chemotherapy was observed in almost all patients. However, in the CT+ subgroup, an increase in Q-Tc was recorded statistically significantly more often compared to the CT- subgroup (p <0.005). Conclusion. During chemotherapy with doxorubicin, an increase in Tpeak-Tend and Q-Tc was observed. An especially significant increase in these indicators was noted in the CT+ subgroup. The number and duration of sinus tachycardia episodes as well as the number of supraventricular extrasystoles also increased. This may correlate with the relationship between chemotherapy with doxorubicin and the dynamics of electrocardiographic parameters.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"16 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029819","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":"POSSIBILITIES TO IMPROVE TREATMENT RESULTS IN PATIENTS WITH CHRONIC PLEURAL EMPYEMA ACCOMPANIED BY BRONCHOPLEURAL FISTULAS","authors":"D. Vakulich, A. S. Karpitsky, A. Shestiuk","doi":"10.25298/2221-8785-2024-22-2-147-153","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-147-153","url":null,"abstract":"Background. Treatment of pleural empyema in combination with bronchial fistula is aggravated by severe purulent-resorptive intoxication, which often leads to long periods of treatment with chronicity of the process and is still considered an urgent problem of modern pulmonology and thoracic surgery. Objective. To analyze the results of treatment of patients with chronic pleural empyema accompanied by bronchopleural fistulas using controlled vacuum aspiration, including in combination with the installation of a reverse endobronchial valve. Material and methods. The results of treatment of 38 patients with chronic pleural empyema in combination with bronchopleural fistula using controlled vacuum aspiration technology, including implantation of an endobronchial blocker in 15 of them were analyzed. Results. A method of hybrid surgical treatment of pleural empyema based on application of vacuum aspiration with implantation of an endobronchial blocker was developed. The technique of using adjustable vacuum aspiration in combination with endobronchial blocker implantation provides long-term and adequate blocking of the fistula-bearing bronchus without the risk of pneumonic complications in the blocked part of the lung. Vacuum aspiration based on the creation of local negative pressure accelerates the healing process of empyema cavity and eliminates intoxication syndrome, while their combination makes it possible to reduce the average duration of unstable pneumostasis from 295 days to 3 days, to shorten the total duration of treatment measures almost 4 times as well as to decrease mortality (from 6.2% in the comparison group to 0% in the main group). Conclusions. The use of endobronchial blocking in combination with vacuum aspiration of contents from the purulent cavity for the treatment of patients with chronic pleural empyema reduces the average duration of pneumostasis stabilization, the total duration of therapeutic measures as well as mortality.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"45 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041180","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":"CLINICAL SIGNIFICANCE OF ULTRASOUND PARAMETERS FOR THE DIAGNOSIS OF DIFFICULT INTUBATION OF THE RESPIRATORY TRACT","authors":"R. Yakubtsevich, A. V. Poludzen","doi":"10.25298/2221-8785-2024-22-2-119-126","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-119-126","url":null,"abstract":"Background. The relevance of the review is due to the increasing development of ultrasound and its role in anesthesiological practice, in particular, as a method of predicting difficult cases of intubation of the respiratory tract. Objective. To analyze the literature on the clinical significance of ultrasound parameters for the diagnosis of difficult intubation. Material and methods. A total of 33 literature sources were analyzed. Results. Information was obtained on the presence in anesthesiological practice of a number of ultrasound parameters, that to one degree or another have a direct relation to difficult intubation. Conclusions. Based on research, it has been established that separately some ultrasound parameters have a fairly high sensitivity in predicting difficult intubation, but when several parameters are combined, their effectiveness as predictors of problems in prosthetics of the respiratory tract increases significantly, and in some cases these methods have greater prognostic value than the modified Mallampati score and the Kormack-Lehane score.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"45 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041188","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":"METHODS FOR ASSESSING THE HEALTH-IMPROVING FACTORS OF THE HEALTH RESORT SECTOR","authors":"N. D. Tsitkova, S. V. Goubkin","doi":"10.25298/2221-8785-2024-22-2-167-172","DOIUrl":"https://doi.org/10.25298/2221-8785-2024-22-2-167-172","url":null,"abstract":"Background. Preventive measures aimed at preserving the health of the country's population should be based on health-resort rehabilitation and treatment using the healing factors of health resorts. In this regard, the study, from the point of view of a systematic approach, considers the data availability assessment of the health-improving factors that affect the activities of the health resort sector in the regions of the country with prioritization of the activities of health resort The purpose of the study is to establish the data availability assessment of health-improving factors that affect the activities of health resort organizations. Material and methods. A retrospective analysis of the sources of official statistical data, the state cadastre systems of natural resources, the results of scientific research in the health resort sector and health resort organizations. The level of data availability assessment of the health-improving factors of health resorts is determined by the method of expert assessment. Results. It is proposed to take into account the system of healing factors affecting the health resort sphere in the following components: natural therapeutic potential (biomedical – meteorological characteristics, severity index, etc.) and natural resource – landscape conditions, mineral waters, therapeutic mud). Medical diagnostic and human resources potential is the medical and diagnostic base of health resorts, staff qualifications. Social and cultural potential is the quality of services provided for health resort treatment and rehabilitation, inextricably linked with social and cultural events, as well as the basis to carry out these events, and qualified staff of health resorts. The interrelation of the components is manifested in both internal and external relations of health resort organizations, awareness and degree of satisfaction with the services of health resort treatment of the population. Conclusion. The methods of assessing the healing factors are grouped, the methodology of an integrated approach – monitoring of health resort organizations and the possibility of establishing permanent contacts between healthcare institutions and health resorts of the country is proposed.","PeriodicalId":177418,"journal":{"name":"Journal of the Grodno State Medical University","volume":"14 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049357","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}