Wiadomosci lekarskie最新文献

{"title":"Impact of the full-scale invasion on the mental health of the population of the country in a state of military conflict: a study of regional trends in anxiety, depression, early symptoms of acute stress disorder and post-traumatic stress disorder.","authors":"Anastasiia K Shkvarok, Yaroslava V Korost, Daria V Turchak, Giorgi Tedoradze, Kristina Tatvidze","doi":"10.36740/WLek/205350","DOIUrl":"https://doi.org/10.36740/WLek/205350","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate subjective distress caused by the invasion and examine the relationship between regional residency and mental health indicators.</p><p><strong>Patients and methods: </strong>Materials and Methods: Descriptive statistics, a cross-sectional observational analysis. Data were collected through an online questionnaire comprising demographics, anxiety and depression assessment (HADS), and trauma impact evaluation (IES-R). Statistical analysis was conducted using MedStat software, with statistical analysis incorporating descriptive statistics, tests for normality and correlation analysis (Pearson's correlation).</p><p><strong>Results: </strong>Results: The highest depression (39.36%) and anxiety (48.94%) rates were recorded in Ivano-Frankivsk Oblast, while the lowest were in Dnipropetrovsk (26%) and Lviv (26.83%) Oblasts. No significant correlation was found between proximity to the frontline and depression (r=0.107, p=0.615) or anxiety (r=-0.106, p=0.622). The highest trauma impact (IES-R) was observed in Kherson (37.14%), Donetsk (36.36%) and Mykolaiv (35.29%) Oblasts. No significant correlation was found between distance from the frontline and the severity of acute stress disorder or post-traumatic stress disorder symptoms (r=-0.307, p=0.145).</p><p><strong>Conclusion: </strong>Conclusions: Mental health outcomes were not significantly linked to geographical proximity to the frontline. The highest rates of depression and anxiety were found in Ivano-Frankivsk Oblast, while the most severe trauma impact was observed in Kherson, Donetsk, and Mykolaiv Oblasts.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"967-973"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317987","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":"Current issues in neuropsychonutrition in the professional training of medical students.","authors":"Natalia V Velyka, Sergiy T Оmelchuk, Tetіana I Anistratenko, Olena V Kuzminska","doi":"10.36740/WLek/205400","DOIUrl":"https://doi.org/10.36740/WLek/205400","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the impact of nutrients and food components on a person's psychological state and to justify the need to study nutrition among general medical students and future medical psychologists.</p><p><strong>Patients and methods: </strong>Materials and Methods: Collection, critical, constructive analysis of scientific literature. Analysis of psychosomatic and somatopsychological disorders associated with nutrition.</p><p><strong>Conclusion: </strong>Conclusions: Nutrition is the cornerstone of health, harmonious physical and mental development of the individual. Therefore, doctors, including medical psychologistsmust must know the composition and the main therapeutic, dietary, and parapharmacological properties of food products and spices, and their impact on somatic health and the psychological status of patients. This knowledge is a prerequisite for a high professional level and the possibilities of alimentary prevention and parapharmacological, non-medication correction. The study of nutrition deepens knowledge of the basics of rational nutrition for a healthy person, lays the foundations of propaedeutics of dietetics and psychonutritionology, and takes into account modern scientific developments and achievements of medical science.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1213-1219"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317980","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":"Analysis of neuromuscular and occlusal characteristics of the dentition in patients with temporary fixed orthopedic construction on dental implants in case of complete loss of teeth in one of the jaws.","authors":"Stanislav Y Vefelev, Nina S Proshchenko, Olena O Astapenko, Nadiya V Chervonna","doi":"10.36740/WLek/205384","DOIUrl":"https://doi.org/10.36740/WLek/205384","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate the neuromuscular and occlusal characteristics of the dentition in patients with complete tooth loss in one of the jaws who were fitted with temporary fixed prosthetic structures for immediate loading of dental implants.</p><p><strong>Patients and methods: </strong>Materials and Methods: Using the method of synchromyography (Teethan system), functional parameters was analyzed in three groups of patients: with structures based on a cast beam, with a welded beam, and with polymethyl methacrylate (PMMA).</p><p><strong>Results: </strong>Results: The results emphasize the importance of choosing the type of temporary structure depending on the functional requirements, patient characteristics, and long-term prospects for adaptation.</p><p><strong>Conclusion: </strong>Conclusions: The study emphasizes the importance of choosing the type of construction to ensure effective rehabilitation of patients with complete loss of teeth in one of the jaws and prevention of possible complications. The researchers recommend using cast or welded beams to achieve optimal long-term clinical results.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1118-1124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318061","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":"Microbiological monitoring of the hospital environment: risk assessment and strategies in infection control systems.","authors":"Olena V Zublenko, Tetiana V Petrusevych","doi":"10.36740/WLek/205362","DOIUrl":"https://doi.org/10.36740/WLek/205362","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the role and prospects of microbial environmental monitoring in a healthcare facility, to evaluate strategies for controlling microbial contamination, to identify the species composition of microorganisms and factors that pose a threat to creating a safe environment in the facility.</p><p><strong>Patients and methods: </strong>Materials and Methods: A retrospective analysis of microbiological monitoring at a 200-bed healthcare facility (2020-2023) was conducted. Over 15,500 swab samples were collected from high-touch surfaces. Microorganism cultivation followed standard methods, with fungi grown on Sabouraud medium. Procedures complied with DSTU EN ISO 15189:2015 standards. The statistical reliability of relative indicators was calculated using a formula that included the standard error calculation.</p><p><strong>Results: </strong>Results: Microorganisms were detected in 0.8-1.9% of samples, with 162 positive environmental tests during the observation period. Staphylococcus aureus was the most common pathogen (37±3.5%), followed by Enterococcus spp. (28.4±3.2%) and Escherichia coli (16.1±2.8%). The surgical department showed the highest contamination rate (43.2±3.8%), with medical equipment in treatment rooms accounting for 61.8±3.8% of positive results.</p><p><strong>Conclusion: </strong>Conclusions: The findings confirm that healthcare environments act as reservoirs for pathogens associated with healthcare-associated infections (HAIs). The surgical department exhibited the highest microbial burden, emphasizing the need for stricter infection control in high-risk areas. The predominance of Staphylococcus highlights its role in surgical site infections, with contaminated medical equipment serving as a key transmission factor. Strengthening disinfection protocols and routine monitoring is essential to mitigate microbial contamination risks. The implementation of microbial monitoring in Ukraine depends on national standards. Routine sampling is not mandatory, with most hospitals conducting surface monitoring only during outbreaks, limiting systematic infection control efforts.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1020-1025"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318067","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 use of artificial intelligence in caries detection - literature review.","authors":"Jakub Fiegler- Rudol, Artur Los, Barbara Lipka, Monika Tysiąc-Miśta","doi":"10.36740/WLek/202055","DOIUrl":"https://doi.org/10.36740/WLek/202055","url":null,"abstract":"<p><p>Artificial intelligence plays an increasingly important role in modern dentistry, offering the possibility of precise and quick diagnostic image analysis and supporting the process of pathology detection.</p><p><strong>Aim: </strong>The study aims to discuss the use of artificial intelligence in caries detection, with an emphasis on radiographs and intraoral imaging analysis, and to assess the potential of this technology in the quality and efficiency of dental diagnostics improvement.</p><p><strong>Methods: </strong>A review of the scientific literature covering the years 2015-2024 was carried out, analyzing the results of studies on the effectiveness of artificial intelligence algorithms in caries detection. Publications evaluating parameters such as sensitivity, specificity, and precision compared to traditional diagnostic methods were included.</p><p><strong>Results: </strong>AI algorithms, particularly convolutional neural networks, present high accuracy, sensitivity, and specificity in caries detection, often outperforming traditional methods in detecting early lesions. The use of artificial intelligence standardizes the diagnosis, shortens the time of analysis, and reduces errors caused by a subjective clinical assessment. Major limitations include the need for high-quality training data, implementation costs, and challenges associated with technology acceptance.</p><p><strong>Conclusions: </strong>Artificial intelligence has the potential to significantly improve caries detection, offering precision, efficiency, and algorithms standardization. However, taking full advantage of its capabilities requires further research, standardization of algorithms, andappropriate adaptation of the clinical environment.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1194-1198"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318106","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":"Using herbal remedies in shelter.","authors":"Anna Ganna P Megalinska, Zhanna I Bilyk, Olha V Panchuk, Valentyna G Bilyk, Ihor St Chernetskiy, Anita Yo Szikura","doi":"10.36740/WLek/205372","DOIUrl":"https://doi.org/10.36740/WLek/205372","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The selection and experimental verification of plants that have antibacterial, soothing, and iodine-enriching activity to form the phyto-aid kit in the shelter conditions.</p><p><strong>Patients and methods: </strong>Materials and Methods: Antibacterial activity was studied using the disco-diffusion methods. The iodine strip method was used for iodine deficiency research. To study the anxiolytic effect of plants, the Spielberger-Khanin method was used. Statistical analysis was performed using JASP software.</p><p><strong>Results: </strong>Results: Among the iodine-containing plants, Xanthium strumarium and Potentilla alba showed the greatest antibacterial activity. Studies of juices and fruits of fruit plants revealed the strongest antibacterial effect from the fruits of Schisandra chinensis. When comparing the iodine-enriching function of the group of iodine-containing plants, all the studied plants showed iodine-enriching activity, with a slight priority from Zostera marina and Lemna minor. Anxiolytic activity in the conditions of a shelter was also demonstrated by all the studied plants in the following decreasing order, namely Valeriana officinalis, Crataegus ucrainica.</p><p><strong>Conclusion: </strong>Conclusions: The use of the studied plants in a shelter phyto-aid kit contributes to a more comfortable and safe stay for people in the shelter.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1071-1077"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318109","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":"Use of honey in dentistry - literature review.","authors":"Karol Demel, Justyna Talaska, Monika Dziedzic, Jakub Król, Zuzanna Szatkowska, Olga Odrzywolska, Wojciech Niemczyk, Anna Zawilska","doi":"10.36740/WLek/199734","DOIUrl":"10.36740/WLek/199734","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the effects of honey and its derivatives on oral health.</p><p><strong>Patients and methods: </strong>Materials and methods: PubMed, Google Scholar, Scopus, Embase, Cochrane databases were searched using relevant keywords and Boolean operators.</p><p><strong>Conclusion: </strong>Conclusions: Honey is a promising natural alternative for the treatment of various dental diseases due to its antimicrobial, anti-inflammatory and wound-healing properties. Scientific studies show that honey has numerous health properties, including antibacterial, antiviral, anti-inflammatory, wound-healing and anticancer effects. In the context of dentistry, honey shows potential in the treatment of various oral conditions, such as dental caries, gingivitis, halitosis, radiotherapy-induced mucositis, xerostomia or post-extraction stomatitis. Honey's safety and multifunctional benefits make it a valuable potential addition to dental treatments.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537685","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":"Bone mineral density and pandemic.","authors":"Paweł I Kamińsk, Firoz Rizvi, Mateusz Trubalski, Mateusz Kaczmarski, Aleksandra Bełżek, Marta Żerebiec, Zuzanna Rupeć, Natalia Saj, Zeeshan Zulfiqar, Joanna Niezbecka-Zając","doi":"10.36740/WLek/202327","DOIUrl":"https://doi.org/10.36740/WLek/202327","url":null,"abstract":"<p><p>The COVID-19 pandemic has significantly impacted physical health, including bone mineral density (BMD). This review aims to explore the effects of various pandemic-related factors such as reduced physical activity, stress, depression, dietary changes, and SARS-CoV-2 infection on BMD. Methods involved analyzing studies that investigate the impact of these factors on bone health, including observational studies, systematic reviews, and meta-analyses. Results show that decreased physical activity, depression, and changes in diet lead to a reduction in BMD, particularly in the lumbar spine and femoral neck. SARS-CoV-2 infection and the use of corticosteroids are also associated with an increased risk of osteoporosis. Additionally, cytokine storms induced by the virus further exacerbate bone resorption. The review also highlights the complex interaction between obesity, sedentary behavior, and BMD, which may contribute to either increased BMD in certain areas or lead to a higher risk of fractures. The study suggests that the pandemic may have long-term effects on bone health, emphasizing the need for preventive strategies, including promoting physical activity, managing stress, and cautious use of medications like corticosteroids. Further research is needed to understand the long-term consequences and to develop therapeutic interventions aimed at mitigating the adverse skeletal effects of COVID-19 and its treatments. Understanding the lasting impact on bone health requires a comprehensive approach considering the multifactorial aspects of the pandemic's effect on human physiology.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"571-577"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048958","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":"Phytoestrogens in osteoporosis.","authors":"Mateusz Kaczmarski, Mateusz Trubalski, Paweł Kamiński, Marta Żerebiec, Aleksandra Bełżek, Natalia Saj, Zuzanna Rupeć, Joanna Niezbecka-Zając, Nataliia Fedorenko, Wojciech Kłapeć","doi":"10.36740/WLek/202326","DOIUrl":"https://doi.org/10.36740/WLek/202326","url":null,"abstract":"<p><p>This article explores the role of phytoestrogens in the prevention and treatment of osteoporosis, focusing on soy isoflavones, red clover, and other plants such as Epimedium, hops, fennel, and prunes. It reviews clinical trials examining the effects of these phytoestrogens on bone mineral density (BMD), bone turnover markers, and osteoporotic fracture risk. Various studies demonstrate that phytoestrogens, particularly those derived from soy and red clover, may help improve bone health, alleviate menopausal symptoms, and reduce the risk of fractures. However, results regarding their impact on BMD are inconsistent, with some trials showing positive effects and others showing no significant difference compared to placebo. The article emphasizes the need for further, more comprehensive research to assess the long-term efficacy, safety, and mechanisms of action of phytoestrogens, considering individual patient characteristics such as genetics, metabolism, and lifestyle factors. While phytoestrogens hold promise as a potential complement or alternative to conventional osteoporosis therapies, personalized approaches to supplementation, as well as more rigorous studies, are necessary to establish their clinical benefits and minimize risks.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"602-608"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017854","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":"Casein phosphopeptide-amorphous- calcium phosphate's effect on enamel microhardness of teeth treated with nano silver in sodium fluoride solution.","authors":"Zinah Shakib Majeed, Mohammed Qays Mahmood Fahmi","doi":"10.36740/WLek/203072","DOIUrl":"https://doi.org/10.36740/WLek/203072","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To detect the effect of an experimental 0.7% nanosilver in sodium fluoride (NSSF) and compare it to that of 5% sodium fluoride (NaF) on demineralized teeth, also observes the impact of applying 10% Casein phosphopeptide-amorphous-calcium phosphate (CPP-ACP) on those groups and compares that to CPP-ACP's lone impact on demineralized teeth.</p><p><strong>Patients and methods: </strong>Materials and Methods: The sample consisted of 60 sound, premolar teeth without hypo-mineralization or cracks. They were divided into three groups following the formation of caries-like lesions using a Feather Stone pH cycle. Group No.1 was treated with NSSF, group No.2 was treated with NaF, and deionized water was used for Group No.3. All groups had two minutes of application time and were then stored for 24 hours in artificial saliva. After that, they were treated with CPP-ACP, for seven days twice a day. Microhardness measurements were carried out four times: before any intervention, after the pH cycle, after 24 hours from the application of NSSF and NaF, and a final one after seven days from the application of CPP-ACP on the previous groups. An XRF, XRD analysis, and particle size analyzer were used to confirm the nanosilver properties of the powder.</p><p><strong>Results: </strong>Results: There was a statistically significant increase in microhardness values (P<0.05) following CPP-ACP's application on teeth previously subjected to NSSF and NaF. The group that was subjected to deionized water before CPP-ACP's application revealed a statistically significant value (P<0.001).</p><p><strong>Conclusion: </strong>Conclusions: CPP-ACP enhances the microhardness and, hence, the mineralization of teeth previously treated with NSSF and NaF solutions.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"885-893"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080914","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}