Helen F Marzooq, Yahiya Ibrahim Yahiya, Ali M Jaafar Abdulsahib
{"title":"Patients 'satisfaction and views about pharmacists in community pharmacies as healthcare providers in Iraq: Najaf province.","authors":"Helen F Marzooq, Yahiya Ibrahim Yahiya, Ali M Jaafar Abdulsahib","doi":"10.36740/WLek/199947","DOIUrl":"10.36740/WLek/199947","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the level of patient satisfaction and their opinions about the services provided by community pharmacists and their changes depending on the socio-demographic characteristics that influence the level of satisfaction and expectations of patients served in the city of Al-Najaf Al-Ashraf city of Iraq.</p><p><strong>Patients and methods: </strong>Materials and Methods: A structured questionnaire was allocated among patients who were staying pharmacies regarding aspects like accessibility, communication, and quality of services. A descriptive cross-sectional survey was executed utilizing a questionnaire that encompassed various dimensions of pharmaceutical services. The sample population comprised 449 patients who frequented a range of pharmacies with varying regularity within the province.</p><p><strong>Results: </strong>Results: A significant majority of individuals exhibit a favorable perception regarding community pharmacists in Al-Najaf Al-Ashraf, with patients articulating substantial satisfaction, recognition, and esteem for the contributions that pharmacists make within the healthcare team.</p><p><strong>Conclusion: </strong>Conclusions: Pharmacists play a vital role in providing pharmaceutical care, and patients generally express satisfaction with their services. However, there is a significant need for additional initiatives to enhance the clinical skills of community pharmacists, identify factors affecting patient satisfaction, and conduct comparative research on pharmacy services in different regions of Iraq.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"100-109"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537585","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}
Adil Ali Hussein, Amer Abdullah Sachit, Hajer S Essa
{"title":"Assessing the psychological well-being among adolescent and children.","authors":"Adil Ali Hussein, Amer Abdullah Sachit, Hajer S Essa","doi":"10.36740/WLek/197184","DOIUrl":"10.36740/WLek/197184","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the psychological well-being of children and adolescents, socio demographic distribution data of parents and children and to find out the relationship between psychological well-being of children and adolescents and their socio demographic characteristics.</p><p><strong>Patients and methods: </strong>Materials and Methods: A descriptive cross- sectional study to assess the psychological well-being of children and adolescents in AI-Nasiriyah schools. The study period was extended (from December 1, 2023 to April 1, 2024). A non- probability (purposive sample) consist of (200) children and adolescents.</p><p><strong>Results: </strong>Results: Results revealed That children and adolescent in current study have moderate levels of Psychological Well-Being, our study revealed that is significant correlation (between participants' age and Psychological Well-being, difference in psychological wellbeing between history of school fail, difference in psychological Well-being among between mother educational groups and difference in Psychological well-being among father job groups) and no statistically Significant ( between difference psychological well-being and school history, difference in psychological well- being Among socioeconomic status groups, difference in psychological well-being among father level of education Groups and difference in psychological wellbeing among father job groups).</p><p><strong>Conclusion: </strong>Conclusions: Study provides valuable insights into factors influencing the psychological well- being of children and adolescents, highlighting the complex interaction between age, social status, parental education, and parental occupation. Academic performance and school experiences play a significant role in psychological well-being, especially in cases of academic failure.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"130-135"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536941","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":"Diagnosis and surgical treatment of tracheal cicatricial stenoses: literature review.","authors":"Valeriy Boyko, Vasyl Kritsak, Anastasiia Sochnieva, Volodymir Tkachenko","doi":"10.36740/WLek/197144","DOIUrl":"10.36740/WLek/197144","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study of the data about the results of tracheal cicatricial stenoses treatment with the goal of further improvement of its results on the basis of diagnosis enhancing, identification of factors of prognosis of the disease and by conducting a differential analysis of tactics of surgical treatment with the use of minimally invasive interventions.</p><p><strong>Patients and methods: </strong>Materials and Methods: We have identified contemporary literature sources on the topic of modern directions of treatment of tracheal cicatricial stenoses and their complications. The studied material has been summarized and represented in the form of literature review in this article.</p><p><strong>Conclusion: </strong>Conclusions: To increase the quality of treatment of patients with tracheal cicatricial stenoses and their surgical complications an important role is played by objective formation of groups at risk of complications development and prognosis of the disease dynamics. Successful solution of the problem is related mostly to the highly informative diagnostics, reliable determination of severity of disease, as well creation of multidirectional classification of tracheal cicatricial stenoses. These issues may not be considered completely solved, they require further study. All of the above dictates search of new effective methods of treatment of the indicated pathology and proves relevance of the topic. The stated information emphasizes necessity of improvement of surgical tactics of patients with tracheal cicatricial stenoses.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"177-186"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537510","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}
Andrii O Fedyk, Olha A Valchuk, Ivan M Okhrimenko, Tetiana V Danylchenko, Iryna O Bets, Lesia O Balahur, Artem G Brykovskyi
{"title":"Socio-psychological causes and consequences of combat stress in armed conflict participants.","authors":"Andrii O Fedyk, Olha A Valchuk, Ivan M Okhrimenko, Tetiana V Danylchenko, Iryna O Bets, Lesia O Balahur, Artem G Brykovskyi","doi":"10.36740/WLek/197120","DOIUrl":"10.36740/WLek/197120","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The aim is to determine the causes and consequences of combat stress in armed conflict participants.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research involved 109 service members (under 30) who participated in the russian-Ukrainian war in 2022-2024 on a rotational basis for different durations (from 4 to 18 months). Research methods included theoretical analysis and generalization of literary sources, interviews, questionnaires, and statistical methods.</p><p><strong>Results: </strong>Results: The causes of combat stress in service members participating in military operations have been identified. It has been established that during the first rotation, service members most often suffer from being in conditions of constant threats (71.6 %), experience fear of death and injury (70.6 %), fear of killing a person (67.9 %), loud sounds (63.3 %) and lack of sleep (52.3 %). With the acquisition of combat experience, the frequency of these factors decreases. The research revealed the consequences of combat stress, which worsen depending on the duration of stay in a combat situation: increased aggressiveness (71.1 %), anxiety, fear (68.4 %), sleep problems (31.6 %), cognitive impairment (28.9 %), and psychosomatic disorders (26.3 %).</p><p><strong>Conclusion: </strong>Conclusions: Ensuring military personnel's access to qualified psychological assistance, creating a support and rehabilitation program, and raising public awareness of the problems faced by service members participating in combat operations will reduce the negative effects of combat stress and help improve the quality of life of military personnel and their families.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"82-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537668","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}
Roman Alekseienko, Volodymyr Markovskiy, Liubov Rysovana, Anton Shapkin, Mykola Lytvynenko, Olha Zaliubovska, Yuliia Avidzba
{"title":"Study of the relationship between the level of proinflammatory cytokines and β2-microglobulin with indicators of changes in the functional status of the kidneys in diabetic nepropathy to determine the degrees of chronic renal failure.","authors":"Roman Alekseienko, Volodymyr Markovskiy, Liubov Rysovana, Anton Shapkin, Mykola Lytvynenko, Olha Zaliubovska, Yuliia Avidzba","doi":"10.36740/WLek/197132","DOIUrl":"10.36740/WLek/197132","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The purpose of this study is to analyze the correlations of pro-inflammatory cytokines and β2-microglobulin with indicators of changes in the functional state of kidneys in patients with diabetic nephropathy, to determine different degrees of chronic renal failure.</p><p><strong>Patients and methods: </strong>Materials and Methods: 80 patients with type 1 and type 2 diabetes, complicated by diabetic nephropathy, at different levels of the functional state of the kidneys were examined.</p><p><strong>Results: </strong>Results: It has been shown that the level of tumor necrosis factor α (TNFα) in the blood of patients with diabetic nephropathy (DN) is increased already with sufficient kidney function, decreases with chronic renal failure (CRF) of the I degree and reaches maximum values with CRF of the II and III degrees. Which indicates the degree of progression of fibroplastic and sclerotic processes in the kidneys with DN. The level of interleukin-1α (IL-1α) in the blood of patients with DN begins to decrease with sufficient kidney function, increases with CRF of the II degree, but remains below the values of the control group and is minimal in patients with CRF of the III degree, which reflects a decrease in the intensity of the acute-phase inflammatory process in the development of CRF.</p><p><strong>Conclusion: </strong>Conclusions: The development and progression of CRF is accompanied by an increase in the excretion of β2-microglobulin in the urine in parallel with changes in the cytokine profile in the blood.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"248-256"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693497","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}
Maysaa Ali Abdul Khaleq, Ammar Yasir Ahmed, Ahmed Kahlid Awad, Abdula Ahmed Fahed, Fahed Ahmed Fahed, Gada Safaa Ali, Tabark Mohammed Huwadi
{"title":"Point prevalence study of antibiotics use in Ramadi hospitals.","authors":"Maysaa Ali Abdul Khaleq, Ammar Yasir Ahmed, Ahmed Kahlid Awad, Abdula Ahmed Fahed, Fahed Ahmed Fahed, Gada Safaa Ali, Tabark Mohammed Huwadi","doi":"10.36740/WLek/199783","DOIUrl":"https://doi.org/10.36740/WLek/199783","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To describe antibiotic use in Al-Ramadi hospitals using the Biomérieux VITEK2 compact system.</p><p><strong>Patients and methods: </strong>Materials and Methods: A lot of different hospitals in Al- Ramadi were visited, checking Patients' illness profile. Information about antibiotics prescription pattern in Al-Ramadi hospitals had been collected from urinary tract infected patients using the Biomérieux VITEK2 compact system.</p><p><strong>Results: </strong>Results: Out of 67 specimens obtained from Urinary tract infection, fifty-two isolates were E. coli, eight isolates were Klebsiella pneumoniae, four were Burkholderia cepacian, and two were Raoultella spp and only one isolate Acetobacter aceti. The data analysis revealed that females had a higher prevalence of infection than males, with 41(68.30%) and 26(38.80%), respectively.</p><p><strong>Conclusion: </strong>Conclusions: Resistance rates have shown variations over the years, they have typically remained elevated for antibiotics commonly employed in the empirical management of urinary tract infections. For successful treatment, it will be crucial to adjust therapy based on culture results and to consider resistance rates during empirical treatment.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"396-401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693484","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}
Inessa I Yakubova, Volodymyr Ostrianko, Yurii Skrypnyk, Roman Volovodovskiy
{"title":"Extrinsic black staining of teeth: a review.","authors":"Inessa I Yakubova, Volodymyr Ostrianko, Yurii Skrypnyk, Roman Volovodovskiy","doi":"10.36740/WLek/197130","DOIUrl":"10.36740/WLek/197130","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Discovering of the prevalence, causes and consequences of the Extrinsic black staining(EBS) of teeth in pediatric population.</p><p><strong>Patients and methods: </strong>Materials and Methods: Upon completion of the scientific search, the review included 47 scientific articles from the electronic databases, reference lists of articles, and selected textbooks in the time interval from 1976 to 2023.</p><p><strong>Conclusion: </strong>Conclusions: The results show that EBS is a possible protective factor against early childhood caries. Dental plaque and gut microbiome may be related to EBS in the temporary dentition. The literature suggests a decreased caries prevalence in the presence of EBS which associated with low incidence of caries in children. The nature of the black pigmentation is suggested to be a form of bacterial plaque with an insoluble ferric salt. Tabaco smoke, food and antibiotics that can be also a risk factors for EBS. There are some clinical and localization features that dentist have to pay attention for. Many diseases of various systems and organs are directly related to black plaque. With this review, we wanted to encourage dentists to identify the problem in childhood and collaborate in a multidisciplinary team to improve treatment efficiency and speed up the selection of the right tactics for the most person-centered approach to avoid worsening the problem in adulthood.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537523","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":"From efficacy to adversity: understanding the side effects of antidepressants - systematic review.","authors":"Vasyl Hrabar, Taras Studeniak, Mariana Pryima, Vitalii Kondratskyi","doi":"10.36740/WLek/197143","DOIUrl":"10.36740/WLek/197143","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate how and why antidepressant side effects occur, in order to use them effectively in clinical practice.</p><p><strong>Patients and methods: </strong>Materials and Methods: We have studied modern literary sources on the topic of side effects of antidepressant and presented in the form of a literature review in this article. Electronic Scopus and Pubmed databases were searched for articles on the studied topic. The review included original articles, research, and official recommendations from medical associations.</p><p><strong>Conclusion: </strong>Conclusions: Side effects of antidepressants can reduce treatment adherence and delay recovery. Therefore, it is extremely important to consider possible side effects when choosing a therapy. While there is no perfect antidepressant that works quickly and is completely free of side effects, newer antidepressants are safer, better tolerated, and associated with lower rates of treatment failure. Most side effects occur as a consequence of the basic mechanism of action of the drugs. Therefore, it is important to understand the neurobiology of side effects, their frequency and risks, ways to prevent them or use them to your advantage resources.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"187-196"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537527","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":"Gender dimorphism of neurodynamic and cognitive functions of sub-elite and elite athletes (on the example of sports acrobatics).","authors":"Nataliia Veronika Bachynska, Dmytro Anisimov, Oleksandr Zhuravel, Dmytro Kaznacheiev, Vadym Fursa, Nataliia Martynova, Liudmyla Lysenko","doi":"10.36740/WLek/197138","DOIUrl":"10.36740/WLek/197138","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate the impact of a specific acrobatic load on the neurodynamic and cognitive functions of acrobats, as well as to study how these functions change depending on the gender, age and level of sports qualification of athletes (sub-elite and elite athletes).</p><p><strong>Patients and methods: </strong>Materials and Methods: Athletes specializing in pair and group acrobatics, of two age categories: 1. Sub-elite - athletes of puberty age, which included: girls (n=32), average age 13.96±1.02 years; boys (n=36), average age 14.88±2.32 years. 2. Youth acrobats (elite athletes): girls (n=30), average age 19.36±2.86 years; young men (n=34), average age 20.38±2.89. The computer program \"Diagnost-1\" was used in researches.</p><p><strong>Results: </strong>Results: In female acrobats, the latency period of simple visual-motor information, the latent period of the visual-motor reaction to choosing two out of three stimuli are statistically different from those of young acrobats. Boys acrobats are faster in terms of functional mobility of nervous processes than girls in both age categories (at p<0.05). A greater amount of processed information was found in acrobat boys than in adolescent girls. According to the indicators of cognitive characteristics features of sexual dimorphism between acrobats of different age categories were revealed due to different information processing strategies taking into account sexual characteristics.</p><p><strong>Conclusion: </strong>Conclusions: Boys-acrobats of puberty and adolescence showed more effective processing of simple and complex visual-motor information compared to girls-acrobats of the same age categories. The indicators of neurodynamic and cognitive functions of young acrobats are better than those of pubescent athletes and different by gender (p<0.05).</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"61-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537531","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":"Potential cardioprotective effect of trimetazidine in mice model of endotoxemia: role of AMPK-Nrf2.","authors":"Alaa Kadhum Mosa, Sahar Majeed, Fadhaa Abdulameer Ghafil, Najah Rayish Hadi","doi":"10.36740/WLek/190820","DOIUrl":"10.36740/WLek/190820","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To clarify the potential cardioprotective effect of Trimetazidine against experimentally sepsis-caused endotoxic cardiac injury damage in mice.</p><p><strong>Patients and methods: </strong>Materials and Methods: 24 Mice were divided into four groups (n=6): Sham group, CLP group DMSO group, trimetazidine-treated group 50 mg/kg IP, 1hr before CLP, then the animals were sacrificed 24 hr after CLP and tissue sample was taken for measurement of TNF-α, TNF-αr1, IL-1β, HO-1, MPO, caspase-11, F2-isoprostane and serum troponin by ELISA and gene expression of AMPK-Nrf2 by qpcr and histopathological study.</p><p><strong>Results: </strong>Results: trimetazidine treated group showed significant changes as compared with clp group regarding TNF-α, TNF-αr1, IL-1β, HO-1, MPO, CASPASE-11, F2-ISOPROSTANE as well as affect tissue mRNA expression of AMPK-Nrf2 genes p<0.05.</p><p><strong>Conclusion: </strong>Conclusions: We evaluate that Trimetazidine has cardio protective effects due to its anti-inflammatory and anti-oxidative action. Also, trimetazidine showed a cardio-protective effect as they affect tissue mRNA expression of AMPK-Nrf2 genes.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537593","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}