Wiadomosci lekarskie最新文献

{"title":"Microbial contamination of dental unit waterlines systems in Ukraine: results a multicenter study (2020-2022).","authors":"Aidyn G Salmanov, Taras P Bondar, Kostiantyn M Lykhota, Olena Dementieva, Evelina A Chumak, Olena I Ostapko, Oleksii Kuvaiev, Ella M Pavlenko, Ihor I Palyvoda, Kristina Vataga, Mikola A Boiko, Yakush Oleksandr","doi":"10.36740/WLek/207349","DOIUrl":"10.36740/WLek/207349","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The aim of this study was to evaluate the microbial contamination of dental unit waterlines (DUWLs) and characterize the microbial communities of biofilms in dental chair units (DCUs) from different specialties in Ukrainian dental clinics.</p><p><strong>Patients and methods: </strong>Materials and Methods: A multicentre study was performed between January 1, 2020, to December 31, 2022. Dental water samples and biofilm samples were obtained from 191 DCUs at eighteen dental clinics from seven regions of Ukraine. The genomic DNA of the biofilm samples was extracted, then 16S rDNA were amplified and sequenced.</p><p><strong>Results: </strong>Results: A total of 1,146 dental water samples were collected, of which 57,4% samples did not meet microbiological parameters of Ukrainian National Standard on drinking water. Sequencing results showed significant differences in bacterial community structure between dental specialties. The largest specific weight of biofilm samples with high bacterial concentrations were detected from orthodontics (54.2%), prosthodontic (47.5%), and oral surgery (44,3%). The 16S rDNA gene sequencing showed high diversity of bacteria (311 genera) were detected in the biofilm samples. Amount of potential human pathogens were detected in the biofilm samples, including Pseudomonas aeruginosa (33.7%), Escherichia coli (27.3%), Enterococcus faecalis (17.4%), Enterococcus faecium (9.5%), Serratia marcescens (6.8%), Stenotrophomonas maltophilia (5.9%), Staphylococcus aureus (5.1%), Burkholderia cepacia (4.3%), Acinetobacter lwoffii (4.8%), Enterobacter cloacae (4.6%), Klebsiella oxytoca (4.2%), Streptococcus pneumoniae (3.9%), Streptococcus pyogenes (2.6%), and Streptococcus sp, (1.9%).</p><p><strong>Conclusion: </strong>Conclusions: The most water quality of the DUWLs tested failed to reach the Ukrainian drinking water standard. Furthermore, most DCUs contained pathogens which poses a risk of infection for patients.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"974-981"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691711","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":"Peculiarities of psycho-emotional and neurovegetative state in Ukrainian women who have experienced war-related stress and ways of its non-medicinal correction.","authors":"Viktor S Matsyshyn, Kostiantyn O Apykhtin, Anatolii M Kravchenko, Nataliia M Ovodiuk, Illya A Chaikovsky","doi":"10.36740/WLek/207363","DOIUrl":"https://doi.org/10.36740/WLek/207363","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the peculiarities of psycho-emotional and neurovegetative disorders in women exposed to war-related stress and to assess the possibilities of their correction by cognitive behavioural therapy (CBT) and Transcendental Meditation (TM).</p><p><strong>Patients and methods: </strong>Materials and Methods: The study involved 72 women, 35 of whom had experienced high-intensity stress and 37 of whom were in the control group. The psychoemotional state was assessed by the DASS-21 test and a screening test for post-traumatic stress disorder. The neurovegetative state was assessed by mathematical analysis of heart rate variability (HRV). The main group was divided into subgroups that received correction using CBT or TM.</p><p><strong>Results: </strong>Results: In the main group exposed to the stressors of war, a higher level of anxiety, depression, PTSD score, and neurovegetative imbalance (decreased total adaptation reserve [SDNN], decreased parasympathetic regulation activity [RMSSD], increased vegetative balance index [LF/HF], indicating a shift towards sympathicotonia) was found. After the correction, both subgroups (CBT and TM) showed a decrease in anxiety, depression and stress. TM showed a more pronounced corrective effect on neurovegetative regulation and some indicators of psycho-emotional state (anxiety) compared to CBT.</p><p><strong>Conclusion: </strong>Conclusions: A war significantly affects the psycho-emotional and neurovegetative state of women. Both of the applied non-medicated methods (CBT and TM) showed a significant corrective effect. The results of the study confirm the positive effects of TM and indicate the feasibility of its use for psychological support of persons exposed to the stress factors of war.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1047-1053"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691714","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":"A case of duodenal bulb ulcer formation in a soldier of the ukrainian armed forces during ammunition loading.","authors":"Anatoly A Avramenko, Anna K Magdenko","doi":"10.36740/WLek/208989","DOIUrl":"https://doi.org/10.36740/WLek/208989","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Conduct an analysis and provide a pathophysiological justification for the case of the formation of an ulcer of the duodenal bulb in a 27-year-old soldier of the Armed Forces of Ukraine.</p><p><strong>Patients and methods: </strong>Materials and Methods: After collecting the anamnesis, the patient underwent a comprehensive examination, which included step-by-step pH-metry, esophagogastroduodenoscopy, testing for Helicobacter pylori infection (HP) (urease test and microscopic examination of stained smears-prints) in 4 topographic zones of the stomach, and histological examination of the gastric mucosa in the same zones.</p><p><strong>Results: </strong>Results: When collecting a family history, it was found that relatives on one male line - father and grandfather - suffered from ulcer disease. It was established that on the eve of an exacerbation, which lasted 3 weeks, the soldier helped load a car, repeatedly lifting boxes with ammunition up to 20 kg to a height of 1.5 m. During pH-metry it was found that the acidity level of gastric juice corresponded to the basal normacidity of total. During esophagogastroduodenoscopy the following diagnosis was made: \"Ulcer of the duodenal bulb in the active stage (in the middle third, along the back wall, 1.5 x 0.8 cm, the ulcer defect is covered with gray fibrin). Erythematous duodenogastropathy. Indirect signs of pancreatopathy.\" The presence of chronic gastritis in the active stage in the patient was confirmed by the results of histological examination of the gastric mucosa. The type of gastritis (non-atrophic) was confirmed by testing for HP infection, which revealed a high concentration of the active form of bacteria - (+++) in all 4 topographic zones of the stomach.</p><p><strong>Conclusion: </strong>Conclusions: Stress associated with participation in military operations led to the active reproduction of Helicobacter pylori infection and, accordingly, an increase in \"residual\" ammonia in the stomach cavity. Heavy physical exertion, which was accompanied by a sharp contraction of the muscles of the anterior abdominal wall, created a \"bellows\" effect, which concentrated the \"residual\" ammonia in the cavity of the duodenal bulb and led to the formation of an ulcer.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 7","pages":"1298-1301"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971216","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":"Dispensing of medicines via vending machines.","authors":"Ivan S Demchenko, Alina O Pletenetska","doi":"10.36740/WLek/207353","DOIUrl":"10.36740/WLek/207353","url":null,"abstract":"<p><strong>Objective: </strong>Aim: to analyze the possibilities to implement dispensing of medicines via vending machines.</p><p><strong>Patients and methods: </strong>Materials and Methods: A systematic literature review was conducted using PubMed, Scopus, and Google Scholar databases. A SWOT analysis of dispensing medicines through vending machines was performed. Ukrainian legal framework and content analysis were used to assess feasibility, with an anonymous survey of 106 respondents aged 20 to 70 gathering opinions on installing vending machines for over-the-counter medications in public places.</p><p><strong>Results: </strong>Results: The study showed the following: 1) strengths were: convenience, access to medicines in remote areas; 2) weaknesses: limited number of medicines, lack of possibility to consult with a pharmacist, cost of vending machines; 3) opportunities: possibilities to use for prescribed medicines or for chronic diseases medication; 4) threats: exclusion of pharmaceutical professionals from the process of ensuring access to medicinal products, self-medication and danger of side effects. The 58 % of respondents supported vending machines, citing convenience, availability, and shorter pharmacy queues.</p><p><strong>Conclusion: </strong>Сonclusions: Dispensing medicines via vending machines presents a viable alternative to traditional methods. The main advantage is patient convenience, but attention must be given to mitigating risks from self-medication. Licensing terms should be established for business entities involved in vending machine operations, ideally those holding a retail license for medicinal products.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"987-992"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691667","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":"Study on medical professionals' attitudes and awareness of multidisciplinary rehabilitation in pain syndromes.","authors":"Lidiia V Butska, Hanna B Varina, Leonid V Bondar, Olena A Mialovytska","doi":"10.36740/WLek/207369","DOIUrl":"https://doi.org/10.36740/WLek/207369","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the awareness and training needs of healthcare professionals regarding the multidisciplinary rehabilitation of patients with pain syndromes and comorbid conditions resulting from war trauma.</p><p><strong>Patients and methods: </strong>Materials and Methods: The structured online survey of 120 people, including doctors, nurses, medical assistants, paramedics and senior students of medical universities in Kyiv and Zaporizhzhya (Ukraine). Before that, a targeted review of international (WHO, NICE, EULAR) and national guidelines on multidisciplinary rehabilitation was conducted. Based on this regulatory framework, the authors developed the «Multidisciplinary Rehabilitation Attitude and Readiness Questionnaire».</p><p><strong>Results: </strong>Results: Although 89% of respondents were familiar with the concept of multidisciplinary rehabilitation, only 17% demonstrated a comprehensive understanding. Most respondents (54%) reported only partial awareness and emphasized the need to improve teamwork skills and learn modern rehabilitation methods. Psychological support was recognized as essential by 58%, while 42% showed uncertainty or held misconceptions. Core rehabilitation components identified included pharmacological stabilization (65%), interdisciplinary collaboration (50%), and patient education (45%). However, elements such as empathy, active listening (25%), and social reintegration (15%) were undervalued. Only 23% of participants rated their competence in teamwork as sufficient, and nearly half (48%) assessed their preparedness as low. Priority areas for further education included trauma-informed care, psychological first aid, prevention of professional burnout, and the use of non-pharmacological methods such as electrotherapy and acupuncture.</p><p><strong>Conclusion: </strong>Conclusions: Despite formal awareness of multidisciplinary rehabilitation, significant gaps exist in practical competencies. Expanding interdisciplinary training and emphasizing psychosocial components are critical to improving care for war-affected patients.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1083-1090"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691731","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":"Adaptive educational technologies for overcoming the psycho-emotional barriers of higher education students in conditions of uncertainty.","authors":"Lyudmyla L Khoruzha, Mariia V Bratko, Svitlana P Palamar, Inna V Leontieva, Marharyta K Kozyr, Olena M Tadeush, Maria V Klepar","doi":"10.36740/WLek/207367","DOIUrl":"https://doi.org/10.36740/WLek/207367","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the changes in the psycho-emotional state of participants in the educational process in Ukraine under wartime conditions and to identify effective educational technologies for overcoming psycho-emotional barriers.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research applies both quantitative and qualitative analyses of data collected through surveys of 269 students and 100 faculty members at higher education institutions (totally, 369 respondents). The study is grounded in an interdisciplinary approach that combines psychological, pedagogical and sociological methods.</p><p><strong>Results: </strong>Results: The most common issues were anxiety, fear, and emotional exhaustion (222 individuals [60,2 %]). Problems with stress resilience were noted by 96 respondents (26,0 %), and traumatic wartime experiences were a challenge for 60 respondents (16,3 %). Feelings of physical danger were noted by 58 people (15,7 %). Misinformation and the information war were mentioned by 50 respondents (13,5 %). A total of 27 respondents (7,3 %) were forced to change their place of study, 12 (3,3 %) reported experiencing bullying, and 9 (2,4 %) reported discrimination based on origin or views. It has been found that the use of educational technologies such as trauma-informed approaches, coaching, mentoring, and mediation contributes to reducing stress levels and supporting psychological well-being.</p><p><strong>Conclusion: </strong>Conclusions: In times of crisis, the educational process should focus not only on achieving academic outcomes but also on maintaining the psycho-emotional health of all participants. An integrated approach to learning, including adaptive educational technologies aimed at overcoming psycho-emotional barriers of higher education students, ensures the sustainability of the educational environment.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","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":"144691606","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":"Balancing body and health: The impact of obesity on oral health condition.","authors":"Karolina Trytek-Miś, Patrycja Ochman-Pasierbek, Kinga Cogiel, Magdalena Jaskółka","doi":"10.36740/WLek/204813","DOIUrl":"https://doi.org/10.36740/WLek/204813","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This paper explores the relationship between obesity and oral diseases. Early detection and prevention of risk factors are essential for indispensable for promoting long-term health and elevating the quality of life in affected patients.</p><p><strong>Patients and methods: </strong>Materials and Methods: A search of PubMed and Google Scholar on November 10, 2024, retrieving 48 articles from 2016-2024. After screening criteria, 45 articles were included. All authors verified the final content.</p><p><strong>Conclusion: </strong>Conclusions: Evidence suggests a notable association between obesity and oral health issues, including periodontitis, peri-implantitis, and other gum diseases. Certain research point to the possibility that patients who undergo bariatric surgery could also experience worsening dental health. Inadequate oral hygiene and excessive sugar consumption, along with obesity, contribute to the worsening of dental problems in both children and adults. Further studies are required to better elucidate the underlying mechanisms of this association, which remains insufficiently explained in literature.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1168-1175"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691634","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 and laboratory correlates of kidney function in multiple myeloma patients.","authors":"Halyna R Savuliak, Vladyslav O Bardash, Tetiana A Maksymets, Mykhaylo V Perepelytsya, Zoryana M Kit, Natalia V Karpyshyn, Eugen Ya Sklyarov","doi":"10.36740/WLek/207359","DOIUrl":"https://doi.org/10.36740/WLek/207359","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the relationships of kidney function with clinical and laboratory parameters in multiple myeloma (MM) patients.</p><p><strong>Patients and methods: </strong>Materials and Methods: A cross-sectional study involved 105 MM patients. Data included clinical manifestations and standard laboratory parameters. Kidney function was assessed via estimated glomerular filtration rate (eGFR), serum creatinine, urea, uric acid (UA), calcium (Ca), and albumin-to-creatinine ratio (ACR). The markers of MM activity and burden included M-protein, beta-2 microglobulin (β2m), albumin, hemoglobin (Hb), lactate dehydrogenase (LDH) and platelets (PLT). Rank biserial correlation assessed associations between symptoms and laboratory parameters. Rank-based canonical correlation analysis (RCCA) explored the multivariate relationship between six kidney function indicators and six MM-related markers.</p><p><strong>Results: </strong>Results: Common laboratory abnormalities included elevated β2m (90,5 %) and anemia (indicated by low Hb in 52,4 % of patients). Frequent symptoms included bone pain (71,4 %) and weakness (68,6 %). Symptoms like weakness/breathlessness correlated significantly with (β2m, M-protein) and renal impairment (creatinine, ACR, eGFR). RCCA identified one significant canonical correlation (R1=0,497; p=0,013), linking impaired renal function (characterized by low eGFR, high ACR, creatinine and urea) with a myeloma profile indicative of disease activity and burden (high β2m, low Hb, low albumin, and high M-protein).</p><p><strong>Conclusion: </strong>Conclusions: The study confirms a significant multivariate association between a profile of impaired renal function and markers reflecting MM activity, hematopoietic suppression and systemic burden. These findings underscore the multifactorial nature of MM-related kidney injury and highlight the clinical utility of monitoring key laboratory markers (including eGFR, ACR, creatinine, β2m, Hb and albumin) alongside clinical evaluation for comprehensive assessment and management of MM patients.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1019-1025"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691635","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 medical communication in war conditions: Gender aspect.","authors":"Natalia V Stuchynska, Nina P Lytvynenko, Natalia M Saveliuk, Nina A Chernenko, Olena V Sadovnycha, Iya P Kaminska, Oksana M Kikinezhdi","doi":"10.36740/WLek/207370","DOIUrl":"https://doi.org/10.36740/WLek/207370","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the features of professional medical communication in wartime through the prism of gender characteristics based on the analysis of authentic dialogues from clinical conversations.</p><p><strong>Patients and methods: </strong>Materials and Methods: Bibliosemantic, content, psychosemantic, and comparative analysis; empirical methods: observing the living language of doctors and patients, creating and typologising the collection of authentic doctor-patient dialogues. The authentic audio and video recordings of 232 doctor-patient dialogues were collected. After conducting an initial typology of the dialogues, four samples were created: «male» and «female doctors», «male» and «female patients». The dialogues were transcribed and subjected to content analysis using the «Textanz» software (v. 2.3).</p><p><strong>Results: </strong>Results: The psycholinguistic features of professional medical communication in each of the four studied samples were established. For example, male doctors have higher speech activity within their professional role (181 words vs. 138 for female doctors). Their speech is characterised by a predominance of verbs and rational structuring. In contrast, female doctors use nominative constructions with a predominance of nouns, pronouns, and adverbs more often, which indicates the objectification of symptoms and an empathic orientation. Female patients show higher speech activity, ask questions more often, and use more emotionally coloured vocabulary and modal words, which indicates increased anxiety.</p><p><strong>Conclusion: </strong>Conclusions: The study confirms the presence of gender-based models of medical communication, which are exacerbated in wartime. The results of the study can be used in training on the development of communication skills of medical workers, in writing clinical protocols, as well as in psychological support for wounded and displaced persons.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1091-1097"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691716","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":"Formation of digital competence in the medical educational environment.","authors":"Vadym H Terentiyk, Pavlo V Mykytenko, Oleg M Vlasenko, Darya G Matukova, Inna I Kucherenko","doi":"10.36740/WLek/205381","DOIUrl":"https://doi.org/10.36740/WLek/205381","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To present theoretical and practical approaches to the development of digital competence among participants in the medical education environment based on the digitalization of Ukraine's healthcare system.</p><p><strong>Patients and methods: </strong>Materials and Methods: To achieve the research objective, general scientific theoretical and empirical methods were used, including: bibliosemantic method, system analysis method, conversations and interviews with participants in the educational process, modeling of the process of formation of digital competence.</p><p><strong>Results: </strong>Results: An analysis of self-assessment and the level of digital competence formation among healthcare representatives helped determine the criteria for updating educational programs on digital competence development as a result, steps were taken to introduce comprehensive training in digital competencies, covering previously unaddressed aspects and enabling healthcare professionals to acquire all necessary competencies. Therefore, we presented a model illustrating the interrelation of competency formation and learning outcomes (LOs) through the lens of qualification characteristics and higher education standards for the specialty, interpreted in the information-educational environment model NMU_DIGITAL.</p><p><strong>Conclusion: </strong>Conclusions: Medical and pharmaceutical education must adapt to modern standards and tools, regardless of whether they relate to treatment, prevention, rehabilitation, or management activities. Developing digital competence and using digital tools should begin at the earliest stages of professional orientation, be thoroughly studied at the pre-higher and higher education levels, and continue through lifelong professional development.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1106-1111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317985","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}