Raad Saad Al Saffar, Samer Makki Mohamed Al Hakkak, Ali Abood Alnajim, Maryam Samer Al Hakkak
{"title":"Comparative study of energy-based technologies in thyroidectomy: Harmonic focus, ligasure tiny jaw, and conventional techniques at a single institution.","authors":"Raad Saad Al Saffar, Samer Makki Mohamed Al Hakkak, Ali Abood Alnajim, Maryam Samer Al Hakkak","doi":"10.36740/WLek/200406","DOIUrl":"10.36740/WLek/200406","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study aims to evaluate the exact and harmonic focus of ligature with the traditional suture ligation approach with respect to surgical problems, hospital stay, drainage volume, and time spent in the operating room during open thyroidectomy.</p><p><strong>Patients and methods: </strong>Materials and Methods: Between February 2018 and March 2020, 180 patients suffering from thyroid disease underwent an open total thyroidectomy at Al-Sader Medical City's general surgery department. These patients were divided into three groups at random: 60 patients were assigned to Group 1 (Ligasure precise) (LS), 60 patients to Group 2 (harmonic FOUCS) (HF), and 60 patients to Group 3 conventional (CAT).</p><p><strong>Results: </strong>Results: Regarding age, sex, or histological diagnosis, the three groups did not differ statistically significantly. The mean operative time for the Ligasure (LS) group was 34 minutes, while the Harmonic focus (HF) group was 38 minutes, which was less than that of the Conventional technique (CAT) group. The CAT group had a significantly larger mean drainage volume than the other 2 groups (P<0.001). The three groups' postoperative hypocalcaemia levels did not differ statistically significantly. (p= n.s.). The HF group had a shorter mean hospital stay than the LS group, while the CAT group had the longest hospital stay (P <0.05).</p><p><strong>Conclusion: </strong>Conclusions: LigaSure Precise and Harmonic FOUCS are energy-based technologies that are equally safe and efficient when used for vascular dissection.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"376-380"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693384","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}
Ghada Abd El Wahab Khalil Ibrahim, Maysaa Ali Abdul Khaleq, Ahmed Hamza Ajmi
{"title":"Associated gene polymorphism (ABCG2) and drug-resistant in patients with epilepsy.","authors":"Ghada Abd El Wahab Khalil Ibrahim, Maysaa Ali Abdul Khaleq, Ahmed Hamza Ajmi","doi":"10.36740/WLek/200736","DOIUrl":"10.36740/WLek/200736","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate useful variations in ABCG2 gene in relation to reaction of epileptic tablets in people with partial epilepsy. Additionally, explore opportunity of blended outcomes of variations in more than one transporter genes.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study included sixty-five sufferers and forty healthful people; there were no top notch versions in phrases of age, gender, antiseizure medication therapy, or precise kinds of prescription drugs used. Polymorphism testing involved DNA extraction from the sample. Data pertaining to studies that examined correlation between ABCG2 polymorphisms were sought out. A total of 105 individuals, 65 of whom were patients and 40 of whom were healthy controls, were enrolled from October 2023 to April 2024 in this case-control research that took place in a hospital setting.</p><p><strong>Results: </strong>Results: Common age of sufferers turned into 22.51 ± 5.89 years, while manage organization had a median age of 19.24 ± 3.77 years. Distribution of sufferers and control individuals had a comparable frequency, with no brilliant disparities in terms of gender, antiseizure drug therapy, or antiseizure remedy kind. The heterozygous genotype CT became observed to be greater commonplace in patients compared to the manage group. The correlation among the ABCG2 C>T poly allele polymorphism and the risk of epilepsy was quite widespread.</p><p><strong>Conclusion: </strong>Conclusions: Overall, the study found that the ABCG2 C>T (rs2231137) polymorphism is associated with an increased risk of epilepsy. Specifically, the patient group was more likely to have the heterozygous genotype CT, with the allele C, compared to the control group.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"381-387"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693599","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":"Tirzepatide therapy counters inflammatory and apoptotic responses induced by high-fat diet in rat liver.","authors":"Ashraf Alathary, Zahraa Al-Isawi","doi":"10.36740/WLek/202970","DOIUrl":"https://doi.org/10.36740/WLek/202970","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To examine potential protective effect of Tirzepatide against obesity-induced metabolic dysfunction and hepatic inflammatory and apoptotic responses.</p><p><strong>Patients and methods: </strong>Materials and Methods: A total of 28 adult male Sprague-Dawley rats were employed and divided into four groups, normal control group involved seven rats fed a regular diet, while other rats received a high fat diet. Obese rats were separated into three groups after eight weeks of high fat diet: obesity, Tirzepatide (10 nmol/kg) s.c and vehicle groups, and treated for four weeks. Data regarding body weight, blood glucose, serum insulin, liver enzymes, and TNF-α, IL-1β and caspase-3 levels in the liver tissue were obtained.</p><p><strong>Results: </strong>Results: results revealed that Tirzepatide-treated obese rats exhibited significantly reduced body weight, blood glucose, serum insulin ALT, triglyceride, VLDL levels. Additionally, liver specimens from Tirzepatide group demonstrated lower levels of TNF-α, IL-1β and caspase-3 compared to obese untreated rats.</p><p><strong>Conclusion: </strong>Conclusions: It concluded that Tirzepatide treatment mitigates the metabolic dysregulations induced by High Fat Diet, additionally; it ameliorates the inflammatory and apoptotic responses in hepatic tissue triggered by High Fat Diet.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"797-805"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080717","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}
Olesya M Horlenko, Khrystyna A Hechko, Lyubomyra B Prylypko, Mykhaylo M Hechko, Fedir V Horlenko, Bohdan M Galay
{"title":"Сomprehensive approach to comparative characteristics of clinical and laboratory parameters of the study in children - in 6 months after Covid-19 treatment and 6 months after Covid-19 vaccination.","authors":"Olesya M Horlenko, Khrystyna A Hechko, Lyubomyra B Prylypko, Mykhaylo M Hechko, Fedir V Horlenko, Bohdan M Galay","doi":"10.36740/WLek/203895","DOIUrl":"https://doi.org/10.36740/WLek/203895","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study and analyze data on clinical and laboratory parameters of investigated children in 6 months after treatment and 6 months after Covid-19 vaccination.</p><p><strong>Patients and methods: </strong>Materials and Methods: A prospective clinical and laboratory examination of a children group (group 1) with identified Covid-19 (n=68) was carried out in comparison with a group (n=31) of Covid-19 vaccinated children (group 2) after 6 months of observation.</p><p><strong>Results: </strong>Results: The data of Anti-SARS-CoV-2-S1-RBD IgG, non-significant intergroup differences in levels were found (344.71 ± 87.62 versus 315.67 ± 74.91 BAU/ml, p=0.11). Significant differences were found in the children group who was 6 months after Covid-19 treatment and the control group, as well as in the group before and 6 months after Covid-19 vaccination, in the following parameters: IL-2 (p6<0.01; p7<0.01, with a prevalence of 6 and 4 times, respectively); IL-4 (p6<0.01; p7<0.01with a prevalence of 6 and 4.6 times, respectively), IL-10 (p6<0.01; p7<0.01 with a prevalence of 6 and 4.8 times, respectively), Procalcitonin (p6<0.01; p7<0.01, 18 times and 1.4 times respectively).</p><p><strong>Conclusion: </strong>Conclusions: In our study, according to the data of multivariate linear regression analysis, the level of Anti-SARS-CoV-2-S1-RBD IgG is the dependent variable, and D-dimer, Na level, Total Cholesterol, LF, IL-6, IgG are the influencing factors which determine the COVID-19 anti-infective protection.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"838-844"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080767","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}
Olesya M Horlenko, Oksana M Berezovska, Lyubomyra B Prylypko, Valeriya V Brych, Yana V Lazur, Kristian O Debretseny, Lyubov A Halay
{"title":"Dynamic morphofunctional characteristics of the respiratory tract in children with recurrent respiratory diseases depending on the method of therapy.","authors":"Olesya M Horlenko, Oksana M Berezovska, Lyubomyra B Prylypko, Valeriya V Brych, Yana V Lazur, Kristian O Debretseny, Lyubov A Halay","doi":"10.36740/WLek/203900","DOIUrl":"https://doi.org/10.36740/WLek/203900","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the data of the morphofunctional study of the respiratory tract in children with recurrent respiratory diseases in dynamics, depending on the method of therapy.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study included 118 children of primary school age with a diagnosis of recurrent respiratory diseases and 26 healthy children identical in age, gender and anthropometric parameters. Two study groups were created, depending on the treatment method: group 1 - 62 patients (optimized therapy,OT), group 2 - 56 patients (basic therapy,BT).</p><p><strong>Results: </strong>Results: Significant differences after treatment were observed in following spirogram indicators: FVC (%) at p1<0,01, p3=0,008 in the OT group; FEV1 (%) at p1=0,001, p3=0,01 in the group with OT; PEF (%) at p1=0,02 in the group of children of OT and p4=0,006 in the group of children of BT; MEF 25 (%) with p1=0,03, p3=0,05 in the group of OT children and p4=0,01 in the group of BT children; Tifno index (%) at p4=0,002, p6=0,01, р7=0,02 with significant changes between the data on OT and BT groups; MEF 50 (%) at р7=0,01 with a significant prevalence of OT data (by 1,2 times) against BT data.</p><p><strong>Conclusion: </strong>Conclusions: The obtained data allow us to say that the addition of vitamin-mineral complex drugs to the standard treatment regimen has a positive effect on the state of the respiratory system in children with a diagnosis of recurrent respiratory diseases.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"876-884"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080846","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}
Olena Makarova, Mykola Kolomoitsev, Ivan Iemets, Ivan Yatsenko, Iryna Shynkarenko
{"title":"Legal principles of using special medical and psychiatric knowledge in criminal proceedings: Ukrainian context and international standards.","authors":"Olena Makarova, Mykola Kolomoitsev, Ivan Iemets, Ivan Yatsenko, Iryna Shynkarenko","doi":"10.36740/WLek/197137","DOIUrl":"10.36740/WLek/197137","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This article aims to determine the standards of interaction of medical professionals, psychiatrists, and psychologists with participants in criminal proceedings during the implementation of various forms of use of special knowledge, as well as update their adherence in medical practice and criminal procedural activities.</p><p><strong>Patients and methods: </strong>Materials and Methods: As empirical material, the decision of the ECHR, the practice of the Ukrainian courts, the results of scientific research by scientists, dedicated to the related subject of research, were used. In order to realize the set goal, the authors used a whole complex of general scientific and special methods of cognition, namely: system-structural method, method of generalization, dogmatic method, analysis and synthesis, methods of analysis of quantitative indicators, etc.</p><p><strong>Conclusion: </strong>Conclusions: The use of medical and psychiatric knowledge must be carried out in compliance with a number of legal principles. All participants in criminal proceedings are required to comply with them. The main criteria for the use of special knowledge include: the validity of the grounds for the implementation of certain forms, the impartiality and independence of the person entrusted with the examination or other form, the rule of law, the inadmissibility of disclosing the secret of the pre-trial investigation, the right to receive another independent opinion.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 2","pages":"435-441"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693465","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}
Natalia V Bidenko, Nataliia V Stuchynska, Yurii V Palamarchuk, Mykola M Matviienko
{"title":"Integrating artificial intelligence in healthcare practice: challenges and future prospects.","authors":"Natalia V Bidenko, Nataliia V Stuchynska, Yurii V Palamarchuk, Mykola M Matviienko","doi":"10.36740/WLek/205397","DOIUrl":"https://doi.org/10.36740/WLek/205397","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To highlight the features of artificial intelligence application in healthcare, with an emphasis on specific AI solutions and the assessment of risks associated with such integration in ethical and regulatory dimensions.</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 - analysis of scientific, methodological, psychological, pedagogical literature, and regulatory documents on the research problem, system analysis method - to compare and generalize the experience of using artificial intelligence in healthcare, empirical methods - conversations and interviews with participants in the educational process, modeling - to implement a scheme for providing medical care using AI.</p><p><strong>Conclusion: </strong>Conclusions: Generative artificial intelligence is rapidly developing and is already being used in healthcare. The resources discussed that utilizing artificial intelligence can be used by practicing doctors, patients, as well as higher education students and academic staff in the educational process for examining various clinical cases, better understanding the material, and accessing visualization databases. Therefore, the need to integrate AI technologies into the training process of healthcare professionals at higher medical educational institutions is evident. An important part of the research is addressing the key challenges that arise when applying AI in medicine: ethical and regulatory issues, as well as the difficulties in integrating with existing medical information systems. Further research should be aimed at developing clear recommendations for medical institutions and educational establishments regarding the implementation and use of AI technologies.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1199-1205"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317988","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}
Nataliia Ya Kobrynska, Oryna Z Detsyk, Olha L Burak
{"title":"Analysis of accessibility of medical care at a specialized center in the capital for people with thyroid diseases.","authors":"Nataliia Ya Kobrynska, Oryna Z Detsyk, Olha L Burak","doi":"10.36740/WLek/205361","DOIUrl":"https://doi.org/10.36740/WLek/205361","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the availability of medical care at a capital`s specialized center for patients with thyroid diseases according to their demographic and socioeconomic characteristics.</p><p><strong>Patients and methods: </strong>Materials and Methods: There was conducted a survey of a representative sample of 600 people with thyroid diseases - patients of the capital's specialized endocrinology center.</p><p><strong>Results: </strong>Results: The most accessible services of the capital's specialized endocrinology center were for urban residents (76.0%), including the capital's ones (46.3%), of working age (84.8%) with university education (64.8%), and, accordingly, less accessible - for rural residents (24.0%). Up to 40% of the patients of the capital's specialized endocrinology center were representatives of vulnerable groups: retirees (16.6%), unemployed (12.5%) and people with disabilities (12.2%), more so among women and rural residents. This emphasizes the importance of any form of universal coverage and the prospect of further access to health care improvement with the inclusion of such specialized centers in the State Medical Guarantee Program 2025. The use of specialized care could be influenced by wartime and the need to confirm readiness for military service, as indicated by the higher proportion of young people among male patients (26.7% aged 30-39 years vs. 19.8% among women) and their lower level of education (59.3% with university education vs. 66.5%, respectively).</p><p><strong>Conclusion: </strong>Conclusions: The obtained data should be taken into account in developing organizational measures to improve access to specialized care for people with thyroid diseases at the state, regional and community levels.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1013-1019"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318060","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}
Arkadii H Shulhai, Oleksandr A Terenda, Nataliia Y Panchyshyn, Yurii M Petrashyk
{"title":"Analysis of the burden of cardiovascular diseases morbidity and mortality for the period 2018-2023.","authors":"Arkadii H Shulhai, Oleksandr A Terenda, Nataliia Y Panchyshyn, Yurii M Petrashyk","doi":"10.36740/WLek/205353","DOIUrl":"https://doi.org/10.36740/WLek/205353","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the morbidity from cardiovascular diseases, in particular coronary heart disease, angina pectoris and acute myocardial infarction in Ukraine in 2018-2023.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study uses data from the Center for Medical Statistics of the Ministry of Health of Ukraine on hospitalizations and average duration of care for CHD, angina pectoris, and AMI patients in Ukraine during 2018-2023. The epidemiological method and the method of estimating dynamic series were used.</p><p><strong>Results: </strong>Results: For 2018-2023, a decrease in hospitalization rate of CHD (growth rate 65.3%), angina pectoris (GR 69.7%) and a slight decrease in patients with AMI (GR 98.5%) patients was found. 2020-2022 saw a decrease in hospitalization rates for CHD and angina patients, which arose as a result of reduced access to care. In AMI, hospitalization rate decreased slightly, but the proportion of all its forms among all hospitalized patients increased in 2020-2022, while hospitalization for CHD and angina decreased. The decrease in the hospitalization rate in 2020-2022 indicates a reduced level of diagnosis of AMI and a possible lack of seeking specialized medical care and lack of adequate treatment for its atypical forms, which confirms the increase in the hospitalization rate of patients with AMI in 2023, when pandemic-related restrictions were lifted.</p><p><strong>Conclusion: </strong>Conclusions: During 2018-2023, the hospitalization rate for CHD, angina pectoris, and AMI patients decreased in Ukraine. It changed the most during 2020-2022 as a result of reduced access to medical care during the COVID-19 pandemic.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"988-992"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318062","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":"Some characteristics of therapy and rehabilitation students' communicative competence (Bogomolets National Medical University).","authors":"Serhii Omelchuk, Lesya Lymar, Kseniia Yarymbash, Daria Lystopad, Iryna Kylymnyk","doi":"10.36740/WLek/204128","DOIUrl":"https://doi.org/10.36740/WLek/204128","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To determine the main characteristics of the physical therapist's communicative competence and propose teaching methods of improving it.</p><p><strong>Patients and methods: </strong>Materials and Methods: A survey with 193 Bogomolets NMU physical therapy students of study years 2-6 was conducted using the author's questionnaire. This form aimed to define the level of their communicative competence, as well as rank the importance of competence for respondents, self-assessment of the competence level, and the respondents' experience of communicative competence classes. Participation in the survey was voluntary, by the consent of the respondents.</p><p><strong>Results: </strong>Results: The results indicate that the students possess communicative strategies and ethically correct approaches to behavior, high self-esteem, high levels of self-awareness, and self-confidence. Numerous students showed good and excellent characteristics of communication, which indicates their ability to choose best communication strategies. The students' self-assessment of communication skills, mostly positive, indicates a high level of self-awareness and self-confidence in their communication abilities.</p><p><strong>Conclusion: </strong>Conclusions: The physical and occupational therapy students are aware of communicative strategies and ethically correct approaches in behavior, which results from their undergraduate study. However, the communicative competence skills should be emphasized during the undergraduate studies, regarding the interactional character of therapists' job.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1184-1188"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318089","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}