PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse最新文献

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EFFICACY OF CARDIOPROTECTOR TREATMENT OF DECOMPENSATED HEART FAILURE IN PATIENTS WHO HAVE TRANSFERRED ACUTE MYOCARDIAL INFARCTION IN FOCUS 心脏保护剂治疗急性心肌梗死转移性失代偿性心衰的疗效观察
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-16-23
K. V. Levandowska, T. V. Naluzhna, T. V. Merhel, U. V. Yusypchuk, T. I. Gridzhuk
{"title":"EFFICACY OF CARDIOPROTECTOR TREATMENT OF DECOMPENSATED HEART FAILURE IN PATIENTS WHO HAVE TRANSFERRED ACUTE MYOCARDIAL INFARCTION IN FOCUS","authors":"K. V. Levandowska, T. V. Naluzhna, T. V. Merhel, U. V. Yusypchuk, T. I. Gridzhuk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-16-23","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-16-23","url":null,"abstract":"In Ukraine, as well as in Europe and America, chronic heart failure (CHF) remains one of the most pressing problems of cardiology. This diseaseremains a leading factor in development adverse cardiovascular events and reduces the quality of life those patients whohad myocardial infarction. Endothelial dysfunction is a one of the main links in the formation of decompensated heart failure (HF) during the postinfarction period. An alternative direction in its treatment is cytoprotectionthat is characterized by the use of hemodynamically neutral drugs. Such drugs are energy substrate and have the properties of formation and storage of macroergic compounds in cardiomyocytes [2].","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126060980","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}
引用次数: 0
STUDY OF THE DYNAMICS MORBIDITY OF THE POPULATION OF THE CARPATHIAN REGION FOR SYSTEMIC TICK BORELIOSIS (LYME DISEASE) 喀尔巴阡地区人群系统性蜱虫病(莱姆病)发病动态研究
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-65-70
V. Stefurak, N. V. Dovhanych, S. M. Kishchuk
{"title":"STUDY OF THE DYNAMICS MORBIDITY OF THE POPULATION OF THE CARPATHIAN REGION FOR SYSTEMIC TICK BORELIOSIS (LYME DISEASE)","authors":"V. Stefurak, N. V. Dovhanych, S. M. Kishchuk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-65-70","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-65-70","url":null,"abstract":"The distribution and dynamics of natural-mediated zoonosis (Lyme disease) in the Carpathian region have been studied and measures for its prevention have been developed. It is established that the vectors of Lyme disease are Ixodes mites. The disease is transmitted transmissible through the adhesion of Ixodes mites to the human body. In mites, transovarian (through eggs) and transphase (through larvae and nymphs) transmission of pathogens. \u0000The data obtained indicate that the incidence of Lyme disease in mountainous populations is high. The trend in the incidence of the population is growing from year to year, in particular in Kosiv, Verkhovyna and Rakhiv districts. The disease mainly affects people of active age, more often representatives of professional risk groups (foresters, berry and mushroom pickers, shepherds, hunters, etc.)","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126156513","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}
引用次数: 0
STRUCTURAL-GEOMETRIC INDICATORS OF THE LEFT VENTRICLE IN THE EVALUATION OF ELECTRICAL REMODELATION OF THE HEART OF THE HEAD OF CHRONIC SYSTEMIC INFLAMMATION IN THE INFLAMMATION 左心室结构-几何指标在评价慢性全身性炎症的头部心脏电重构中的应用
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-39-48
N. Nyshchuk-Oliynyk
{"title":"STRUCTURAL-GEOMETRIC INDICATORS OF THE LEFT VENTRICLE IN THE EVALUATION OF ELECTRICAL REMODELATION OF THE HEART OF THE HEAD OF CHRONIC SYSTEMIC INFLAMMATION IN THE INFLAMMATION","authors":"N. Nyshchuk-Oliynyk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-39-48","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-39-48","url":null,"abstract":"Stable coronary artery disease in combination with type 2 diabetes mellitus remains one of the leading causes of disability and mortality. Therefore, the study of prognostic factors in the combination of these diseases remains relevant. The question of the influence of the inflammatory component on the development of atherosclerosis in patients with CCS in combination with type 2 diabetes mellitus is studied in this article. The influence of the severity of chronic systemic inflammation on the features of myocardial remodeling in such a combined pathology remains unclear. \u0000The aim of the study was to evaluate the features of LV myocardial remodeling on the background of chronic systemic inflammation in patients with stable coronary artery disease with concomitant type 2 diabetes mellitus. \u0000120 patients were examined, including 90 patients with SCAD and type 2 diabetes mellitus (group I) and 30 patients with SCAD (group II). Patients in both groups had SCAD: angina class II-III by CCS classification. It was found that in patients with SCAD and type 2 diabetes mellitus and without it, type 1 diastolic heart dysfunction prevailed (relaxation disorders). Prognostically unfavorable type of remodeling, concentric LV hypertrophy, predominated in patients with SCAD associated with type 2 diabetes. \u0000The study showed that the increase in the integrated indicators of chronic systemic inflammation in patients with SCAD with concomitant type 2 diabetes mellitus associated with diastolic left ventricular dysfunction, hyperlipidemia, and this should be considered when choosing tactics of patient management. \u0000Conclusion: In our opinion, local disruption of lipid transport in the tissue is the basis of atherosclerotic lesions of the vascular wall, which develops independently of inflammation in it, but is significantly potentiated by the mediators of inflammation. \u0000Reconstruction of structural and functional parameters of the heart and disorders of intracardiac hemodynamics are characteristic of patients with SCAD without and in combination with type 2 diabetes mellitus, and in the latter case is more profound. These processes are initiated and deepened against the background of chronic systemic inflammation, which may be marked with elevated levels of ST2, hs-SRP, TMAO, TLR2, TLR4 and hematological indices.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128561457","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}
引用次数: 0
MARKERS OF LOW-GRADE INFLAMMATION IN PATIENTS WITH ACUTE CORONARY SYNDROME AND 2 TYPE DIABETES MELLITUS 急性冠脉综合征合并2型糖尿病患者低度炎症标志物的研究
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-110-118
O. Bondareva, S. V. Fedorov
{"title":"MARKERS OF LOW-GRADE INFLAMMATION IN PATIENTS WITH ACUTE CORONARY SYNDROME AND 2 TYPE DIABETES MELLITUS","authors":"O. Bondareva, S. V. Fedorov","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-110-118","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-110-118","url":null,"abstract":"Cardiovascular diseases cause approximately one-third of all deaths in the world, of which 7.5 million deaths are estimated to be due to ischemic heart disease (IHD). Acute coronary syndromes (ACS) and sudden death cause most IHD-related deaths, which represent 1.8 million deaths per year. Established, that patients with diabetes mellitus (DM) are more likely to experience of ACS and heart failure and are at greater risk for dying after an acute cardiac event, than patients without diabetes. \u0000The purpose of this study is evaluation of leukocyte and its populations count, leukocytes indices and plasma level of high sensitive C-reactive protein (hsCPR) in patients hospitalized due to ACS with or without of 2 type DM. \u0000Material and Methods. We observed of 124 patients with ACS which were randomized into two groups: 1st group – 93 patients with ACS and DM; 2nd group – 31 patients with ACS without 2 type DM. 30 apparently healthy persons were included into control group. We studied of leukocytes count and their subpopulations in blood; calculated of their subpopulation indices: neutrophils to lymphocytes ratio (NLR), neutrophils to monocytes ratio (NMR), neutrophils to lymphocytes+monocytes ratio (N/LMR), lymphocytes to monocytes ratio (NMR) at admission. The plasma levels of hs-CRP were detected by ELISA method. \u0000Results of study. The significant increase of white blood cells count and neutrophils count in patients with ACS at admission was detected in our study, especially in cases with DM. On the contrary, the counts of lymphocytes were decreased in patients with ACS and ACS with 2 type DM, versus data in control group. In patient with ACS the increased parameter of NMR was observed (p<0.001). Similarly, the following indices were higher, compared with control group parameters: NLR – for 3.32 times (in patients with ACS and DM) and for 2.43 times (in patients with ACS and without DM) (p<0.001); N/LMR – for 2.98 times (in patients with ACS and DM) and for 2.14 times (in patients with ACS and without DM) (p<0.001). On the contrary, LMR was decreased in both groups of patients with ACS – for 1.4 times and 1.36 times, respectively (p<0.05). The increased plasma levels of hs-CRP were detected in patients with ACS, more significant – in case of 2 type DM (fig. 1): for 2.1 times and for 2.59 times, respectively (p<0.001). \u0000Conclusion. ACS is characterized of raised white blood cells and neutrophils count and low lymphocyte count, especially in cases of association with 2 type Diabetes Mellitus. Low-grade inflammation in patients with ACS and DM caused of increased levels of hs-CRP and some leukocyte ratios: NMR, N/LMR, NLR.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124786426","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}
引用次数: 0
THE FEATURES OF POSTDOCTORAL TRAINING DURING COVID-19 PANDEMIC 新冠肺炎疫情期间博士后培养特点
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-119-124
S. V. Fedorov, A. Herashchenko, T. I. Makovetska, I. Kozlova, N. Chaplynska, K. Symchych, N. O. Stasyuk
{"title":"THE FEATURES OF POSTDOCTORAL TRAINING DURING COVID-19 PANDEMIC","authors":"S. V. Fedorov, A. Herashchenko, T. I. Makovetska, I. Kozlova, N. Chaplynska, K. Symchych, N. O. Stasyuk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-119-124","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-119-124","url":null,"abstract":"The abrupt onset and prolonged state of the COVID-19 (SARS-COV-2) pandemic has radically altered medicine. Clinical care, research, and training have experienced significant disruption, with a call to balance safety and well-being. With regard to training future researchers and clinicians, residencies and fellowship programs have pivoted from standard in-person curricula to virtual formats to decrease possible virus exposure and spread. The postdoctoral training usually take place by using of distance elements of international e-learning platforms, such as Zoom and Google Classroom. There are different controversial opinions due distance training of doctors. Purpose of study: evaluation of the advantages and disadvantages of distance learning of doctors in cycles of thematic improvement. Material and methods of research. An anonymous survey of 219 physicians of therapeutic specialties who underwent distance learning at the Department of Therapy and Family Medicine of Postgraduate Education of Ivano-Frankivsk National Medical University in the period from January 1 to May 25, 2022 was carried. Descriptive statistics were used to summarize demographic characteristics and survey responses. Chi-square and Fisher's exact tests were conducted. A p-value of less than 0.05 was considered statistically significant. Quantitative data analysis was conducted using statistical package Statistica 12. Results of study. Among of the 219 surveyed doctors, the vast majority of people studied at thematic courses repeatedly. 176 (80.4%) respondents were female. General practitioners, and physicians predominated among the physicians. The vast majority of doctors are satisfied with the remote format of thematic courses and their content. The majority of respondents (105 (47.9%) people) were in favor of a mixed system of education in the future, which would combine elements of distance education with the opportunity to study at the clinical bases of the department. Only distance learning in the future was noted by 90 (41.1%) doctors (χ2 = 2.08; p = 0.15). 10 (4.6%) people prefer to study on the basis of the department. Conclusions. 1. The distance format of thematic learning courses during of the COVID-19 pandemic is acceptable to the vast majority of physicians. 2. It is necessary to develop a hybrid model of thematic improvement cycles in the future, which would harmoniously combine elements of distance and academic medical education.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132128172","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}
引用次数: 0
THE FUNCTIONAL STATE OF LIVER IN PATIENTS WITH METABOLIC SYNDROME WITH TYPE 2 DIABETES 代谢综合征合并2型糖尿病患者肝脏功能状态的研究
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-84-92
T. Romaniv, N. Skrypnyk
{"title":"THE FUNCTIONAL STATE OF LIVER IN PATIENTS WITH METABOLIC SYNDROME WITH TYPE 2 DIABETES","authors":"T. Romaniv, N. Skrypnyk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-84-92","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-84-92","url":null,"abstract":"One of the pathogenetic mechanisms of the development of insulin resistance (IR) in type 2 diabetes mellitus (type 2 DM) is the formation of non-alcoholic fatty liver disease (NAFLD). DM and liver pathology can be considered as interrelated processes. The aim of the study was to evaluate the indicator, secretory and excretory enzymes of blood serum in the development of IR in patients with metabolic syndrome (MS) with type 2 DM. The distribution of patients with MS with type 2 DM was carried out, depending on the presence of non-alcoholic steatohepatitis (NASH): a group of patients with NASH - 36, a group of patients without NASH - 32. The degree of IR was determined by the size of the waist circumference, IR indices: HOMA-IR index and Caro index. The obligatory volume of laboratory researches included: the general clinical analysis of blood and urine, research of fasting blood glucose and postprandial glycemia, glycemic profile of blood by glucose oxidase method by means of the «Exan» device was carried out. Glycated hemoglobin (HbA1c) was determined by chromatographic method using a test system (fully automated analyzer) to determine the content of hemoglobin D-10TM by \"Bio-Rad\" company (USA). Determination of the activity of aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, arginase, cholinesterase was performed by diagnostic kits of the Czech company \"Lachema\" on a spectrophotometer Sf-46. Alkaline phosphatase activity was determined by Phillips-Diagnostic reagent kits. The concentration of endogenous insulin was determined by DRG reagent kit (USA), by enzyme-linked immunosorbent assay using an analyzer \"StatFax - 303. To determine the presence of structural changes in the liver the ultrasound on the device \"Elegra\" Simens Medicol Systems was used. Wefound that the metabolic prerequisites for the development of NASH of the liver are fasting and postprandial hyperglycemia, hyperinsulinemia. The increase in the degree of glycation of hemoglobin and increase in IR. The results of the study of the degree of hemoglobin glycation showed a reliable increase in the relative content of HbA1c in patients with NASH and MS with type 2 diabetes without NASH - 2.1 and 1.9 times, compared with healthy individuals. A study of the content of endogenous insulin in the blood on an empty stomach revealed reliable hyperinsulinemia - in patients with NASH, the content of endogenous insulin on an empty stomach exceeded the norm by 4.3 times. Increased levels of alanine aminotransferase, sorbitol dehydrogenase, arginase, lactate dehydrogenase, alkaline phosphatase and decreased cholinesterase in patients with MS with NASH detected which display the damage of detoxification and synthetic function of the liver and glycogenization. The connection of IR with the deepening of the phenomena of hepatocyte damage, suppression of the synthetic function of hepatocytes, with markers of nonspecific hepatodepsy, reduction of liver detoxification functi","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130928397","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}
引用次数: 0
RESULTS OF THE ON-LINE QUESTIONNAIRE OF STUDENTS OF FOREIGN CITIZENS’TRAINING DEPARTMENT ON CLINICAL ANATOMY AND OPERATIVE SURGERY REGARDING TECHNICAL SUPPORT OF EDUCATIONAL PROCESS AT DISTANCE LEARNING 外国公民培训部临床解剖与外科专业学生远程教学过程技术支持在线问卷调查结果分析
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-131-137
V. Kavyn
{"title":"RESULTS OF THE ON-LINE QUESTIONNAIRE OF STUDENTS OF FOREIGN CITIZENS’TRAINING DEPARTMENT ON CLINICAL ANATOMY AND OPERATIVE SURGERY REGARDING TECHNICAL SUPPORT OF EDUCATIONAL PROCESS AT DISTANCE LEARNING","authors":"V. Kavyn","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-131-137","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-131-137","url":null,"abstract":"The educational process in higher educational institutions of Ukraine is subject to reform and improvement, with the aim of forming a modern competitive specialist in the labor market. Higher medical education on the present stage requires the use of the hindmost technologies and tools during practical classes and lectures, methods of motivating students. The real challenge to the educational process was the COVID-19 pandemic, which contributed to a more active transition to distance learning in educational medical schools. Distance learning is one of the priority tasks of modern education. Electronic control, which is carried out during distance learning, has both advantages and disadvantages. Its main advantages include: the ability to quickly test the knowledge of a large number of students at the same time, improving the teacher's professional skills, increasing the ability to implement individual work with students of higher education. Among the disadvantages of distance learning are: reduced language contact between the student and the teacher; the advantage of standardized thinking; the labor-intensive of the process, which is associated with the additional formating of the educational complex. Successful practical training in distance learning depends on proper technical support, mainly from students. During practical classes with foreign students, technical problems were repeatedly noted, which disrupted the educational process. This was the purpose of conducting a questionnaire of students to study their technical support to carry out the distance learning process.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124362833","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}
引用次数: 0
POSTCOVID DEPRESSION: DIAGNOSIS AND WAYS TO OVERCOME IT covid后抑郁症:诊断和克服方法
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-93-99
V. V. Pitulei
{"title":"POSTCOVID DEPRESSION: DIAGNOSIS AND WAYS TO OVERCOME IT","authors":"V. V. Pitulei","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-93-99","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-93-99","url":null,"abstract":"The article deals with the problem of postcovid depression. The main diagnostic criteria and symptoms of depressive disorder are outlined. It is indicated that the basic symptoms include: depressed mood, loss of curiosity and pleasure from daily activities, increased fatigue, loss of energy and decreased activity. The risk factors that most influence the formation of depressive disorders are analyzed. These factors include: job loss, divorce, loss of relatives, high levels of personal anxiety, and stressful life events. The main goal of therapy in patients with VDR is complete functional recovery and return to the premorbid state. The difficulty of treating depressive disorders lies in the lack of complete recovery in the case of severe or complicated forms of depressive disorders. The author identifies the main emotional and cognitive signs of depressive disorder, namely: low or increased mood, feelings of anxiety and unreasonable anxiety, irritability or manifestations of anger towards yourself or other people, repeated negative thoughts about yourself, about drug addicts and the future, reduced concentration of attention, apathy, inattention. Recovery from depression is not the absence of negative affective symptoms, but the restoration of normal emotional functioning, the ability to be yourself and experience positive emotions. The goal of psychotherapy for depression is to change the patient's negative thoughts, emotional state and mood.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127802586","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}
引用次数: 0
FEATURES AND STRUCTURE OF THE COMPLICATIONS OF ENDOVENOUS LASER ABLATION 静脉内激光消融并发症的特点及结构
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-8-15
O. Y. Atamaniuk
{"title":"FEATURES AND STRUCTURE OF THE COMPLICATIONS OF ENDOVENOUS LASER ABLATION","authors":"O. Y. Atamaniuk","doi":"10.21802/2304-7437-2021-2022-16-17(61-62)-8-15","DOIUrl":"https://doi.org/10.21802/2304-7437-2021-2022-16-17(61-62)-8-15","url":null,"abstract":"The aim of the research work: to analyze the structure, frequency and features of complications after endovenous laser ablation in patients with varicose veins of the lower extremities. An open, prospective study was conducted, which included 208 consecutive patients with varicose veins of the lower extremities.  All patients underwent endovenous laser ablation of varicose veins and investigated the structure and features of the development of postoperative complications. Pathological reflux of blood in the trank of the great saphenous vein of the lower extremity was diagnosed in 206 cases, isolated reflux in the trank of the small saphenous vein was observed in 24 (10.4 %) limbs, in 16 patients EVLA was performed simultaneously in the small and large saphenous veins). One or more adverse events were reported by 94 patients (45.2%) during the first 2 weeks after treatment, and pain was the most common symptom in the study patients, with complaints reported by 82 (39.4 %) patients with a mean value immediately after treatment). The second most common complication of endovenous laser ablation was ecchymosis, which developed in 44 (19.1% extremities). Tissue induration and hyperpigmentation along the coagulated vein were observed in 5.2% and 3.9%, respectively. Manifestations of transient paresthesia and wound infection were observed in 0.4% of cases, in 2 (0.9 %) patients after EVLA in the great saphenous vein. In the postoperative period serious adverse events developed, such as EHIT II and in 3 (1.4 %) cases asymptomatic distal deep vein thrombosis. Endovenous laser ablation is an effective method of treating varicose veins of the lower extremities with a high safety profile. Clear standardization of the procedure and postoperative monitoring will minimize the risks of postoperative complications and eliminate them in a timely manner.","PeriodicalId":316616,"journal":{"name":"PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse","volume":"43 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113999960","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}
引用次数: 0
PRINCIPLES OF TEACHING HUMAN ANATOMY FOR MEDICAL STUDENTS MAJORING IN 228 "PEDIATRICS" 228“儿科学”医科学生人体解剖学教学原则探讨
PRECARPATHIAN BULLETIN OF THE SHEVCHENKO SCIENTIFIC SOCIETY Pulse Pub Date : 2022-08-10 DOI: 10.21802/2304-7437-2021-2022-16-17(61-62)-125-130
V. Miskiv, O. Popadynets, M. Kulynych-Miskiv, Y. Bodnarchuk, U. Dutchak, T. V. Knyazevich-Chorna, R. Oliynyk, V. S. Khabchuk, A. B. Grechin, V. Pertsovych
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