Polski Merkuriusz Lekarski最新文献

Peculiarities of psychophysical readiness formation in future law enforcement officers for their professional activities under martial law. 戒严令下未来执法人员职业活动心理生理准备形成的特点。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501111

Oleksandr D Volianiuk, Ihor V Klymenko, Olena A Rivchachenko, Yurii V Aleksandrov, Vadym D Chornous, Ivan М Okhrimenko, Oksana G Strelchenko

{"title":"Peculiarities of psychophysical readiness formation in future law enforcement officers for their professional activities under martial law.","authors":"Oleksandr D Volianiuk, Ihor V Klymenko, Olena A Rivchachenko, Yurii V Aleksandrov, Vadym D Chornous, Ivan М Okhrimenko, Oksana G Strelchenko","doi":"10.36740/Merkur202501111","DOIUrl":"10.36740/Merkur202501111","url":null,"abstract":"Objective: Aim: To investigate the impact of the improved Working Program of the academic subject \"Special Physical Training\" on the dynamics of indicators of cadets' physical and psycho-emotional state in their training process..Patients and methods: Materials and Methods: The research, which was conducted in 2023-2024, involved 167 male cadets of the 3rd and 4th training years of National Academy of Internal Affairs (Kyiv, Ukraine). Two groups were formed: the experimental group (EG, n = 86), whose cadets studied according to the improved Working Program of the academic subject area referred to as \"Special Physical Training,\" and the control group (CG, n = 81), whose cadets studied according to the existing Working Program. Research methods: bibliosemantic, pedagogical experiment, testing, methods of mathematical statistics.Results: Results: The research found that at the end of the experiment, most of the studied indicators of physical and psycho-emotional state in the EG cadets were significantly better than in the CG cadets. The most pronounced effect of the training sessions with the improved Working Program was found in the indicators of anxiety, neuro-emotional stability, self-confidence, stress resistance, and endurance of future law enforcement officers.Conclusion: Conclusions: A high level of these indicators will ensure the formation of law enforcement officers' psychophysical readiness for extreme conditions. It will help to improve the efficiency of their performance of service tasks under martial law.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597713","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 role of psychoeducation for the physical and mental health of future specialists in wartime conditions. 心理教育在战时条件下对未来专家身心健康的作用。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501119

Halyna V Bilavych, Oksana V Vintoniak, Larysa V Slyvka, Iryna M Humeniuk, Nadiya O Fedchyshyn, Larysa Ya Fedoniuk, Borys P Savchuk

{"title":"The role of psychoeducation for the physical and mental health of future specialists in wartime conditions.","authors":"Halyna V Bilavych, Oksana V Vintoniak, Larysa V Slyvka, Iryna M Humeniuk, Nadiya O Fedchyshyn, Larysa Ya Fedoniuk, Borys P Savchuk","doi":"10.36740/Merkur202501119","DOIUrl":"10.36740/Merkur202501119","url":null,"abstract":"Objective: Aim: The aim is to analyze the possibilities of coaching technologies for training future specialists in the field of education for sustainable development in war conditions, to characterise the role of psychoeducation in this process..Patients and methods: Materials and Methods: The research used a number of scientific methods: general scientific (analysis, synthesis, generalization), specific search, and analysis of the source base, made it possible to determine the general trends in the study of the problem of the psychoeducation in the process of professional training of future specialists for sustainable development in wartime conditions, analyze the achievements of Ukrainian and foreign scientists, to distinguish the common and the different in the scientific research of scientists.Conclusion: Conclusions: One of the tools for ensuring the development of education under wartime conditions, as our experience shows, is the introduction of the latest technologies, in particular coaching, and the actualization of psychoeducation, which under the conditions of the russian-Ukrainian war gained special importance in the professional training of specialists in view of the constant need for psychological support with the help of all participants in the educational process. Various methods, tools and forms of psychoeducation serve as psychological assistance to higher education students, and through the introduction of coaching technologies, it is possible to achieve not only the formation of key competencies of future professionals, increase their general culture, improve mental health, but also to constantly improve themselves, form the ability to comprehend, overcome various mental problems, stressful situations, and finally, to maintain physical, mental, and spiritual health in war time.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"139-145"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597917","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

Spectacular effect of radiotherapy in a 91-year-old man with locally advanced lip cancer: a case report and reflections on palliative care. 91岁男性局部晚期唇癌放射治疗的惊人效果：1例报告及对姑息治疗的思考。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501120

Miroslaw Kiedrowski, Pawel Banatkiewicz, Pawel Nurzynski

{"title":"Spectacular effect of radiotherapy in a 91-year-old man with locally advanced lip cancer: a case report and reflections on palliative care.","authors":"Miroslaw Kiedrowski, Pawel Banatkiewicz, Pawel Nurzynski","doi":"10.36740/Merkur202501120","DOIUrl":"10.36740/Merkur202501120","url":null,"abstract":"This case report describes the clinical course in a great age home hospice patient with advanced lip cancer, who was cured as a result of palliative care and radiotherapy specialists' cooperation. A 91-year-old Caucasian male developed a lip tumor over five years. Given his passive approach to health and challenging living conditions, he opted not to undergo the recommended surgical treatment. As the lip lesion progressed, and pain and trismus increased, making him unable to eat, he was placed under home hospice care. Seeking the best treatment strategy, the hospice physician referred him to a radiotherapist, who qualified him for sequential radiotherapy. Initially, external beam radiotherapy was administered, delivering a total dose of 30 Gy in 10 fractions using the IMRT technique, which resulted in over 60% tumor regression. Subsequently, an HDR 3D interstitial brachytherapy boost was applied, delivering an additional dose of 24 Gy in 6 fractions. This treatment led to a remarkable resolution of the lesion. Throughout this process, comprehensive supportive care was continuously provided as the patient temporarily developed CTCAE grade 3 oral toxicity, which required intensive local and analgesic therapy for five weeks. Ultimately, the patient's fitness greatly improved. This case report highlights the importance of comprehensive supportive treatment and multidisciplinary cooperation, as well as the effectiveness of radiotherapy in palliative care.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597938","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 effect of photobiomodulation therapy on the expression of regulatory molecules in chronic wound healing. 光生物调节治疗对慢性创面愈合过程中调节分子表达的影响。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502105

Sergey Pavlov, Nataliia Babenko, Marina Kumetchko, Olga Litvinova, Vladyslav Bereznyakov, Tetiana Litvinienko

{"title":"The effect of photobiomodulation therapy on the expression of regulatory molecules in chronic wound healing.","authors":"Sergey Pavlov, Nataliia Babenko, Marina Kumetchko, Olga Litvinova, Vladyslav Bereznyakov, Tetiana Litvinienko","doi":"10.36740/Merkur202502105","DOIUrl":"https://doi.org/10.36740/Merkur202502105","url":null,"abstract":"Objective: Aim: The work aimed to study the effect of photobiomodulation (PBM) therapy on the expression of key regulatory interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-4 (IL-4), interleukin-10 (IL-10), tumor necrosis factor-alpha (TNF-α), and granulocyte-macrophage colony-stimulating factor (GM-CSF), influencing the development of reparative processes of chronic wounds.Patients and methods: Materials and Methods: The experiment involved 3 groups of rats: intact animals and animals of the control and experimental groups, for which chronic wounds were simulated. Exposure to wound defects of animals of the experimental group was carried out using PBM therapy. Animals were euthanized on the 14th and 28th day of the experiment. The levels of IL-1β, IL-6, IL-4, IL-10, TNF-α, and GM-CSF in the blood serum of animals were studied by enzyme immunoassay. Histological studies were carried out. The semi-quantitative method was used to evaluate the reepithelization stage, polymorphonuclear leucocytes, fibroblasts, new vessels, and new collagen.Results: Results: In our work in a group of animals using PBM therapy, the levels of IL-1β, IL-6, TNF-α, GM-CSF, and IL-10 did not change during the proliferationto-remodeling transition phase. The application of PBM therapy resulted in an increase in IL-4 on day 14 of the experiment. The semi-quantitative method demonstrated a change in the number of histologic processes and structures after using PBM therapy.Conclusion: Conclusions: An imbalance in the production of pro-inflammatory cytokines was found with the use of PBM therapy in our study. An increase in the levels of anti-inflammatory cytokines, the number of fibroblasts, and collagen after laser treatment was shown.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023435","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

Overcoming the consequences of psychological trauma with the help of "The Murray Method" and becoming a healthy balanced personality. 在“默里方法”的帮助下克服心理创伤的后果，成为一个健康平衡的人格。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502116

Marilyn L Murray, Ruslan M Іlchenko, Vitalii M Zaika, Volodymyr F Morgun

{"title":"Overcoming the consequences of psychological trauma with the help of \"The Murray Method\" and becoming a healthy balanced personality.","authors":"Marilyn L Murray, Ruslan M Іlchenko, Vitalii M Zaika, Volodymyr F Morgun","doi":"10.36740/Merkur202502116","DOIUrl":"https://doi.org/10.36740/Merkur202502116","url":null,"abstract":"Objective: Aim: The aim of the study is to analysis of \"The Murray Method\", which is aimed at overcoming the consequences of adverse childhood experiences, the consequences of various psychological traumas of the individual during life and is aimed at the formation of a healthy balanced personality, the study of the fundamentals of the emergence of the method, the disclosure of the psychological mechanisms of how a person experiences a traumatic event, consideration of the main basic concepts of the concepts of \"The Murray Method\".Patients and methods: Materials and Methods: To solve the tasks and achieve the goal of the article, we used general scientific methods of the theoretical level (analysis, synthesis, comparison, systematization, generalization of scientific and theoretical data), in relation to the psychotherapeutic method of becoming a healthy balanced personality through overcoming trauma, violence and deprivation according to \"The Murray Method\".Conclusion: Conclusions: \"The Murray Method\" is based on sufficiently strong immersion in the ≪Pool of Pain≫ and its ≪devastation≫ in an atmosphere of support and love, reducing the role of the protective mechanism as a result of working with images, manifesting, talking about painful emotions, analyzing traumatic experiences, as well as searching and the formation of personal talents, the formation of a healthy, balanced person, capable of sympathizing, showing empathy, protecting oneself without harming others, enjoying life.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"267-272"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051542","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

Impact of stressors of academic activities under martial law on the cadets' mental health. 戒严时期学术活动压力源对学员心理健康的影响

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502114

Yuliia I Martenko, Yevgen L Malyshenko, Igor M Bushai, Olena A Rivchachenko, Iryna V Shcherbakova, Oleksii E Mirshuk, Ivan M Okhrimenko

{"title":"Impact of stressors of academic activities under martial law on the cadets' mental health.","authors":"Yuliia I Martenko, Yevgen L Malyshenko, Igor M Bushai, Olena A Rivchachenko, Iryna V Shcherbakova, Oleksii E Mirshuk, Ivan M Okhrimenko","doi":"10.36740/Merkur202502114","DOIUrl":"https://doi.org/10.36740/Merkur202502114","url":null,"abstract":"Objective: Aim: The aim is to investigate the mental health indicators of cadets during their stressful academic training under martial law.Patients and methods: Materials and Methods: The research, which was conducted in the academic year 2023-2024, involved 253 male cadets of the 1st-4th training years at the National Academy of Internal Affairs (Kyiv, Ukraine). Research methods: theoretical analysis and generalization of literary sources, mental health testing, and methods of mathematical statistics. Seven psycho-diagnostic methods were used to test the cadets' mental health.Results: Results: The results obtained indicate a pronounced negative impact of stressors of academic activities under martial law on the cadets' mental health and, in particular, on the level of manifestation of stress disorders, a tendency to develop stress, reduced stress resistance, increased nervous and emotional stress, anxiety, and deterioration of the emotional state. The most pronounced negative changes in these indicators of mental health were found in cadets who have not developed skills to cope with stress during academic activities and the use of effective means of stress prevention and restoration of psycho-emotional state (junior cadets).Conclusion: Conclusions: The research demonstrates the urgent need to develop cadets' stress resistance during academic training to ensure the effectiveness of their educational activities under martial law and further service activities, as well as to develop skills in the use of available means to prevent stressful phenomena in the process of education during the war.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"250-255"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052679","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

Efficiency of replacement of bone defect in rabbit jaw with germanium-doped calcium phosphate ceramics. 掺锗磷酸钙陶瓷对兔颌骨骨缺损的修复效果。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502113

Anna O Zhmurko, Natalia V Ulyanchych, Mykhailo V Rublenko, Svitlana M Shevchenko, Andriy V Kopchak, Volodymyr V Kolomiiets, Roman S Palyvoda

{"title":"Efficiency of replacement of bone defect in rabbit jaw with germanium-doped calcium phosphate ceramics.","authors":"Anna O Zhmurko, Natalia V Ulyanchych, Mykhailo V Rublenko, Svitlana M Shevchenko, Andriy V Kopchak, Volodymyr V Kolomiiets, Roman S Palyvoda","doi":"10.36740/Merkur202502113","DOIUrl":"https://doi.org/10.36740/Merkur202502113","url":null,"abstract":"Objective: Aim: To study the regenerative potential of calcium phosphate ceramics doped with germanium (CFCdGe; Ge amount 1-1,5%) compared to a deproteinized bovine material (DBM).Patients and methods: Materials and Methods: The study was performed in vivo on 30 laboratory rabbits, which were formed with a bicortical bone defect in the mandibular angle area on both sides (diameter - 7 mm). There were 3 groups where defects were replaced by CFCdGe (group 1 [n= 10]) and DBM (group 2 [n= 10]) As a control (group 3 [n= 10]), a defect was healed under a blood clot. We studied microstructure of the CFCdGe, solubility, phase, chemical composition, and adsorption activity. The animals were euthanized on 21st, 42nd, and 90th day for taking histological samples to access trabecular width between and around granules.Results: Results: The size of CFCdGe (Ge 1%) participles was smaller, but the porosity was larger, therefore the working concentration of Ge was chosen as 1%. At 90th day, the trabecular width around granules in group 1 (98,9±27,2 μm) was 92,78% greater than in group 2 (51,3±20,8 μm) and 22,70% greater than width of new bone trabeculae in the control group (80,6±34,2 μm) (groups 1 vs. 2: p<0,01). The trabecular width between granules in group 1 (121,0±21,0 μm) was 68,05% greater than in group 2 (72,0±13,1 μm) (p<0,01). The CFCdGe granules were surrounded by formed bone tissue with overwhelming amount of mature lamellar bone.Conclusion: Conclusions: The CFCdGe (Ge 1%) in the experimental study on laboratory rabbits demonstrated a significantly better result than the DBM.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"239-249"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049304","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

Autologous mesenchymal stem cells as a component of multidisciplinary rehabilitation of war participants with severe forms of chronic critical lower limb ischemia and pain syndroms. 自体间充质干细胞作为具有严重形式慢性危急下肢缺血和疼痛综合征的参战人员多学科康复的一个组成部分。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502104

Viktor A Cherniak, Lidiia V Butska, Oksana O Drevitska, Kostiantyn K Karpenko, Yuriy L Zabulonov, Valentyn O Ryzhak

{"title":"Autologous mesenchymal stem cells as a component of multidisciplinary rehabilitation of war participants with severe forms of chronic critical lower limb ischemia and pain syndroms.","authors":"Viktor A Cherniak, Lidiia V Butska, Oksana O Drevitska, Kostiantyn K Karpenko, Yuriy L Zabulonov, Valentyn O Ryzhak","doi":"10.36740/Merkur202502104","DOIUrl":"https://doi.org/10.36740/Merkur202502104","url":null,"abstract":"Objective: Aim: To determine the effectiveness of a multidisciplinary rehabilitation program (MRP), integrating mesenchymal stem cells (MSCs) therapy, acupuncture, physiotherapy and physical exercises, in improving the functional recovery in patients with combat-related injuries and chronic critical lower limb ischemia (CCLLI).Patients and methods: Materials and Methods: A six-month comparative clinical trial was conducted involving 40 male patients (mean age [mean ± standard error] 62,5±2,3 years) diagnosed with CCLLI, including 10 individuals with combat-related injuries, being randomized into 2 groups: the MSCs group (main group [MG]) (n=20) received MRP, including autologous MSCs therapy; the control group (CG) (n=20) received standard therapy only. Five patients with gunshot wounds were randomly assigned to each group.Results: Results: MG patients presented with significant increase in ankle-brachial index and VAS pain score decrease, being more pronounced as opposed to CG. Walking distance improvement was achieved in 75% of MG patients vs. 40% in CG (p<0,01). Trophic ulcers healed in 100% of MG patients (vs 25% in CG [p<0,01]). After treatment, only 1 (5%) patient in the MG remained at risk of lower limb amputation, as compared to 8 (40%) patients in the CG (p<0,05) (RR 0,13 [95% CI 0,02-0,91]; p<0,05).Conclusion: Conclusions: The implementation of MRP, integrating MSCs therapy, led to significant improvements in pain relief, tissue regeneration and overall functional recovery in patients with CCLLI, particularly those with military-related injuries, favouring the reduction of the risk of lower limb amputation.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"174-178"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031883","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

Treatment of hand injuries: experience of the Republic of Kazakhstan. 手部损伤的治疗：哈萨克斯坦共和国的经验。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501107

Kanat Mukhamedkerim, Mismil Muradov, Yergali Nabiyev, Kymbat Kazantayev, Zhumakhan Moldakulov

{"title":"Treatment of hand injuries: experience of the Republic of Kazakhstan.","authors":"Kanat Mukhamedkerim, Mismil Muradov, Yergali Nabiyev, Kymbat Kazantayev, Zhumakhan Moldakulov","doi":"10.36740/Merkur202501107","DOIUrl":"10.36740/Merkur202501107","url":null,"abstract":"Objective: Aim: The aim of the present study is to analyse and summarize the experience of the Department of Reconstructive and Plastic Microsurgery of the National Scientific Center of Surgery named after A.N. Syzganov in the field of treatment of hand injuries..Patients and methods: Materials and Methods: The study sample included 295 patients who applied to the Department of Reconstructive and Plastic Microsurgery of the National Scientific Center of Surgery named after A.N. Syzganov from the beginning of 2021 to the end of 2022, in relation to which general clinical methods of research, including the method of dynamic observation and innovative microsurgical techniques, were applied. Innovative minimally invasive surgical techniques were developed and successfully applied to the flexor tendons of the fingers, ensuring precise juxtaposition of tendon ends, reducing tissue trauma, and facilitating smooth passage of the repaired tendons in bone-fibrous canals.Results: Results: The application of the developed methods demonstrated high clinical efficacy, as evidenced by the high percentage of good and satisfactory treatment results - 98.8% in one group and 93.7% in the other. Nevertheless, in 3.4% of cases, the development of flexion contractures of fingers of different severity was observed, which was associated with insufficient intensity of rehabilitation, lack of proper dynamic control and indiscipline of some patients.Conclusion: Conclusions: The result of the work was a comprehensive analysis of the experience of microsurgery of the hand obtained in the Republic of Kazakhstan during the study period.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597960","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 influence of student classes in psychiatry on the perception of people with intellectual disabilities. 精神病学课程对智障人士认知的影响。

Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501110

Karol Batko, Aleksander Stefanik, Andrzej Witusik, Kasper Sipowicz, Tadeusz Pietras

{"title":"The influence of student classes in psychiatry on the perception of people with intellectual disabilities.","authors":"Karol Batko, Aleksander Stefanik, Andrzej Witusik, Kasper Sipowicz, Tadeusz Pietras","doi":"10.36740/Merkur202501110","DOIUrl":"10.36740/Merkur202501110","url":null,"abstract":"Objective: Aim: To gain knowledge about the attitudes of medical students towards people with intellectual disabilities and the impact of psychiatry teaching on changing these attitudes..Patients and methods: Materials and Methods: The study involved 106 students of medical faculties who had not yet taken a course in psychiatry and 104 who had completed the course and passed the exam. The interviewers who conducted the research were the students themselves. The tool used in the study was a questionnaire of own design designed by a special educator and a psychiatrist. The questionnaire included questions about age and gender, as well as 5 statements of a discriminatory (rejecting) nature and 5 affirmative (accepting) statements indicating full acceptance of people with intellectual disabilities.Results: Results: Most of the people surveyed presented positive attitudes towards people with intellectual disabilities (approx. 88%). Approximately 12% of the respondents presented negative attitudes reflecting social stereotypes. The groups of students before and after completion of the classes in this subject did not differ in the frequency of the 10 selected attitudes studied.Conclusion: Conclusions: The vast majority of medical students surveyed present positive attitudes (judgments) regarding people with intellectual disability. Approximately 12% of the surveyed medical students present negative attitudes (judgments) towards persons with intellectual disability. There is no correlation between the completion of psychiatry classes and the frequency of negative attitudes (judgments) towards persons with intellectual disability among the surveyed medical students.","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597942","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