Polski Merkuriusz Lekarski最新文献

{"title":"Psychoeducation as a mental health strategy in wartime: A meta-analysis of its effectiveness.","authors":"Ihor Syniuk, Ivan Romash, Iryna Romash, Vitalii Yatsynovych, Bohdan Matushevskyi, Vasyl Obidniak, Volodymyr Paliichuk, Berger Hartmut, Mykhaylo Pustovoyt","doi":"10.36740/Merkur202604104","DOIUrl":"10.36740/Merkur202604104","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To synthesize current evidence on the effectiveness of psychoeducational interventions through a systematic review and meta-analysis.</p><p><strong>Patients and methods: </strong>Materials and Methods: A systematic search of peer-reviewed literature was conducted to identify studies evaluating psychoeducational interventions for individuals with post-traumatic stress and anxiety disorders. Eight studies, including randomized controlled trials (RCTs) and quasi-experimental designs, with a total of 993 participants, met the inclusion criteria for the review. Methodological quality was assessed using predefined criteria, and studies with a high risk of bias were excluded from the primary meta-analysis. The meta-analysis included six RCTs comprising 872 participants. Pooled effect sizes were calculated using a random-effects model, and standardized mean differences (SMD) with 95% confidence intervals (CI) were reported.</p><p><strong>Results: </strong>Results: The aggregated findings demonstrated a statistically significant reduction in psychological symptoms, with a pooled effect size of SMD = 0.34 (95% CI [0.13, 0.54]), reflecting a moderate therapeutic effect. Interventions delivered in group settings and those integrated with pharmacological treatment yielded comparatively stronger outcomes. Digital delivery formats showed practical value in settings with restricted access to in-person mental health services, including conflict-affected and displaced communities.</p><p><strong>Conclusion: </strong>Conclusions: Psychoeducation constitutes a scalable, adaptable, and empirically supported element of contemporary mental health systems, especially relevant under wartime conditions in Ukraine.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 4","pages":"394-403"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945950","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":"Endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy for sphincter of Oddi dysfunction: short-term results.","authors":"Ivan Mamontov, Tamara Tamm, Kostiantyn Kramarenko, Dmitro Riabushchenko, Erika Bilousova","doi":"10.36740/Merkur202604103","DOIUrl":"https://doi.org/10.36740/Merkur202604103","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To analyze the short-term results of ERCP and endoscopic sphincterotomy (ES) in patients with sphincter of Oddi dysfunction (SOD).</p><p><strong>Patients and methods: </strong>Materials and Methods: We retrospectively analyzed the medical data of 120 cases of SOD with undergoing ERCP between January 2013 and December 2020. Mean values of factors with standard deviation were used. To compare mean values, Student's t-test was used. To compare non-parametric factors, the Chi-square test (χ2) was used. The value p<0.05 was considered statistically significant. All calculation were performed with SPSSR version 19 (IBM, USA).</p><p><strong>Results: </strong>Results: Biliary SOD was in 99 (82.5%) patients, mixed - bilio-pancreatic - in 21 (17.5%). Jaundice was in 59 (49.2%); dilatation of the common bile duct (CBD) was in 117 (97.5%); 18 (15%) patients had acute pancreatitis; 2 (1.7%) - cholangitis. All 117 (97.5%) patients with successful ERCP underwent ESP and/or Precut. Disappearance/reduction of abdominal pain was in 19 (90.5%) of 21 patients with pancreatic SOD, and in 60 (60.6%) of 99 patients with biliary SOD (χ2=6.872, p=0.009). Within 24-48 hours after ERCP, CBD size decreased from 10.9±2.3 to 8.2±1.7 mm (p<0.001). After 72-96 hours total bilirubin level decreased from 43.8±36.2 to 23.4±14.3 μmol/l (p<0.001). Adverse events associated with ERCP were pancreatitis (14.2%), bleeding (1.7%) and cholecystitis (0.8%). Among the 21 patients with bilio-pancreatic SOD, no worsening of pancreatitis symptoms or onset of acute pancreatitis was observed. All cases of post-ERCP pancreatitis occurred exclusively in patients with biliary SOD (χ2=4.201, p=0.041).</p><p><strong>Conclusion: </strong>Conclusions: In SOD with signs of cholestasis, ES leads to a decrease of CBD size and normalization of bilirubinemia. Elimination of abdominal pain immediately after ES is more typical for bilio-pancreatic SOD compared to biliary SOD. The most common adverse event after ERCP and ES in patients with SOD is acute pancreatitis - specific for biliary SOD and not typical for bilio-pancreatic SOD.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 4","pages":"389-393"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944868","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":"Factors assoсiated with ocular structural changes inherent to pseudoexfoliation syndrome among Ukrainian patients.","authors":"Nataliia M Kolot, Iryna V Shargorodska, Pavla P Ivaniuta, Ivan A Kovalov, Oksana S Averyanova","doi":"10.36740/Merkur202604114","DOIUrl":"https://doi.org/10.36740/Merkur202604114","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To identify factors associated with ocular structural changes inherent to PEX among Ukrainian patients.</p><p><strong>Patients and methods: </strong>Materials and Мethods: The study was based on a clinical examination of 56 patients (112 eyes) aged 14 to 88 years. The main group included 39 patients (78 eyes) with ocular structural changes confirming the diagnosis of PEX: 14 patients (28 eyes) and 25 patients (50 eyes) with uni- and bilateral lateral involvement, respectively. The control group consisted of 17 patients (34 eyes) without any signs of PEX. The follow-up period was 5 years.</p><p><strong>Results: </strong>Results: The findings of the study support the concept of PEX as a systemic fibrillopathy, accompanied by a significant association with chronic coronary syndrome (64%), joint pathology (72%), diabetes mellitus (40%), and central nervous system (56%) disorders compared with the control group. Environmental factors, particularly urbanization (52%) and increased radiation background (64%), are likely additional contributors to disease development. The study demonstrated that bilateral PEX is accompanied by changes in eye structures: pronounced trabecular pigmentation (48%), a critical decrease in corneal endothelial cell density (80%), progression of age-related macular degeneration (40-44%), and the development of posterior subcapsular cataract (96%). In contrast, patients with unilateral PEX demonstrated a significantly higher long-term risk of nuclear cataract progression.</p><p><strong>Conclusion: </strong>Conclusions: Managing patients with PEX necessitates a comprehensive multidisciplinary approach in view of the associated comorbidities and contributing factors. The clinical course of unilateral PEX is strongly linked to exposure to exogenous triggers (urbanization, increased background radiation, and tobacco smoking). The absolute majority of eyes with bilateral PEX showed biomechanical weakness of the sclera and cornea.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 4","pages":"472-477"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945232","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":"Laser technique for enhancement the bacterial strain of yogurt production.","authors":"Walaa Sabri Raheem, Zainab Ali Hussein, Maryam A Hussain, Ahmed M Amshawee, Islam K Alazzawi, Yasameen Riyadh Al-Azzawi, Ahmed Flayyih Hasan","doi":"10.36740/Merkur202604102","DOIUrl":"https://doi.org/10.36740/Merkur202604102","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The present study aims to study the biological effect of low intensity semiconductor laser 630 nm at 12 mw laser power on three bacterial strain used as starter culture in many yogurt production, such as Streptococcus thermophilus, Lactobacillus delbrueckii sub-bulgaricus, and Bifidobacterium.</p><p><strong>Patients and methods: </strong>Materials and methods: Low intensity semiconductor laser 630 nm at 12 mw laser power on three bacterial strain used. The bacterial strain exposed to different periods 3, 5 and 7 min 12 mw laser power.</p><p><strong>Results: </strong>Results: All results reported and compared with control group, in the present work we measured account of starter culture, ability of antioxidant, β-galactosidase enzyme activity and also we measure changes in total acidity and pH of the yogurt production. Results showed that laser irradiation significantly enhanced cell growth and metabolic activity, with the 5-minute treatment exhibiting the best results across all studied variables. The Viable Cell Count (for Streptococcus thermophiles, Lactobacillus, and Bifidobacterium bacterial strains) was 8.9, 8.7, and 9.2 (×10⁸) respectively, and the Antioxidant Capacity (for the selected strains) was 48%, 45%, and 55%. Highest levels of β-galactosidase enzyme activity were also recorded for aforementioned strains, at 0.45, 0.39, and 0.52 units/ml respectively.</p><p><strong>Conclusion: </strong>Conclusions: Acidity values of product during three irradiation periods with the control treatment showed an increase in total acidity at an exposure time of 5(93) and pH 5 compared to the control treatment (which opens new horizons for improving the quality and efficiency of fermented dairy product production) and The use of lasers has led to an improvement in the flavor of dairy products.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 4","pages":"410-415"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945917","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":"Features of macrophage marker CD68 expression in the colonic mucosa of patients with symptomatic uncomplicated diverticular disease and acute uncomplicated diverticulitis.","authors":"Hanna A Dorohavtseva, Andrey E Dorofieiev, Olena O Dyadyk, Mykhailo S Myroshnychenko","doi":"10.36740/Merkur202602121","DOIUrl":"10.36740/Merkur202602121","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The aim of the study was to determine the features of macrophage marker CD68 expression in the colonic mucosa of patients with symptomatic uncomplicated diverticular disease and acute uncomplicated diverticulitis.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study material comprised colonic mucosal biopsies obtained from 12 healthy individuals (group 1), biopsies of the colonic mucosa from the diverticular orifice region of 34 patients with symptomatic uncomplicated diverticular disease (group 2), and 26 patients with acute uncomplicated diverticulitis (group 3). Immunohistochemical study was performed using a monoclonal antibody to CD68. CD68 expression was assessed by counting the absolute number of immunopositive cells in the field of view of the microscope ×400. In immunopositive cells, the degree of expression of the monoclonal antibody to CD68 was assessed by determining the brightness coefficient.</p><p><strong>Results: </strong>Results: Comparative analysis of the obtained results revealed an increased number of macrophages in the colonic mucosa of patients with symptomatic uncomplicated diverticular disease and acute uncomplicated diverticulitis, with the greatest increase observed in acute uncomplicated diverticulitis. The brightness coefficient decreased in patients with symptomatic uncomplicated diverticular disease and, more markedly, in acute uncomplicated diverticulitis, indicating increased expression of the studied monoclonal antibody by macrophages. In these patients, macrophages acquired elongated and irregular shapes and increased in size.</p><p><strong>Conclusion: </strong>Conclusions: The mucous membrane of the colon in patients with symptomatic uncomplicated diverticular disease and acute uncomplicated diverticulitis is characterized by a higher content of macrophages, mainly in the lamina propria, which are characterized by increased morphofunctional activity. The latter manifests itself in increased expression of the monoclonal antibody to CD68 by macrophages, an increase in the size of CD68+-cells, and their acquisition of an elongated or irregular shape. The quantitative and qualitative changes in macrophages in the colonic mucosa identified by the authors are more pronounced in patients with acute uncomplicated diverticulitis compared to patients with symptomatic uncomplicated diverticular disease.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 2","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784252","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":"Special education for individuals with severe mental disorders: definitions, discourses and contexts at the interface of pedagogy and psychiatry.","authors":"Tadeusz Pietras, Aleksander Stefanik, Maciej Odziemczewski, Karol Batko, Tomasz Król, Andrzej Witusik, Kasper Sipowicz","doi":"10.36740/Merkur202602118","DOIUrl":"10.36740/Merkur202602118","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The aim of this paper is to define and discuss a new and emerging sub-discipline of special education, namely special education for individuals with mental disorders.</p><p><strong>Patients and methods: </strong>Materials and Methods: This paper is based on a narrative review and theoretical analysis of selected Polish and international literature from the fields of special education, psychiatry, and social sciences. The analysis included monographs and peer-reviewed articles addressing adult education, intellectual disability, autism spectrum disorders, and mental disorders, with particular emphasis on schizophrenia and affective disorders. A critical and comparative analysis of theoretical concepts and paradigmatic changes, especially the development of community-based models of care, was conducted. Mental disorders constitute an important cause of disability in adulthood and create a new area of interest for special education. The development of community psychiatry and community mental health centers opens opportunities for special educators to work with adults with mental disorders as community therapists, social skills trainers, or recovery assistants. However, the establishment of this professional role requires legal regulations and interdisciplinary cooperation.</p><p><strong>Conclusion: </strong>Conclusions: Special education pedagogy for people with mental disorders constitutes a new and essential subdiscipline of special education. The expansion of community psychiatry creates structural opportunities for the development of professional roles within this field. Whether community therapists evolve into formally recognized special educators for persons with mental disorders will depend on future legislative solutions, the engagement of universities in developing specialized training programs, and close cooperation between educators and psychiatrists.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 2","pages":"224-228"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784504","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":"Malignant melanoma of small intestine.","authors":"Michalina Mikuła, Paulina Suder, Monika Augustyn, Iwon Grys, Bogusław Kopp","doi":"10.36740/Merkur202603119","DOIUrl":"10.36740/Merkur202603119","url":null,"abstract":"<p><p>The purpose of this article is to present a challenging case of recurrent gastrointestinal bleeding caused by malignant melanoma of the small intestine and to discuss the diagnostic approach, highlighting the role of advanced endoscopic techniques. The patient underwent extensive diagnostic evaluation, including repeated gastroscopies, colonoscopies, two double-balloon enteroscopies, scintigraphy with labeled erythrocytes, and capsule endoscopy. Capsule endoscopy provided a decisive contribution to the diagnostic process, guiding further clinical management including segmental small intestine resection with regional lymphadenectomy. Histopathological examination of the resected tissue revealed malignant melanoma of the spindle cell type, infiltrating the mucosa, submucosa, and part of the muscular layer. No primary cutaneous lesion or distant metastases were detected following comprehensive diagnostic evaluation. In patients with suspected lower gastrointestinal bleeding, when standard endoscopic procedures do not allow to identify the source, location in the small intestine should be considered. In such cases, early implementation of advanced diagnostic techniques, such as capsule endoscopy and double-balloon enteroscopy, is recommended. These methods allow identification of lesions in small intestine segments with limited accessibility. A crucial step in the diagnostic process was capsule endoscopy, which enabled identification of an actively bleeding lesion in the distal segment of the small intestine.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 3","pages":"380-384"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425333","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":"Efficiency of mucogingival osteoplasty in stage ii-iii generalized periodontitis.","authors":"Sviatoslav A Ohiienko, Tetiana Yu Ohiienko, Oksana H Popadynets, Liliia V Sobol, Romaniia R Barchuk, Larysa Ya Fedoniuk","doi":"10.36740/Merkur202604108","DOIUrl":"https://doi.org/10.36740/Merkur202604108","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To study the efficacy of mucogingival osteoplasty techniques combined with pharmacological therapy in the treatment of stage II-III generalized periodontitis.</p><p><strong>Patients and methods: </strong>Materials and Methods: Seventy individuals (aged 35-60 years, both sexes) were examined, including 10 systemically and dentally healthy participants and 60 patients with stage II-III chronic generalized periodontitis. The 60 patients were divided equally into four treatment groups (n=15 per group): Control group: mucogingival osteoplasty and standard therapy; Group 2: mucogingival osteoplasty with multiple periosteal penetrations and standard therapy; Group 3: mucogingival osteoplasty with multiple periosteal penetrations, standard therapy, and local treatment with Miramistin oral rinses; Group 4: mucogingival osteoplasty with multiple periosteal penetrations, standard therapy, local treatment with Miramistin oral rinses, and oral administration of arginine glutamate. Dental status and salivary and serum biochemical markers were assessed preoperatively and 1, 6, and 12 months postoperatively. Tissue samples collected during surgery were also subjected to ultrastructural analysis.</p><p><strong>Results: </strong>Results: Comprehensive patient assessment before surgery and during recovery demonstrated the efficacy of mucogingival osteoplasty, further enhanced by additional periosteal penetrations and a pharmacological regimen supported by a mechanistic rationale. The proposed salivary biomarkers may serve as diagnostic tools for assessing periodontal status, with serum transferase levels associated with periodontitis providing complementary information.</p><p><strong>Conclusion: </strong>Conclusions: All treatment approaches for patients with stage II-III generalized periodontitis effectively improved periodontal indices, the salivary biochemical profile, and transaminase levels; however, the greatest effect was observed in Group 4, likely due to the use of agents with antiseptic, antioxidant, antihypoxic, and membrane-stabilizing properties.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 4","pages":"434-441"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944891","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":"Maxillofacial surgical care transformation during COVID-19 and war in Ukraine: Hospital experience.","authors":"Roman S Palyvoda, Oleksandr S Vasiliev, Philipp V Puzyrevych","doi":"10.36740/Merkur202603112","DOIUrl":"10.36740/Merkur202603112","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the activity of the maxillofacial service during the COVID-19 pandemic and Russia's military aggression in the context of the burden on the medical service and the transformation of the structure of disease entities and categories of surgical interventions.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study was conducted at a supracluster-level healthcare institution - the Communal Non-Commercial Enterprise \"Kyiv Regional Clinical Hospital No. 1\". An assessment of the staffing of the team (physicians and auxiliary personnel) was performed, and an evaluation of the maxillofacial surgery department activity was carried out based on qualitative and quantitative indicators for the reporting period during the COVID-19 pandemic and the beginning of the full-scale invasion.</p><p><strong>Results: </strong>Results: Analysis of the dynamics of hospitalizations in the maxillofacial department in 2019-2024 showed that the average number of hospitalizations was 1,095 patients per year. The lowest rate was registered in 2022 (886 patients), while the highest was in 2024 (1 224 patients). The proportion of emergency admissions ranged from 23.5% to 57.1%. The highest level of emergency hospitalizations was noted in 2021 (57.1%), after which there was a gradual decrease in this indicator to 23.5% in 2024.</p><p><strong>Conclusion: </strong>Conclusions: Reforming the maxillofacial service and the field of maxillofacial surgery in Ukraine is necessary to ensure high quality, accessibility, and effectiveness of medical care.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 3","pages":"320-325"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425396","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 of the environment and conditions for implementing the project to develop telemedicine networks at the regional level.","authors":"Vadym G Terentyuk, Artem V Liashenko","doi":"10.36740/Merkur202603114","DOIUrl":"https://doi.org/10.36740/Merkur202603114","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the professional environment and initial conditions for implementing telemedicine networks in Ukraine (the Chernihiv, Rivne and Odesa regions), and to develop measures facilitating the successful deployment of telemedicine in these regions.</p><p><strong>Patients and methods: </strong>Materials and Methods: A cross-sectional questionnaire survey of 842 healthcare workers across three Ukrainian regions was conducted. The analysis covers five socio-demographic and professional characteristics: age, gender, specialism, length of service and type of healthcare facility.</p><p><strong>Results: </strong>Results: Average scores exceeded 7.4 across all scales, with 70-75% of respondents giving high ratings (7-10). The desire to learn (M=7.84±2.57) exceeds readiness to implement (M=7.45±2.61), suggesting organisational and technical barriers. Gender significantly affects telemedicine scales (women are more motivated), length of service affects overall digital affinity (declining after 10 years), and age correlates weakly only with overall digitalisation. Cluster healthcare facilities (up to 24% sceptics), specialist doctors and male professionals were identified as risk groups. Paediatricians and general practitioners demonstrate the highest motivation and can serve as role models for implementation.</p><p><strong>Conclusion: </strong>Conclusions: High acceptance of digital and telemedicine technologies (M>7.4) provides a strong foundation for large-scale implementation. Priority support should target cluster healthcare facilities, specialist doctors, male professionals and long-serving employees. Paediatricians and general practitioners should serve as role models. Organisational and technical barriers must be addressed to bridge the gap between learning motivation and practical application.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"54 3","pages":"331-336"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424939","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}