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Analysis of information providing for antihypertensive medicines according to the data of Ukrainian web services 根据乌克兰网络服务的数据分析提供抗高血压药物的信息
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.05
Ryan Haight, діє Директива, Європейського парламенту, та Ради, ЄС про, звід законів, ЛЗ щодо, 200183ЕС, Директива, про дистанційну, торгівлю 977ЕC, та у кожній, країні є ло, кальні нормативні, акти, якими, встановлено вимоги, до відпуску, лише безрецептур
The digitalization of the pharmaceutical field provides new opportunities to meet patient’s needs and to improve communications, which is important for pharmacies. According to the Law of Ukraine dated 17.09.2020 «On Amendments to Article 19 of the Law of Ukraine "On Medicines" regarding the implementation of electronic retail trade of medicinal products» and Article 81 of the Law of Ukraine «On Medicines» dated 28.07.2022), pharmacies were allowed to carry out electronic retail trade of pharmaceuticals on the condition that information about the right to online trade is entered in the Licensing Register for the manufacture of medicines The aim was the analysis and detailed study of the information content of sections of web services of pharmacies and web portals of Ukraine using the example of drugs for the treatment of arterial hypertension and substantiating the need for unification of information for patients. The basis of our analysis was information from 18 web services of pharmacy chains and 5 Internet portals for booking medicines. The analysis of the information support revealed that the most common filters for searching drugs for the treatment of arterial hypertension on resources were: medicine price scale, manufacturer, form of release and dosage. The results of the structural analysis of information showed that the following parameters are available on all sites and platforms: trade name of the medicinal product, price, form of release, dosage and quantity in the package. The information about the manufacturer is presented on 66% of pharmacy web services and 60% of web platforms. Only 28% of the pharmacy web services and 60% web platforms inform patients about the dispensing of prescription drugs. Identified differences in the information content of websites and web platforms require the unification of information for patients with arterial hypertension according to such parameters as: prescription leave; dispensing by e-prescription, with an emphasis on application features; the participation of pharmacies in social programs, especially reimbursement, which will contribute to the optimization of information and educational provision of patients for the rational use of drugs for chronic non-infectious diseases.
制药领域的数字化为满足患者需求和改善沟通提供了新的机会,这对药店来说很重要。根据2020年9月17日颁布的乌克兰法律《关于修订乌克兰药品法第19条关于实施药品电子零售贸易的规定》和2022年7月28日颁布的《乌克兰药品法》第81条),药店被允许进行药品的电子零售贸易,条件是有关在线贸易权的信息已录入药品生产许可证登记册。目的是利用乌克兰药品的例子,分析和详细研究药店网络服务和门户网站各部分的信息内容动脉性高血压的治疗和证实患者信息统一的必要性。我们分析的基础是来自18家连锁药店的网络服务和5个用于预订药品的互联网门户网站的信息。对信息支持的分析表明,在资源上搜索治疗动脉高压药物最常见的过滤器是:药品价格表、制造商、释放形式和剂量。信息结构分析结果表明,所有网站和平台上都有以下参数:药品的商品名称、价格、释放形式、剂量和包装数量。66%的药房网络服务和60%的网络平台上都提供了制造商的信息。只有28%的药房网络服务和60%的网络平台向患者告知处方药的配药情况。网站和网络平台的信息内容存在明显差异,需要根据以下参数统一动脉高压患者的信息:处方假;通过电子处方配药,强调应用功能;药店参与社会项目,特别是报销,这将有助于优化信息和教育,为患者提供合理使用慢性非传染性疾病药物的机会。
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引用次数: 0
Analysis of the tendencies and dynamics of electronic receipt prescribing for antibiotics and their electronic dispensing in Ukraine and Lviv region 乌克兰和利沃夫地区抗生素电子收据处方及其电子配药的趋势和动态分析
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.06
О. Б. Блавацька, Г. Ю. Яцкова, Г. О. Сосновська
Uncontrolled use of antibiotics (antibacterial, antimicrobial agents) leads to the growth of antibiotic resistance, which has become a global health problem. E-prescribing should increase the population's access to medical and pharmaceutical care. The purpose of the study: to establish the general trends of electronic prescribing of antibacterial drugs in Ukraine since its introduction in August 2022 and the impact of receipt e-prescribing on the controllability of antibiotic use, as well as to analyze the dynamics of the number of prescribed and dispensed electronic prescriptions for antibacterial drugs. We used the following research methods: informative, comparative and retrospective analysis of the dynamics of e-prescriptions for antibiotics. For this purpose, we used the e-data dashboards of the National Health Service of Ukraine (NHSU) and the data of the ENT KP «Pharmacy No.1» in Lviv for the period 08. 2022–05. 2023. In general, Lviv region is consistently in the top three, five or ten regions according to certain indicators. It was established that Lviv region is on the third place in Ukraine in terms of the number of issued e-prescriptions for antibiotics, on the first place in terms of the number of dispensed specified prescriptions, but in terms of the ratio of the number of issued e-prescriptions to those issued, Lviv region is in tenth place. The e-data of the National Health Service of Ukraine shows the nomenclature and number of electronic prescriptions of antibacterial drugs, the number of e-prescriptions that have been released, which are registered in the e-healthcare system. However, during the period of martial law, data on antibacterial drugs dispensed according to paper prescriptions or information certificates, equivalent to them, are not recorded. Thus, the e-data reflect the actual consumption of only those antibiotics that are recorded through the redemption of e-prescriptions, i.e. cover only one prescription segment. It is shown that although e-prescribing increases the control over the prescription of antibiotics, however, in force majeure circumstances of wartime, e-dispensing does not reflect the real picture of antibiotic consumption in general, but only one segment that is recorded in the e-system of health care. However, it is impractical to introduce an exclusively electronic prescription for antibiotics under martial law, as this carries the risk of limiting access to medical care. The use of the e-system allows to establish control over the quantitative indicators and assortment composition of antibiotics prescribed by doctors, which is definitely a necessary stage for improving the rational use of antibacterial drugs and combating antibiotic resistance.
抗生素(抗菌、抗菌剂)的无节制使用导致抗生素耐药性的增长,这已成为一个全球性的健康问题。电子处方应该增加人们获得医疗和药品服务的机会。研究目的:建立乌克兰自2022年8月引入抗菌药物电子处方以来的总体趋势,以及收据电子处方对抗生素使用可控性的影响,并分析抗菌药物电子处方的开处方和发处方数量的动态。我们采用了以下研究方法:信息性、比较性和回顾性分析抗生素电子处方的动态。为此,我们使用了乌克兰国家卫生服务(NHSU)的电子数据仪表板和利沃夫ENT KP«Pharmacy No.1»2008年期间的数据。2022 - 05。2023. 总的来说,根据某些指标,利沃夫地区一直在前三,五或十地区。经确定,利沃夫地区在乌克兰抗生素电子处方的签发数量上排名第三,在指定处方的分发数量上排名第一,但在签发的电子处方数量与签发的数量的比例上,利沃夫地区排名第十。乌克兰国家卫生服务的电子数据显示抗菌药物的名称和电子处方数量,已发布的电子处方数量,在电子医疗保健系统中注册。但在戒严期间,按照纸质处方或与之相当的信息证配发的抗菌药物数据则不予记录。因此,电子数据仅反映通过电子处方兑换记录的抗生素的实际消费量,即仅覆盖一个处方段。研究表明,虽然电子处方增加了对抗生素处方的控制,但在战时不可抗力的情况下,电子配药并不能反映一般抗生素消费的真实情况,而只是在医疗保健电子系统中记录的一部分。然而,在戒严令下实行完全的电子抗生素处方是不切实际的,因为这有限制获得医疗服务的风险。电子系统的使用,可以对医生所开抗生素的数量指标和品种组成进行控制,这无疑是提高抗菌药物合理使用和对抗抗生素耐药性的必要阶段。
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引用次数: 0
Pharmaceutical assessment of the rationale of the application of chemotherapy schemes containing immunotherapeutic drugs in the treatment of classical Hodgkin's lymphoma 含有免疫治疗药物的化疗方案在治疗经典霍奇金淋巴瘤中应用的基本原理的药物评估
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.07
М. Р. Матущак, Г. Л. Панфілова
The use of new chemotherapy regimens for Hodgkin lymphoma, containing immunotherapeutic drugs, such as brentuximab vedotin, is an urgent direction in the development of modern oncohematology. The inclusion of these drugs in programs of financial support for hematological oncology patients by the state requires an assessment of the rationality of their use under the conditions of the current health care resource provision. The aim of the research is to carry out a pharmacoeconomic evaluation of the rationality of the use of brentuximab vedotin drugs in the treatment of classic Hodgkin lymphoma. Materials – the results of clinical studies of the effectiveness of two chemotherapy regimens for Hodgkin lymphoma (BrECAPP and BrECADD), which were published by German scientists in 2017 (Cochrane Central Register of Controlled Trials, CN-01443068), data from the domestic market of anticancer drugs and state procurement of medicines. General theoretical and applied (organizational and economic, marketing and pharmacoeconomic analysis, mathematical and statistical, etc.) research methods were applied. According to the results of the pharmacoeconomic evaluation of the rationality of the use of the BrECAPP and BrECADD schemes in the treatment of Hodgkin lymphoma, it was established that according to the indices of complete response after chemotherapy (%) the BrECADD scheme has clinical and economic advantages of application, and according to the index of complete remission as the final result of treatment (%), the situation is quite the opposite, that is, the BrECAPP scheme has advantages. The evaluation of the safety profile of the application makes it possible to assert the advantages of the application of the BrECADD scheme. Thus, taking into account the three indices under study (organ toxicity (%), manifestations of peripheral neuropathies (%) and the development of hematological side effects (%)), the indicated scheme had a clinical and economic advantage over the alternative scheme in two indices. This is organ toxicity (%), CEA2 = UAH 3,323.87/unit. ef. (%) against CEA1 = UAH 3,854.52/unit. ef. (%) according to the BrECAPP scheme and the development of hematological side effects (%) – CEA2 = UAH 29,008.32/unit. ef. (%) against CEA1 = UAH 29,084.14/unit. ef. (%) according to the BrECAPP scheme. In general, it can be stated that the BrECADD scheme is more rational and has economic advantages in the treatment of classical Hodgkin lymphoma compared to the BrECAPP regimen in terms of clinical efficacy and safety profile.
使用新的化疗方案治疗霍奇金淋巴瘤,包括免疫治疗药物,如brentuximab vedotin,是现代肿瘤血液学发展的一个迫切方向。将这些药物纳入国家对血液肿瘤患者的财政支持计划,需要对其在当前卫生保健资源供应条件下使用的合理性进行评估。本研究的目的是对布伦妥昔单抗维多汀类药物治疗经典霍奇金淋巴瘤的合理性进行药物经济学评价。材料——2017年德国科学家发表的两种化疗方案(BrECAPP和BrECADD)治疗霍奇金淋巴瘤疗效的临床研究结果(Cochrane Central Register of Controlled Trials, CN-01443068),国内抗癌药物市场和国家药品采购数据。应用了一般的理论和应用(组织与经济学、市场与药物经济学分析、数学与统计等)研究方法。根据对BrECAPP和BrECADD方案治疗霍奇金淋巴瘤使用合理性的药物经济学评价结果,根据化疗后完全缓解指标(%)确定BrECADD方案具有应用的临床和经济优势,而根据作为最终治疗结果的完全缓解指标(%)确定情况正好相反,即BrECAPP方案具有优势。对应用程序的安全概况进行评估,可以断言应用BrECADD方案的优点。因此,考虑到所研究的三个指标(器官毒性(%)、周围神经病变的表现(%)和血液系统副作用的发生(%)),该方案在两个指标上比备选方案具有临床和经济优势。这是器官毒性(%),CEA2 = UAH 3,323.87/单位。ef。(%)对CEA1 = UAH 3,854.52/单位。ef。(%)根据BrECAPP方案和血液学副作用的发展(%)- CEA2 = UAH 29,008.32/单位。ef。(%)对CEA1 = UAH 29,084.14/单位。ef。(%)根据BrECAPP方案。总的来说,在治疗经典霍奇金淋巴瘤的临床疗效和安全性方面,可以认为BrECADD方案比BrECAPP方案更合理,具有经济优势。
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引用次数: 0
Study of physicians' preferences for optimizing the pharmacy assortment of glocose-lowering drugs 医生对优化降血糖药物药房分类的偏好研究
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.02
І. О. Власенко
For the stable operation of the pharmacy and the proper support of patients with diabetes, it is necessary to optimize the assortment of glucose-lowering drugs (GLD), taking into account the significant prevalence of this disease. The demand for prescription drugs is formed by doctors who choose therapy and prescribe drugs. The purpose of this study was to determine the factors that influence of choosing GLD for the treatment of type 2 diabetes and the preferences of doctors when choosing GLD for therapy. They used a remote questionnaire form using Google forms. 732 doctor questionnaires were processed. Statistical processing was carried out using structural, comparative and graphic analysis. A survey of doctors established the factors that influence the prescription of drugs for the treatment of type 2 diabetes: high effectiveness and inclusion of drugs in treatment standards, their safety, and their own positive experience in prescribing drugs. It was also found that when choosing a GLD type, almost half of doctors take into account the patient's purchasing power and the presence of a GLD in the reimbursement program. The survey showed that a third of doctors prefer domestic GLD, and half of the respondents do so sometimes. When choosing foreign medical medications, doctors prefer German, French, and Swiss-made medical drugs. A significant part of doctors do not have preferences when choosing trade name (TN), but the majority of doctors who have preferences prefer TN mainly of foreign production and prolonged forms. It was found that about 10% of the responding doctors do not prescribe combined GLD. The majority of respondent doctors have preferences for combinations: metformin/glimepiride, dapagliflozin propanediol/metformin and sitagliptin/metformin. Problems have been identified at the stage of pharmacological supervision of GLD. Despite the fact that doctors noted in their practice the side effects of drugs in patients, only a fourth (22.7%) of respondents recorded these effects in accordance with the current legislation and made reports. It is advisable to use the results of the questionnaire to improve the care of patients with diabetes and to meet their needs by optimizing the pharmacy assortment. It is advisable to increase the list of International Nonproprietary Name of GLDs for reimbursement, which will contribute to the availability of modern treatment regimens, because the price of medicines limits the quality of modern treatment regimens for type 2 diabetes.
考虑到糖尿病的高发性,为保证药房的稳定运行和对糖尿病患者的适当支持,有必要优化降糖药物的配药。对处方药的需求是由医生选择治疗和开药形成的。本研究的目的是确定影响选择GLD治疗2型糖尿病的因素以及医生在选择GLD治疗时的偏好。他们使用谷歌表格进行远程问卷调查。共处理732份医生问卷。采用结构分析、比较分析和图形分析进行统计处理。一项对医生的调查确定了影响2型糖尿病治疗药物处方的因素:药物的高有效性和纳入治疗标准,药物的安全性以及他们自己在开处方方面的积极经验。研究还发现,在选择GLD类型时,几乎一半的医生会在报销计划中考虑患者的购买力和GLD的存在。调查显示,三分之一的医生更喜欢国内GLD,一半的受访者有时会这样做。在选择国外药品时,医生更喜欢德国、法国和瑞士制造的药品。相当一部分医生在选择商标名(TN)时没有偏好,但大多数有偏好的医生主要选择国外生产的和加长形式的TN。调查发现,约10%的受访医生不开复方GLD。大多数受访医生对组合有偏好:二甲双胍/格列美脲、达格列净丙二醇/二甲双胍和西格列汀/二甲双胍。在GLD的药理学监督阶段已经发现了一些问题。尽管医生在执业过程中注意到药物对病人的副作用,但只有四分之一(22.7%)的受访者按照现行法例记录这些副作用并作出报告。建议利用问卷调查的结果来改善糖尿病患者的护理,并通过优化药物分类来满足他们的需求。建议增加用于报销的国际非专利名称GLDs清单,这将有助于现代治疗方案的可用性,因为药物的价格限制了2型糖尿病现代治疗方案的质量。
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引用次数: 0
Modern approaches to the introduction of higher education degrees for the speciality 226 Pharmacy, industrial pharmacy 226药学、工业药学专业高等教育学位设置的现代途径
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.08
І. В. Бушуєва, Н. О. Ткaченкo, О. А. Кpемзеp, В. М. Oдинцoвa, Л. Г. Чеpкoвcькa
The main direction of the development of the education system in Ukraine is the introduction of European standards, technologies, norms, and perspectives to ensure competitiveness in the market of European education services. The study aimed to highlight modern approaches to the standardization of higher education in the context of shaping professional competences of future pharmacists, to identify peculiarities and possibilities of applying a systemic approach to the development of a higher education standard for the specialty of 226 Pharmacy, Industrial Pharmacy of the second (master’s) level. The research materials consisted of references containing information on the development, approval, and implementation of higher education standard. The following methods were used in the study: synthetic, analytical, information search, descriptive, and generalization. The pharmaceutical industry is socially significant, and the specialty of 226 Pharmacy, Industrial Pharmacy, as well as all the specialties in the field of study 22 Health, are regulated. Therefore, professionals in this field should possess integrated knowledge and skills, be able to solve complex tasks and problems in the field of pharmacy and healthcare, both in practice and during the learning process. This involves conducting research, implementing innovations, and is characterized by uncertain conditions and requirements. A modern approach also involves the use of highly efficient technologies in the national and international educational and scientific environments, which ensure the preparation of competitive, highly qualified pharmaceutical professionals with moral and spiritual values, social responsibility, and community orientation. They are capable of providing quality pharmaceutical care to people and possess «soft skills». Upon the development of the approved higher education standard for the specialty of 226 Pharmacy, Industrial Pharmacy by the Ministry of Education and Science of Ukraine, the educational and professional programs Pharmacy and Perfume and Cosmetic Technologies were revised, and a list of competences as well as program learning outcomes for future pharmaceutical professionals was specified. These were aligned with the demands of the labor market and a professional-oriented approach, based on the concept of competences for a modern pharmacist and the variable components of educational and professional training programs
乌克兰教育系统发展的主要方向是引入欧洲标准、技术、规范和观点,以确保在欧洲教育服务市场上的竞争力。本研究旨在强调在塑造未来药剂师专业能力的背景下,高等教育标准化的现代方法,以确定应用系统方法制定226药学专业二级(硕士)工业药学高等教育标准的特点和可能性。研究材料包括参考文献,其中包含有关高等教育标准的制定、批准和实施的信息。本研究采用了以下方法:综合法、分析法、信息检索法、描述性法和概括法。制药行业具有重要的社会意义,226药学、工业药学的专业以及研究领域22健康的所有专业都受到监管。因此,该领域的专业人员应具备综合知识和技能,能够在实践和学习过程中解决药学和医疗保健领域的复杂任务和问题。这涉及到进行研究、实施创新,其特点是条件和要求不确定。现代方法还涉及在国家和国际教育和科学环境中使用高效技术,以确保培养具有道德和精神价值观、社会责任感和社区导向的有竞争力的高素质制药专业人员。他们能够为人们提供高质量的药物护理,并拥有“软技能”。在乌克兰教育和科学部制定了226药学、工业药学专业的批准高等教育标准后,对教育和专业课程《药学、香水和化妆品技术》进行了修订,并规定了未来制药专业人员的能力清单和课程学习成果。这些都与劳动力市场的需求和以专业为导向的方法相一致,基于现代药剂师的能力概念以及教育和专业培训计划的可变组成部分
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引用次数: 0
Study of the condition and problems of providing diabetes patients with insulin preparations and means of glycemia monitoring 糖尿病患者胰岛素制剂及血糖监测方法的研究
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.01
А. С. Немченко, Т. М. Коба, В. М. Назаркіна
DM is a global medico-social problem, characterized by threatening trends in the spread and development of complications. One of the key elements of the system of effective treatment of DM is the continuous supply of patients with hypoglycemic preparations & means of means of glycemic control. Therefore, it is advisable to investigate approaches to ensuring the availability of MT for the prevention, diagnosis & treatment of DM in different countries. The purpose of the work is to analyze the condition & problems of providing patients with the necessary pharmaceuticals & diagnostic products to achieve the appropriate level of compensation for diabetes. The research used: analysis of documents, marketing analysis, comparison, generalization, mathematical and statistical methods, graphic method. The analysis of official statistics shows a constant increase in the incidence of diabetes in the world among the population of different ages. Analysis of international experience shows significant differences in approaches to the organization of care for patients with diabetes, in particular, reimbursement of the cost of insulin therapy & glycemic control. In low- and middle-income countries, due to insufficient financing of antidiabetic measures, higher rates of mortality & disability related to complications of DM are recorded. In Ukraine, a government program for the reimbursement of sugar-lowering drugs has been introduced to increase the availability of drugs. Reimbursement is subject to 45 insulin preparations for 12 INNs (of which 18 are without copayment). According to the NHS, 226,200 patients receive insulin under PMG (since 2019, 2.27 mln prescriptions have been paid). The analysis of prescriptions shows that insulin analogues of foreign production are most often used. Based on the results of the research on the availability of modern MTs for the diagnosis and treatment of diabetes, it can be concluded that a wide range of glycemic control tools, including Continuous Monitoring Systems, are available on the domestic market. Providing patients with means of glycemic control is carried out at the expense of regional programs. The problem of providing patients with DM with the necessary medicines & medical devices requires a complex solution & coordination of central & local authorities actions. The priority direction of improving the efficiency and accessibility of medical care for patients with DM is to carry out proper OMT diagnosis & treatment of DM in order to include them in the reimbursement lists & procurement nomenclature.
糖尿病是一个全球性的医学社会问题,其特点是并发症的传播和发展趋势具有威胁性。糖尿病有效治疗系统的关键要素之一是持续向患者提供降糖制剂和血糖控制手段。因此,在不同的国家研究如何确保MT在DM的预防、诊断和治疗中的可用性是可取的。这项工作的目的是分析为患者提供必要的药物和诊断产品以达到适当的糖尿病补偿水平的状况和问题。本研究采用的方法有:文献分析、市场分析、比较、归纳、数理统计法、图解法。对官方统计数据的分析表明,世界上不同年龄的人口中糖尿病的发病率不断增加。对国际经验的分析表明,在组织糖尿病患者护理的方法上存在显著差异,特别是在胰岛素治疗和血糖控制费用的报销方面。在低收入和中等收入国家,由于抗糖尿病措施的资金不足,与糖尿病并发症相关的死亡率和致残率较高。在乌克兰,政府推出了一项报销降糖药物的计划,以增加药物的可获得性。12种INNs的45种胰岛素制剂(其中18种无需共同支付)可获得报销。根据NHS的数据,226,200名患者在PMG下接受胰岛素治疗(自2019年以来,已经支付了227万张处方)。处方分析表明,国外生产的胰岛素类似物最常被使用。根据对用于糖尿病诊断和治疗的现代MTs的可用性的研究结果,可以得出结论,国内市场上有广泛的血糖控制工具,包括连续监测系统。为患者提供控制血糖的方法是以牺牲区域方案为代价的。向糖尿病患者提供必要的药物和医疗设备的问题需要一个复杂的解决方案,需要中央和地方当局的行动协调。提高糖尿病患者医疗服务的效率和可及性的优先方向是对糖尿病进行适当的OMT诊断和治疗,以便将其纳入报销清单和采购术语。
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引用次数: 0
Problems and prospects of medical provision for military personnel with COVID-19 in the conditions of medical insurance 医疗保险条件下军人新冠肺炎医疗保障存在的问题与展望
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.03
В. В. Трохимчук, І. О. Панкратов
To date, the treatment of patients with COVID-19, which caused an unprecedented pandemic in 2019–2023, remains difficult. Military personnel of the Armed Forces of Ukraine during conscription, when returning from business trips and vacations (especially those who are in the incubation period or are asymptomatic) can bring COVID-19 into the unit and cause an outbreak of the disease. The purpose of the work was to conduct an analysis of the existing models of the functioning of insurance medicine in some countries in the world and in Ukraine for their further possible application in the system of medical support of the Armed Forces; factors and conditions affecting the course of the disease on COVID-19 were additionally studied. The main preventive measures against the spread of COVID-19 among military personnel are compliance with sanitary standards, control of disease symptoms and timely vaccination or revaccination. In the treatment of patients with COVID-19, depending on the conditions of stay and the severity of the disease, the following groups of drugs are used: analgesics and antipyretics, rehydration, antiviral, antibacterial and antifungal, low molecular weight heparins, systemic corticosteroids and vitamins, which military personnel receive free of charge. The creation of an effective system of insurance medicine in Ukraine should provide for the possibility for servicemen of the Armed Forces of Ukraine to receive medical care in any health care facility, regardless of departmental subordination, by creating an electronic medical card of a serviceman, which will be included in the electronic health care system of Ukraine. The conducted studies make it possible to draw a conclusion about the need for improvement and further development of the scientific and practical foundations of systematic research in the military medical service of the Armed Forces of Ukraine, improving the quality and efficiency of medical support for servicemen, introducing modern approaches and methods of making sound management decisions on issues of protection and prevention of proliferation COVID-19.
到目前为止,新冠肺炎患者的治疗仍然困难,这导致了2019年至2023年前所未有的大流行。乌克兰武装部队的军事人员在征兵期间,出差和度假回来时(尤其是那些处于潜伏期或无症状的人),可能会将新冠肺炎带入部队并导致疾病爆发。这项工作的目的是对世界上一些国家和乌克兰现有的保险医疗运作模式进行分析,以便在武装部队医疗支助系统中进一步应用这些模式;另外还研究了影响新冠肺炎病程的因素和条件。防止新冠肺炎在军事人员中传播的主要预防措施是遵守卫生标准、控制疾病症状以及及时接种疫苗或重新接种疫苗。在治疗新冠肺炎患者时,根据住院条件和疾病的严重程度,使用以下药物组:止痛药和退烧药、补液、抗病毒、抗菌和抗真菌、低分子肝素、全身皮质类固醇和维生素,军事人员可免费获得。在乌克兰建立一个有效的医疗保险系统,应为乌克兰武装部队的军人提供在任何医疗机构接受医疗服务的可能性,无论其部门隶属关系如何,方法是创建一张军人的电子医疗卡,该卡将被纳入乌克兰的电子医疗系统。所进行的研究使我们有可能得出结论,即需要改进和进一步发展乌克兰武装部队军事医疗服务系统研究的科学和实践基础,提高军人医疗支持的质量和效率,介绍在保护和预防新冠肺炎扩散问题上做出合理管理决策的现代方法和方法。
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引用次数: 0
Analysis of the morbidity of breast cancer in Ukraine and the city of Kyiv 乌克兰和基辅市癌症发病率分析
Pub Date : 2023-06-28 DOI: 10.32352/0367-3057.3.23.04
Я. Д. Рафальська, К. Л. Косяченко
One of the main causes of mortality worldwide is malignant neoplasms, and in Ukraine, breast cancer ranks first among all cancer diseases and mortality among women. With the help of official epidemiological data, it is possible to estimate the level and forecast the costs of the prevention and treatment of breast cancer in women. The purpose of the study was to analyze epidemiological indicators of breast cancer incidence and mortality among the female population in Ukraine and the city of Kyiv. The study used data on the incidence and mortality from breast cancer in women of the National Cancer Registry of Ukraine for 2011–2021. Analytical-comparative, epidemiological, graphic, and mathematical-statistical methods were used. The results of the analysis of epidemiological indicators showed that the largest number of sick women was registered in 2012 – 17,746, and the smallest in 2020 – 12,736. The highest growth rate of the chain coefficient of decrease/increase in the incidence and mortality rate of breast cancer in women was in 2015 – 23% and 8%, respectively. The lowest number of registered cases of breast cancer for 2016–2020 in Ukraine is observed in the Western region, and the largest in the Northern region. The highest mortality rate was recorded in women in the city of Kyiv and in Ukraine as a whole from breast cancer in 2012 (18.2 and 16.9 per 100,000 population, respectively). In general, the mortality trend in the city of Kyiv is higher than in Ukraine. The results of the analysis showed that breast cancer is most often detected for the first time at the I–II stage of the disease. The largest number of such patients was found in Ukraine in 2015 – 78.6% of the total number of cases. Taking into account the analyzed epidemiological data on the incidence and mortality of women from breast cancer in Ukraine and the city of Kyiv, it is necessary to conduct social programs for early screening of breast cancer at the state level and provide such patients with effective anticancer drugs at all stages of treatment.
恶性肿瘤是全世界死亡的主要原因之一,在乌克兰,乳腺癌在所有癌症疾病和妇女死亡率中排名第一。在官方流行病学数据的帮助下,可以估计妇女乳腺癌预防和治疗的水平和预测费用。这项研究的目的是分析乌克兰和基辅市女性人口中乳腺癌发病率和死亡率的流行病学指标。该研究使用了乌克兰国家癌症登记处2011-2021年妇女乳腺癌发病率和死亡率的数据。采用了分析比较、流行病学、图表和数理统计方法。流行病学指标分析结果表明,2012年登记的患病妇女人数最多,为17,746人,2020年最少,为12,736人。女性乳腺癌发病率和死亡率下降/上升链系数的最高增长率是在2015年,分别为23%和8%。2016-2020年乌克兰西部地区乳腺癌登记病例数最少,北部地区最多。2012年,基辅市和整个乌克兰的妇女乳腺癌死亡率最高(分别为每10万人18.2人和16.9人)。总的来说,基辅市的死亡率趋势高于乌克兰。分析结果表明,乳腺癌最常在疾病的I-II期被首次发现。2015年在乌克兰发现的此类患者最多,占病例总数的78.6%。考虑到乌克兰和基辅市妇女乳腺癌发病率和死亡率的分析流行病学数据,有必要在国家一级开展乳腺癌早期筛查的社会项目,并在治疗的各个阶段为这些患者提供有效的抗癌药物。
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引用次数: 0
Development and research of ointment with essential oil of thyme for the treatment of the scalp and hair parts of the head 百里香精油治疗头皮和头发部位软膏的研制
Pub Date : 2023-04-26 DOI: 10.32352/0367-3057.2.23.04
Л. О. Пучкан, О. О. Салій, Л. А. Фуклева, М. М. Малецький
Dermatological diseases are the most widespread in the whole world. According to WHO, 20–30% of the world's population suffers from fungal skin diseases and 25–35% from pustular diseases. Pustular diseases (pyoderma) are the result of pathogenic staphylococci and streptococci, and fungal diseases (dermatomycoses) are caused by various types of fungi. Today, these diseases are treated with various types of drugs, but the active ingredient in almost all of them is synthetic compounds (antibiotics, sulfonamides, imidazole derivatives, etc.). Medicines of natural origin are scarce. In order to increase the number of phytoremedies for external use (ointments), which have medicinal plant active components, a study was conducted using standardized essential oil of common thyme. The aim of the work was to study the effect of excipients on the ointment base by the method of mathematical planning of the experiment for the development of the optimal composition of the dermatological ointment with the essential oil of common thyme. Excipiennts for ointment bases of hydrophobic and emulsion composition were used to develop the optimal composition of the ointment. The concentration of thyme essential oil was 5% in all samples. The degree of thymol release in an in vitro study using the equilibrium dialysis method was chosen as the criterion for choosing the optimal composition. Excipiennts allowed in pharmacy, with known characteristics, safety profile, and application experience were used as auxiliary substances. Using Duncan's multiple criterion, a number of advantages were created: а7 > а8 > а9 > а10 > а6 >а2 > а5 > а3 > а1 > а4. On the basis of the conducted studies, the optimal composition of the ointment was chosen for the treatment of lesions of the scalp and hair. The studied organoleptic and technological properties and quality indicators (homogeneity, colloidal stability, thermal stability, microbiological purity) of ointment with thyme essential oil during long-term storage at a temperature of +2–+8 °C established the stability of the developed composition of the ointment during two years of observation. The creation of a new local remedy for the treatment of lesions of the scalp and its hair part will allow to expand the arsenal of safe and effective remedies.
皮肤病是全世界最普遍的疾病。根据世界卫生组织的数据,世界上20-30%的人口患有真菌性皮肤病,25-35%的人口患有脓疱病。化脓性疾病(脓皮病)是由致病性葡萄球菌和链球菌引起的,真菌性疾病(皮肤真菌病)由各种类型的真菌引起。如今,这些疾病可以用各种药物治疗,但几乎所有药物的活性成分都是合成化合物(抗生素、磺酰胺、咪唑衍生物等)。天然来源的药物很少。为了增加具有药用植物活性成分的外用植物疗法(软膏)的数量,使用普通百里香的标准精油进行了一项研究。本工作的目的是通过实验的数学规划方法,研究赋形剂对软膏基质的影响,以开发含有普通百里香精油的皮肤科软膏的最佳组成。采用疏水性和乳液性软膏基质赋形剂对软膏的最佳组成进行了研究。百里香精油在所有样品中的浓度为5%。在一项使用平衡透析法的体外研究中,选择百里酚的释放程度作为选择最佳成分的标准。使用药学上允许使用的具有已知特性、安全性和应用经验的赋形剂作为辅助物质。使用邓肯多重标准,产生了许多优势:а7>а8>а9>а10>а6>а2>а5>а3>а1>а4。在所进行的研究的基础上,选择了用于治疗头皮和头发损伤的软膏的最佳成分。所研究的含有百里香精油的软膏在+2–+8°C的温度下长期储存期间的感官和工艺性能以及质量指标(均匀性、胶体稳定性、热稳定性、微生物纯度)确定了软膏开发成分在两年观察期间的稳定性。开发一种新的局部治疗头皮及其头发部位病变的药物,将扩大安全有效的药物库。
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引用次数: 0
Study of preferences of patients with diabetes regard to pharmaceutical services 糖尿病患者对药物服务的偏好研究
Pub Date : 2023-04-26 DOI: 10.32352/0367-3057.2.23.01
І. О. Власенко
Pharmacies are a component of the healthcare. Pharmaceutical care and pharmaceutical services improve disease control, quality of patients life and reduce of the burden on healthcare. The implementation of pharmaceutical care and pharmaceutical services for patients with diabetes according to the standards of the GPP is relevant for the domestic pharmacy. Therefore, it is advisable to determine the preferences of patients with diabetes because they have their own needs for treatment and control. The purpose of the study was to study the views of patients with diabetes regarding to function of pharmacies, pharmaceutical services and determine their preferences. The survey of patients with diabetes by the questionnaire method was carried out. Relevant questionnaires of 510 patients with type 1 and type 2 diabetes were included in the study. The results of the survey showed that the majority of patients with diabetes would like to be served in a specialized pharmacy that specializes in drugs and medical products for diabetes. On the basis of the study, the preferences of patients with diabetes regarding to the activities of pharmacies were determined: availability of a wide rang of product; loyalty program for special products related to diabetes, additional services and pharmaceutical consultations. The majority of those interviewed noted that they need a pharmacist's consultation on taking medications. This type of service requires training of pharmacists in diabetes in order to provide pharmaceutical care at an appropriate level. Pharmaceutical services which patients with diabetes need were identificated. There are: testing of blood glucose, cholesterol, blood pressure, weight check, calculation of body mass index and interpretation of results. The creation of a «diabetes self-management school» based on pharmacies will improve the availability of education for patients with diabetes. It is necessary to study the demand directly in the area of the pharmacy before introduction this type of service. It is important to implement systematic special events in pharmacies for the World Diabetes Day. Thes is appropriated for the general population, but also for patients with diabetes. From the point of view of patients with diabetes during this event, they are interested in: consultation of an endocrinologist and nutritionist; blood glucose test; test of diabetes risk; information materials about diabetes. The results of the survey can be prospectively used to improve the service of patients with diabetes and provide for their needs.
药店是医疗保健的一个组成部分。药学保健和药学服务改善了疾病控制,提高了患者的生活质量,减轻了医疗保健负担。按照GPP的标准实施糖尿病患者的药学服务和药学服务,对国内药房具有重要意义。因此,糖尿病患者有自己的治疗和控制需求,因此应确定其偏好。本研究的目的是研究糖尿病患者对药房功能、药学服务的看法,并确定其偏好。采用问卷调查法对糖尿病患者进行调查。研究纳入510例1型和2型糖尿病患者的相关问卷。调查结果显示,大多数糖尿病患者希望在专门经营糖尿病药物和医疗产品的专业药房服务。在研究的基础上,确定了糖尿病患者对药房活动的偏好:广泛的产品可用性;与糖尿病相关的特殊产品的忠诚度计划,额外的服务和药物咨询。大多数受访者指出,他们需要药剂师咨询服用药物。这种类型的服务需要对药剂师进行糖尿病方面的培训,以便提供适当水平的药学服务。确定糖尿病患者需要的药物服务。主要有:血糖、胆固醇、血压检测、体重检查、体质指数计算及结果解释。建立一个以药房为基础的“糖尿病自我管理学校”将改善糖尿病患者教育的可获得性。在引入这类服务之前,有必要直接研究药房领域的需求。重要的是在药房系统地举办世界糖尿病日特别活动。这适用于一般人群,但也适用于糖尿病患者。从糖尿病患者的角度来看,在这次活动中,他们感兴趣的是:内分泌学家和营养师的咨询;血糖测试;糖尿病风险检测;关于糖尿病的信息资料。调查结果可用于改善对糖尿病患者的服务,满足他们的需求。
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引用次数: 0
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