Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.07
Dmytro I. Ishchenko, Oleksandr V. Pechyborshch, Hlib O. Lazarenko
Introduction. Intervertebral disc herniations are a common condition that is often associated with painful sensations and restricted spinal mobility. Since this condition can significantly deteriorate a patient's quality of life, it is essential to seek effective and safe methods for its treatment. Therefore, evaluating the effectiveness and safety of treating patients with pain caused by intervertebral disc herniation, which includes performing surgical interventions for hernia removal using endoscopic and minimally invasive techniques, is a relevant task today. In this context, comparing endoscopic and minimally invasive surgical interventions becomes a pertinent topic for research, as it can help determine the optimal treatment method for each patient.
The aim of the study is to compare endoscopic and minimally invasive surgical procedures for intervertebral disc herniations in the lumbar spine.
Materials and Methods. The study involved 100 patients diagnosed with lumbar intervertebral disc herniation. Of these, 50 patients underwent endoscopic surgery, while the remaining 50 underwent minimally invasive surgery. The effectiveness and safety of both methods were compared using several criteria, including the duration of surgery, blood loss, length of hospital stay, pain level, overall health status, the incidence of complications, and patient satisfaction with the procedure.
Results. Compared to minimally invasive surgery, endoscopic surgery resulted in lower blood loss, shorter treatment duration, reduced pain levels, and fewer complications. All patients in both groups returned to normal activity according to their health status.
Conclusions. Endoscopic surgery is more effective and safer compared to minimally invasive surgery in the treatment of herniated intervertebral discs in the lumbar spine. The endoscopic technique allows for better visualization and more precise manipulation in hernia removal, which positively affects treatment outcomes, reduces the risk of complications, shortens hospitalization, and leads to faster patient recovery. The results of this study can be valuable for physicians and patients when choosing the method of treatment for herniated intervertebral discs in the lumbar spine.
{"title":"COMPARISON OF ENDOSCOPIC AND MINIMALLY INVASIVE SURGICAL INTERVENTIONS FOR INTERVERTEBRAL DISC HERNIATIONS IN THE LUMBAR SPINE","authors":"Dmytro I. Ishchenko, Oleksandr V. Pechyborshch, Hlib O. Lazarenko","doi":"10.31612/2616-4868.4(26).2023.07","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.07","url":null,"abstract":"Introduction. Intervertebral disc herniations are a common condition that is often associated with painful sensations and restricted spinal mobility. Since this condition can significantly deteriorate a patient's quality of life, it is essential to seek effective and safe methods for its treatment. Therefore, evaluating the effectiveness and safety of treating patients with pain caused by intervertebral disc herniation, which includes performing surgical interventions for hernia removal using endoscopic and minimally invasive techniques, is a relevant task today. In this context, comparing endoscopic and minimally invasive surgical interventions becomes a pertinent topic for research, as it can help determine the optimal treatment method for each patient.
 The aim of the study is to compare endoscopic and minimally invasive surgical procedures for intervertebral disc herniations in the lumbar spine.
 Materials and Methods. The study involved 100 patients diagnosed with lumbar intervertebral disc herniation. Of these, 50 patients underwent endoscopic surgery, while the remaining 50 underwent minimally invasive surgery. The effectiveness and safety of both methods were compared using several criteria, including the duration of surgery, blood loss, length of hospital stay, pain level, overall health status, the incidence of complications, and patient satisfaction with the procedure.
 Results. Compared to minimally invasive surgery, endoscopic surgery resulted in lower blood loss, shorter treatment duration, reduced pain levels, and fewer complications. All patients in both groups returned to normal activity according to their health status.
 Conclusions. Endoscopic surgery is more effective and safer compared to minimally invasive surgery in the treatment of herniated intervertebral discs in the lumbar spine. The endoscopic technique allows for better visualization and more precise manipulation in hernia removal, which positively affects treatment outcomes, reduces the risk of complications, shortens hospitalization, and leads to faster patient recovery. The results of this study can be valuable for physicians and patients when choosing the method of treatment for herniated intervertebral discs in the lumbar spine.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082705","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}
Introduction. The problem of finding the psychological resource of the athlete remains relevant. Success in sports largely depends on the athlete’s individual psychological characteristics. Many authors, based on research, conclude that the internal locus of control has a positive effect on performance in team and non-team sports. It seems to be an interesting scientific problem to study the gender aspect of this problem.
The purpose of the study: to establish a relation between the locus of control and the characteristics of the response to the moving object of elite women handball players.
Materials and Methods: Athletes of the Ukrainian National women handball team (21 players aged 17 to 28, experience in this sport from 5 to 19 years) took part in the research. To study the locus of athletes' control over significant events, the method for the research of the level of subjective control (LSC) by J. Rotter was used. Software and hardware complex “BOS-test-Professional” for psychological and psychophysiological diagnostics was used to determine the characteristics of the athlete’s response to the moving object.
Results: A study of internality found that the majority of skilled handball players (61.9%) have a general internal type of locus of control. The vast majority of athletes tend to take responsibility in the field of productive (sports) relations (81%), areas of achievement (71.4%) and failures (52.4%). However, in areas such as family relationships, health and illness, most athletes share responsibility with the social environment and feel unable to control external circumstances. A correlation has been identified between the internality of locus of control and the ratio of nervous processes (inhibition and excitation) in elite women handball players. Higher stability of athletes' responses to a moving object is associated with a more pronounced internal locus of control, but only in the field of family relations. The obtained data indicate a more optimal functional state of the athlete’s central nervous system with internal locus of control.
Conclusions: Family relationships and health & illness are the most sensitive areas for female athletes. This fact provides a basis for gender mainstreaming in psychological support activities.
{"title":"CORRELATION BETWEEN INDICATORS OF BALANCE OF NERVOUS PROCESSES WITH LOCALIZATION OF CONTROL IN HIGH SKILLED WOMEN HANDBALL PLAYERS","authors":"Tetiana Petrovska, Lilia Arnautova, Borys Palamar, Irene Khmelnitska, Svitlana Fedorchuk, Olha Hanaha, Iryna Kohut","doi":"10.31612/2616-4868.4(26).2023.14","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.14","url":null,"abstract":"Introduction. The problem of finding the psychological resource of the athlete remains relevant. Success in sports largely depends on the athlete’s individual psychological characteristics. Many authors, based on research, conclude that the internal locus of control has a positive effect on performance in team and non-team sports. It seems to be an interesting scientific problem to study the gender aspect of this problem.
 The purpose of the study: to establish a relation between the locus of control and the characteristics of the response to the moving object of elite women handball players.
 Materials and Methods: Athletes of the Ukrainian National women handball team (21 players aged 17 to 28, experience in this sport from 5 to 19 years) took part in the research. To study the locus of athletes' control over significant events, the method for the research of the level of subjective control (LSC) by J. Rotter was used. Software and hardware complex “BOS-test-Professional” for psychological and psychophysiological diagnostics was used to determine the characteristics of the athlete’s response to the moving object.
 Results: A study of internality found that the majority of skilled handball players (61.9%) have a general internal type of locus of control. The vast majority of athletes tend to take responsibility in the field of productive (sports) relations (81%), areas of achievement (71.4%) and failures (52.4%). However, in areas such as family relationships, health and illness, most athletes share responsibility with the social environment and feel unable to control external circumstances. A correlation has been identified between the internality of locus of control and the ratio of nervous processes (inhibition and excitation) in elite women handball players. Higher stability of athletes' responses to a moving object is associated with a more pronounced internal locus of control, but only in the field of family relations. The obtained data indicate a more optimal functional state of the athlete’s central nervous system with internal locus of control.
 Conclusions: Family relationships and health & illness are the most sensitive areas for female athletes. This fact provides a basis for gender mainstreaming in psychological support activities.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082557","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.03
Olha Ye. Kovalenko, Olena V. Litvin
Early diagnosis, timely prevention and treatment of comorbid and polymorbid conditions are extremely relevant in the practice of doctors of outpatient polyclinic institutions. Dyscirculatory encephalopathy is one of the most pressing problems of modern neurology due to its high prevalence. Currently, along with the growth of cerebrovascular diseases, there is an increase in endocrine pathology, especially hypothyroidism.
The aim: Therefore, the goal of our study was to improve the diagnosis of patients with dyscirculatory encephalopathy and concomitant hypothyroidism in conditions of polyclinics.
Materials and methods. A clinical-neurological, neuropsychological, instrumental, and laboratory examination of 97 patients was conducted, including 60 patients with HDE and accompanying hypothyroidism and 37 with hypertensive dyscirculatory encephalopathy (HDE) without hypothyroidism.
Results. According to the results of the study, it was proven that cerebral disorders in patients with HDE have a more pronounced progression in the presence of concomitant hypothyroidism. Patients with concomitant hypothyroidism complained more and more often about tearfulness (p=0.03), vertigo (p=0.01), dizziness (p=0.04). In patients with HDE and accompanying hypothyroidism, the severity of neurological deficits, such as unsteadiness in Romberg's pose, ataxia when walking, missed finger-nose test, mixed type of dermographism, significantly (p<0.05) prevailed over the indicators of patients with HDE without accompanying pathologies of the thyroid gland.
Thus, patients with comorbid pathology (HDE and accompanying hypothyroidism) need more meticulous dispensary supervision, in outpatient settings and close interaction of a neurologist, endocrinologist, therapist and family doctor.
Conclusions. In patients with hypertensive dyscirculatory encephalopathy and concomitant hypothyroidism, there are cerebrasthenic, vestibulo-ataxic, and mnestic syndromes observed significantly more often (p<0.05),
{"title":"PECULIARITIES OF EARLY DIAGNOSIS OF PATIENTS WITH HYPERTENSIVE DYSCIRCULATORY ENCEPHALOPATHY AND CONCOMITANT HYPOTHYROIDISM IN POLYCLINIC CONDITIONS","authors":"Olha Ye. Kovalenko, Olena V. Litvin","doi":"10.31612/2616-4868.4(26).2023.03","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.03","url":null,"abstract":"Early diagnosis, timely prevention and treatment of comorbid and polymorbid conditions are extremely relevant in the practice of doctors of outpatient polyclinic institutions. Dyscirculatory encephalopathy is one of the most pressing problems of modern neurology due to its high prevalence. Currently, along with the growth of cerebrovascular diseases, there is an increase in endocrine pathology, especially hypothyroidism.
 The aim: Therefore, the goal of our study was to improve the diagnosis of patients with dyscirculatory encephalopathy and concomitant hypothyroidism in conditions of polyclinics.
 Materials and methods. A clinical-neurological, neuropsychological, instrumental, and laboratory examination of 97 patients was conducted, including 60 patients with HDE and accompanying hypothyroidism and 37 with hypertensive dyscirculatory encephalopathy (HDE) without hypothyroidism.
 Results. According to the results of the study, it was proven that cerebral disorders in patients with HDE have a more pronounced progression in the presence of concomitant hypothyroidism. Patients with concomitant hypothyroidism complained more and more often about tearfulness (p=0.03), vertigo (p=0.01), dizziness (p=0.04). In patients with HDE and accompanying hypothyroidism, the severity of neurological deficits, such as unsteadiness in Romberg's pose, ataxia when walking, missed finger-nose test, mixed type of dermographism, significantly (p<0.05) prevailed over the indicators of patients with HDE without accompanying pathologies of the thyroid gland.
 Thus, patients with comorbid pathology (HDE and accompanying hypothyroidism) need more meticulous dispensary supervision, in outpatient settings and close interaction of a neurologist, endocrinologist, therapist and family doctor.
 Conclusions. In patients with hypertensive dyscirculatory encephalopathy and concomitant hypothyroidism, there are cerebrasthenic, vestibulo-ataxic, and mnestic syndromes observed significantly more often (p<0.05),","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082832","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.02
Petro S. Zaslavskyi
Aim: to evaluate the effectiveness of the developed program of hand therapy on the parameters of upper limb motility in wounded military servants with the consequences of a gunshot polystructural forearm bones fracture in the post-immobilization period
Materials and methods. 49 military servants with the consequences of a gunshot polystructural forearm bone fractures were examined. The control group (23 persons) underwent rehabilitation according to general polyclinic principles. The main group (26 persons) underwent rehabilitation using tools and principles of hand therapy (therapeutic exercises and functional training for the wrist and fingers, forearm, shoulder, all joints of the upper limb, exercises on the mechanotherapeutic table MAPS THERAPY; Proprioceptive Neuromuscular Facilitation, massage of the upper limbs; kinesiological taping; orthotics) lasting 1 month. The effectiveness of the program was evaluated by the functioning of the upper limb when performing the Action Research Arm Test and dexterity by the Nine-hole peg test.
Results. In the injured persons with the consequences of a gunshot polystructural fracture of the bones of the forearm in the post-immobilization period, deterioration of the motility of the upper limb according to the Action Research Arm Test and dexterity according to the Nine-hole peg test, which are factors of disruption of the normal functioning of the upper limb, were determined. After the rehabilitation intervention, all examined persons showed an improvement in motility according to the Action Research Arm Test in the control group by 14.7%, in the main group by 35.4%, according to the Nine-hole peg test - by 61.8% and 22.3%, respectively. According to all studied parameters, the patients of both groups showed a statistically significantly better result compared to the initial data (p<0.05), however, the subjects of the main group showed a better result than the patients of the control group (p<0.05).
Conclusions. The hand therapy program demonstrated a statistically significantly better effect (p<0.05) on all studied indicators of upper limb motility compared to the polyclinic rehabilitation program, which confirms the need for the use of specialized rehabilitation directions in patients with upper limb injuries that take into account the anatomical and physiological features of the hand and its role in activities of daily living.
{"title":"THE EFFECTIVENESS OF CORRECTION OF HAND MOTILITY BY MEANS OF PHYSICAL THERAPY, OCCUPATION THERAPY (HAND THERAPY) IN THE REHABILITATION PROCESS OF MILITARY SERVANTS WITH THE CONSEQUENCES OF GUNSHOT POLYSTRUCTURAL FOREARM BONE FRACTURES","authors":"Petro S. Zaslavskyi","doi":"10.31612/2616-4868.4(26).2023.02","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.02","url":null,"abstract":"Aim: to evaluate the effectiveness of the developed program of hand therapy on the parameters of upper limb motility in wounded military servants with the consequences of a gunshot polystructural forearm bones fracture in the post-immobilization period
 Materials and methods. 49 military servants with the consequences of a gunshot polystructural forearm bone fractures were examined. The control group (23 persons) underwent rehabilitation according to general polyclinic principles. The main group (26 persons) underwent rehabilitation using tools and principles of hand therapy (therapeutic exercises and functional training for the wrist and fingers, forearm, shoulder, all joints of the upper limb, exercises on the mechanotherapeutic table MAPS THERAPY; Proprioceptive Neuromuscular Facilitation, massage of the upper limbs; kinesiological taping; orthotics) lasting 1 month. The effectiveness of the program was evaluated by the functioning of the upper limb when performing the Action Research Arm Test and dexterity by the Nine-hole peg test.
 Results. In the injured persons with the consequences of a gunshot polystructural fracture of the bones of the forearm in the post-immobilization period, deterioration of the motility of the upper limb according to the Action Research Arm Test and dexterity according to the Nine-hole peg test, which are factors of disruption of the normal functioning of the upper limb, were determined. After the rehabilitation intervention, all examined persons showed an improvement in motility according to the Action Research Arm Test in the control group by 14.7%, in the main group by 35.4%, according to the Nine-hole peg test - by 61.8% and 22.3%, respectively. According to all studied parameters, the patients of both groups showed a statistically significantly better result compared to the initial data (p<0.05), however, the subjects of the main group showed a better result than the patients of the control group (p<0.05).
 Conclusions. The hand therapy program demonstrated a statistically significantly better effect (p<0.05) on all studied indicators of upper limb motility compared to the polyclinic rehabilitation program, which confirms the need for the use of specialized rehabilitation directions in patients with upper limb injuries that take into account the anatomical and physiological features of the hand and its role in activities of daily living.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082694","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.06
Marina M. Mishchenko, Victor A. Ognev, Olexander M. Mishchenko, Volodymyr I. Ponomaryov
Introduction. WHO experts point to the urgency of the problem of cardiovascular diseases, among which the first places are occupied by cerebral strokes (CS). With CS there are significant changes in the socio-psychological activities of the patient and the personal psychological characteristics of the individual due. Such changes provoke the development of certain psychological disorders, which are characterized by an oppressed state, a persistent depressive state, the development of anxieties and fears, obsessive fixation on the transferred disease and worries about one's future, etc. That's why, the study of psychological characteristics of patients after СS is a relevant problem of great importance, which determined the direction of our research.
The aim: To investigate and analyze the prevalence of anxiety and depression in patients after CS.
Materials and methods. Conducted a randomized controlled single-center prospective study case-control, which is based on the analysis of the results of psychological study of 300 patients after CS (main group) and 200 people of the control group for the period 2022-2023. The studied groups were randomized by age and gender. To study the psychological characteristics of patients after CS, we used two methods of diagnosing psychological conditions: the self-esteem scale of Spielberg Ch. D. and Khanin Yu.L. and the depression scale of Balashova T.I.
Results. Probably (p<0.001) among the subjects of the main group compared to the control, a significantly higher frequency of occurrence of medium and moderate levels of reactive anxiety (RA), personal anxiety (PA) and levels of depression (LD) was determined, in contrast to low, which was more often detected among the persons control group. It was determined that the levels of RA, PA and depression were reliably significantly higher in the main group compared to the control group and characterized the presence of fairly significant moderate anxiety and mild depression of situational or neurotic origin.
Conclusion. It has been proven probable (p<0.001) confirmation of the influence of an CS on the development of high levels of anxiety (both RA and PA) and depression.
{"title":"PREVALENCE OF ANXIETY AND DEPRESSION IN PATIENTS AFTER BRAIN STROKE","authors":"Marina M. Mishchenko, Victor A. Ognev, Olexander M. Mishchenko, Volodymyr I. Ponomaryov","doi":"10.31612/2616-4868.4(26).2023.06","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.06","url":null,"abstract":"Introduction. WHO experts point to the urgency of the problem of cardiovascular diseases, among which the first places are occupied by cerebral strokes (CS). With CS there are significant changes in the socio-psychological activities of the patient and the personal psychological characteristics of the individual due. Such changes provoke the development of certain psychological disorders, which are characterized by an oppressed state, a persistent depressive state, the development of anxieties and fears, obsessive fixation on the transferred disease and worries about one's future, etc. That's why, the study of psychological characteristics of patients after СS is a relevant problem of great importance, which determined the direction of our research.
 The aim: To investigate and analyze the prevalence of anxiety and depression in patients after CS.
 Materials and methods. Conducted a randomized controlled single-center prospective study case-control, which is based on the analysis of the results of psychological study of 300 patients after CS (main group) and 200 people of the control group for the period 2022-2023. The studied groups were randomized by age and gender. To study the psychological characteristics of patients after CS, we used two methods of diagnosing psychological conditions: the self-esteem scale of Spielberg Ch. D. and Khanin Yu.L. and the depression scale of Balashova T.I.
 Results. Probably (p<0.001) among the subjects of the main group compared to the control, a significantly higher frequency of occurrence of medium and moderate levels of reactive anxiety (RA), personal anxiety (PA) and levels of depression (LD) was determined, in contrast to low, which was more often detected among the persons control group. It was determined that the levels of RA, PA and depression were reliably significantly higher in the main group compared to the control group and characterized the presence of fairly significant moderate anxiety and mild depression of situational or neurotic origin.
 Conclusion. It has been proven probable (p<0.001) confirmation of the influence of an CS on the development of high levels of anxiety (both RA and PA) and depression.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082696","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.05
Vasyl R. Horoshko
Introduction. In 1948, the World Health Organization defined health as not only the absence of disease but also the presence of physical, psychological and social well-being. Quality of life is a somewhat new concept borrowed from sociology, where it is understood as the ability of an individual to function in society in accordance with his or her position and to enjoy it. A number of researchers have studied the quality of life of patients after injuries, but there are very few results in Ukraine. Given the increasing number of patients with gunshot wounds, our study aims to highlight this issue, as it will be of national importance in the long term.
The aim is to study the level of quality of life in patients after gunshot wounds.
Materials and methods. The treatment of 769 patients was analyzed. The level of quality of life was studied using the Chaban quality of life scale (CQLS). The groups were compared by the Mann-Whitney test and the chi-square test.
Results. The CQLS diagnosis indicates that at the time of discharge from inpatient treatment, the quality of life was at a high level (76 points), but then, 1 month after discharge, it decreased to a low level (64 points) and did not change in the following months – 3, 6 and 12 months.
Conclusions. The results of the study indicate that more attention should be paid to the problem of quality of life in patients after gunshot wounds and that we should strive to study this issue and identify new ways to improve the situation. In our opinion, one of the factors that affect the quality of life is the formation of chronic pain, which requires further study.
介绍。1948年，世界卫生组织将健康定义为不仅没有疾病，而且有身体、心理和社会福祉。生活质量是一个从社会学借来的新概念，它被理解为个人按照自己的地位在社会中发挥作用并享受这种作用的能力。许多研究人员研究了受伤后患者的生活质量，但在乌克兰很少有结果。鉴于越来越多的枪伤患者，我们的研究旨在强调这一问题，因为从长远来看，这将具有全国性的重要性。
目的是研究枪伤患者的生活质量水平。
材料和方法。对769例患者的治疗进行分析。采用查班生活质量量表(Chaban quality of life scale, CQLS)对生活质量水平进行研究。各组间比较采用Mann-Whitney检验和卡方检验。
结果。CQLS诊断表明，出院时生活质量处于较高水平(76分)，但出院后1个月，生活质量降至较低水平(64分)，并在随后的3个月，6个月和12个月没有变化。
结论。研究结果表明，应重视枪伤患者的生活质量问题，并努力研究这一问题，寻找改善现状的新途径。我们认为影响生活质量的因素之一是慢性疼痛的形成，这需要进一步的研究。
{"title":"QUALITY OF LIFE AND PAIN MANAGEMENT IN PATIENTS AFTER GUNSHOT WOUNDS","authors":"Vasyl R. Horoshko","doi":"10.31612/2616-4868.4(26).2023.05","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.05","url":null,"abstract":"Introduction. In 1948, the World Health Organization defined health as not only the absence of disease but also the presence of physical, psychological and social well-being. Quality of life is a somewhat new concept borrowed from sociology, where it is understood as the ability of an individual to function in society in accordance with his or her position and to enjoy it. A number of researchers have studied the quality of life of patients after injuries, but there are very few results in Ukraine. Given the increasing number of patients with gunshot wounds, our study aims to highlight this issue, as it will be of national importance in the long term.
 The aim is to study the level of quality of life in patients after gunshot wounds.
 Materials and methods. The treatment of 769 patients was analyzed. The level of quality of life was studied using the Chaban quality of life scale (CQLS). The groups were compared by the Mann-Whitney test and the chi-square test.
 Results. The CQLS diagnosis indicates that at the time of discharge from inpatient treatment, the quality of life was at a high level (76 points), but then, 1 month after discharge, it decreased to a low level (64 points) and did not change in the following months – 3, 6 and 12 months.
 Conclusions. The results of the study indicate that more attention should be paid to the problem of quality of life in patients after gunshot wounds and that we should strive to study this issue and identify new ways to improve the situation. In our opinion, one of the factors that affect the quality of life is the formation of chronic pain, which requires further study.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082558","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.08
Natalia V. Babchenko
Introduction. Mucociliary clearance is a vital defense mechanism in the human upper respiratory tract that safeguards the body against inhaled harmful substances. Ciliary activity was first discovered by Sharpey in 1835, and it took nearly a century for this function to be recognized as a central component in the physiology of the sinuses.
The aim of this study is to investigate the status of mucociliary clearance in patients with a nasal septum deviation and concomitant postnasal drip syndrome.
Materials and Methods: A total of 54 patients, aged between 23 and 55 years, were enrolled in the study. All participants underwent a saccharin test and an assessment of the motor activity of the ciliated epithelium. Exclusion criteria included the presence of infectious and inflammatory diseases of the upper respiratory tract within the last month.
Results: In the control group of patients, no significant difference was observed in the speed of saccharin test passage, both in the right and left parts of the nasal cavity, with test times ranging from 8.35 to 14.52 minutes. However, in the second clinical group comprising patients with nasal septum deviation, the average time for the saccharin test on the mucous membrane of the concave side of the nasal septum was significantly longer than on the convex side, measuring 21.52 ± 3.04 minutes and 12.36 ± 2.73 minutes, respectively (P = 0.02). When assessing the data from patients in the third clinical group based on the curvature side, a significant difference (P < 0.05) was observed in the reduction of saccharin test speed compared to the control group.
Conclusions: The data obtained indicate a significant influence of nasal septum deviation on subsequent changes in nasal cavity physiology, resulting in a slowdown of mucociliary clearance. This can lead to excessive mucus stagnation in the nasal cavity and, consequently, the development of postnasal drip syndrome.
{"title":"THE CONDITION OF MUCOCILIARY CLEARANCE IN PATIENTS WITH NASAL SEPTUM DEVIATION AND POSTNASAL DRIP SYNDROME","authors":"Natalia V. Babchenko","doi":"10.31612/2616-4868.4(26).2023.08","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.08","url":null,"abstract":"Introduction. Mucociliary clearance is a vital defense mechanism in the human upper respiratory tract that safeguards the body against inhaled harmful substances. Ciliary activity was first discovered by Sharpey in 1835, and it took nearly a century for this function to be recognized as a central component in the physiology of the sinuses.
 The aim of this study is to investigate the status of mucociliary clearance in patients with a nasal septum deviation and concomitant postnasal drip syndrome.
 Materials and Methods: A total of 54 patients, aged between 23 and 55 years, were enrolled in the study. All participants underwent a saccharin test and an assessment of the motor activity of the ciliated epithelium. Exclusion criteria included the presence of infectious and inflammatory diseases of the upper respiratory tract within the last month.
 Results: In the control group of patients, no significant difference was observed in the speed of saccharin test passage, both in the right and left parts of the nasal cavity, with test times ranging from 8.35 to 14.52 minutes. However, in the second clinical group comprising patients with nasal septum deviation, the average time for the saccharin test on the mucous membrane of the concave side of the nasal septum was significantly longer than on the convex side, measuring 21.52 ± 3.04 minutes and 12.36 ± 2.73 minutes, respectively (P = 0.02). When assessing the data from patients in the third clinical group based on the curvature side, a significant difference (P < 0.05) was observed in the reduction of saccharin test speed compared to the control group.
 Conclusions: The data obtained indicate a significant influence of nasal septum deviation on subsequent changes in nasal cavity physiology, resulting in a slowdown of mucociliary clearance. This can lead to excessive mucus stagnation in the nasal cavity and, consequently, the development of postnasal drip syndrome.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082831","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.10
O. Voliarska, J. Matulcik, L. Sejcova, O. Puchyn
Introduction. The article presents the results of diagnosing the health literacy of students of higher education institutions. This research was conducted within the VEGA project of the Ministry of Education, Science, Research and Sports of the Slovak Republic No. 1/0293/21 “Education for Adult Health” (2022–2023) by representatives of the Department of Pedagogy and Andragogy Comenius University in Bratislava with the participation of Ukrainian colleagues. The aim of the study is to assess the role of health literacy and analyze the results of empirical research to determine the level of the health literacy among the students at the universities in the Slovak Republic. The scientific innovation involves the determination of potential contribution to the increase of students‘ health literacy level so as to implement the startegies to improve professional self-realization within the high education system. Material and methods. The results of students’ diagnosing are described according to the modified European Health Literacy Survey Questionnaire (HLS_EU_Q47). Results. The majority of the respondents is found out to have the sufficient level of the health literacy. It is identified that all respondents understood the need of additional informal training and gaining the skills of education activities. It is explained that the increase of the health literacy level results in gradual shaping of an expert’s professional self-realization: only a person who is mentally healthy and conscious of health and healthy lifestyle issues can be aware of his/her ways for professional improvement. Conclusions. The role of digital technologies in improving medical literacy of students is proved. The research results should become the basis for developing and implementing of educational activities to support public health.
{"title":"HEALTH LITERACY AS A DETERMINANT OF STUDENTS’ PROFESSIONAL SELF-REALIZATION: EXPERIENCE OF THE SLOVAK REPUBLIC","authors":"O. Voliarska, J. Matulcik, L. Sejcova, O. Puchyn","doi":"10.31612/2616-4868.4(26).2023.10","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.10","url":null,"abstract":"Introduction. The article presents the results of diagnosing the health literacy of students of higher education institutions. This research was conducted within the VEGA project of the Ministry of Education, Science, Research and Sports of the Slovak Republic No. 1/0293/21 “Education for Adult Health” (2022–2023) by representatives of the Department of Pedagogy and Andragogy Comenius University in Bratislava with the participation of Ukrainian colleagues. The aim of the study is to assess the role of health literacy and analyze the results of empirical research to determine the level of the health literacy among the students at the universities in the Slovak Republic. The scientific innovation involves the determination of potential contribution to the increase of students‘ health literacy level so as to implement the startegies to improve professional self-realization within the high education system. Material and methods. The results of students’ diagnosing are described according to the modified European Health Literacy Survey Questionnaire (HLS_EU_Q47). Results. The majority of the respondents is found out to have the sufficient level of the health literacy. It is identified that all respondents understood the need of additional informal training and gaining the skills of education activities. It is explained that the increase of the health literacy level results in gradual shaping of an expert’s professional self-realization: only a person who is mentally healthy and conscious of health and healthy lifestyle issues can be aware of his/her ways for professional improvement. Conclusions. The role of digital technologies in improving medical literacy of students is proved. The research results should become the basis for developing and implementing of educational activities to support public health.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082955","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.01
Mariia H. Aravitska, Olesia V. Saienko
Aim: to assess the effectiveness of the developed physical therapy program on locomotive syndrome parameters in elderly people with osteoarthritis of the knee and obesity.
Material and methods. 93 elderly people were examined. The control group consisted of 31 people without osteoarthritis of the joints, with no obesity. The main group 1 consisted of 33 people who received rehabilitation according to the general principles of osteoarthritis correction. Representatives of the main group 2 (31 people) were engaged in a physical therapy program using functional training on the «Prosedos» platform, therapeutic exercises, Proprioceptive Neuromuscular Facilitation; massage, kinesiological taping, nutritional correction, patient education. The effectiveness of the program was evaluated according to the dynamics of the Short Physical Performance Battery, Functional Gait Assessment, Tinetti-test (Performance-Oriented Mobility Assessment), 25-question Geriatric Locomotive Function Scale.
Results. Elderly patients with osteoarthritis of the knee and obesity were found to have impaired balance (Short Physical Performance Battery), altered gait stereotype (Functional Gait Assessment), risk of falling when performing activities of daily living (Tinetti-test) at the level of locomotive syndrome II degree (25- question Geriatric Locomotive Function Scale). The developed program of physical therapy in persons of the main group 2 revealed a statistically significantly better effect on the components of the locomotive syndrome compared to the initial examination in all studied parameters (p<0.05). Elderly patients who underwent rehabilitation according to the standard program for the correction of osteoarthritis achieved a statistically significant improvement compared to the initial state according to the studied parameters (p<0.05), but less pronounced compared to the tested program.
Conclusions. Elderly patients with osteoarthritis of the knee joints and obesity need to develop physical therapy programs taking into account and correcting the specifics of each condition, the presence of static and dynamic balance disorders and the risk of falling, which will increase the overall effectiveness of rehabilitation measures.
{"title":"THE INFLUENCE OF PHYSICAL THERAPY ON INDICATORS OF LOCOMOTIVE SYNDROME IN ELDERLY PERSONS WITH OSTEOARTHRITIS OF THE KNEE AND OBESITY","authors":"Mariia H. Aravitska, Olesia V. Saienko","doi":"10.31612/2616-4868.4(26).2023.01","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.01","url":null,"abstract":"Aim: to assess the effectiveness of the developed physical therapy program on locomotive syndrome parameters in elderly people with osteoarthritis of the knee and obesity.
 Material and methods. 93 elderly people were examined. The control group consisted of 31 people without osteoarthritis of the joints, with no obesity. The main group 1 consisted of 33 people who received rehabilitation according to the general principles of osteoarthritis correction. Representatives of the main group 2 (31 people) were engaged in a physical therapy program using functional training on the «Prosedos» platform, therapeutic exercises, Proprioceptive Neuromuscular Facilitation; massage, kinesiological taping, nutritional correction, patient education. The effectiveness of the program was evaluated according to the dynamics of the Short Physical Performance Battery, Functional Gait Assessment, Tinetti-test (Performance-Oriented Mobility Assessment), 25-question Geriatric Locomotive Function Scale.
 Results. Elderly patients with osteoarthritis of the knee and obesity were found to have impaired balance (Short Physical Performance Battery), altered gait stereotype (Functional Gait Assessment), risk of falling when performing activities of daily living (Tinetti-test) at the level of locomotive syndrome II degree (25- question Geriatric Locomotive Function Scale). The developed program of physical therapy in persons of the main group 2 revealed a statistically significantly better effect on the components of the locomotive syndrome compared to the initial examination in all studied parameters (p<0.05). Elderly patients who underwent rehabilitation according to the standard program for the correction of osteoarthritis achieved a statistically significant improvement compared to the initial state according to the studied parameters (p<0.05), but less pronounced compared to the tested program.
 Conclusions. Elderly patients with osteoarthritis of the knee joints and obesity need to develop physical therapy programs taking into account and correcting the specifics of each condition, the presence of static and dynamic balance disorders and the risk of falling, which will increase the overall effectiveness of rehabilitation measures.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135083576","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}
Pub Date : 2023-09-30DOI: 10.31612/2616-4868.4(26).2023.12
Nataliia Yu. Kondratiuk, Rymma P. Tkachenko
In recent years, assessing the quality of life of patients with diabetes, as an indicator of the patient’s overall well-being, which affects not only the course of the primary condition but also the prognosis of the development of complications and associated conditions, has become particularly important.
According to WHO experts, the quality of life is an integral characteristic of a person's physical, psychological, emotional, and social functioning, based on their subjective perception.
The aim: to conduct analysis and synthesis of scientific publications on the selection of instruments for researching the quality of life of patients with diabetes.
Materials and methods: The analysis and synthesis of scientific publications regarding the utilization of standardized questionnaires to assess the quality of life among patients with type 2 diabetes mellitus were conducted. The appropriateness and practicality of their utilization in the clinical practice of healthcare professionals were analyzed. The following methods were employed: a systematic approach, bibliosemantic analysis, as well as analytical and comparative methods.
Results: Given that virtually any chronic illness can influence the structure of a patient's psyche and personality, it can be inferred that diabetes leads to similar consequences, which undoubtedly impact their quality of life.
Quality of life is a multifaceted concept that encompasses the influence of disease severity and physical condition on the patient’s physical, social, economic, and emotional well-being. This is why assessing the patient’s quality of life is increasingly crucial in evaluating the effectiveness of diabetes therapy. Moreover, it is essential to assess several parameters, taking into consideration not only the patient’s physical state. We have conducted an analysis spanning almost 40 years to identify effective questionnaires for assessing the quality of life of diabetes patients.
Conclusions: It is evident that assessing the quality of life of patients and identifying factors that impact it are crucial elements in the formulation of intervention strategies aimed at enhancing the quality of life for these individuals.
{"title":"PRINCIPLES AND METHODS OF RESEARCH ON THE QUALITY OF LIFE IN PATIENTS WITH DIABETES","authors":"Nataliia Yu. Kondratiuk, Rymma P. Tkachenko","doi":"10.31612/2616-4868.4(26).2023.12","DOIUrl":"https://doi.org/10.31612/2616-4868.4(26).2023.12","url":null,"abstract":"In recent years, assessing the quality of life of patients with diabetes, as an indicator of the patient’s overall well-being, which affects not only the course of the primary condition but also the prognosis of the development of complications and associated conditions, has become particularly important.
 According to WHO experts, the quality of life is an integral characteristic of a person's physical, psychological, emotional, and social functioning, based on their subjective perception.
 The aim: to conduct analysis and synthesis of scientific publications on the selection of instruments for researching the quality of life of patients with diabetes.
 Materials and methods: The analysis and synthesis of scientific publications regarding the utilization of standardized questionnaires to assess the quality of life among patients with type 2 diabetes mellitus were conducted. The appropriateness and practicality of their utilization in the clinical practice of healthcare professionals were analyzed. The following methods were employed: a systematic approach, bibliosemantic analysis, as well as analytical and comparative methods.
 Results: Given that virtually any chronic illness can influence the structure of a patient's psyche and personality, it can be inferred that diabetes leads to similar consequences, which undoubtedly impact their quality of life.
 Quality of life is a multifaceted concept that encompasses the influence of disease severity and physical condition on the patient’s physical, social, economic, and emotional well-being. This is why assessing the patient’s quality of life is increasingly crucial in evaluating the effectiveness of diabetes therapy. Moreover, it is essential to assess several parameters, taking into consideration not only the patient’s physical state. We have conducted an analysis spanning almost 40 years to identify effective questionnaires for assessing the quality of life of diabetes patients.
 Conclusions: It is evident that assessing the quality of life of patients and identifying factors that impact it are crucial elements in the formulation of intervention strategies aimed at enhancing the quality of life for these individuals.","PeriodicalId":34164,"journal":{"name":"Klinichna ta profilaktichna meditsina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082697","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}
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