bluuebunny/crossref_metadata_2025 huggingface dataset:
CLINICAL EVALUATION OF UNSTABLE INTER-TROCHANTERIC HIP FRACTURE BY INTRAMEDULLARY NAIL (PROXIMAL FEMORAL NAIL) - A PROSPECTIVE CLINICAL STUDY
Authors: jaiswal Appurv , joshi Rajeev , Panwar Mahendra
Published: October 2020

Introduction
Dynamic hip screw and cephalomedullary nails are currently considered as a standard treatment for inter-trochanteric fractures. Although both clinical and biomechanical studies suggest that intramedullary implants have a mechanical advantage over extramedullary implants. We report the results of 118 unstable inter-trochanteric hip fractures internally fixed with proximal femoral nail
Materials and methods
Between Dec 2013 and Dec 2015, 138 patients with unstable inter-trochanteric fractures were internally fixed with proximal femoral nail.Number of patients requiring open reduction, duration of surgery and hospitalization, post-operative complications, implant-specific complications were recorded in a predefined proforma; serial post-operative radiographs taken. Functional outcomes were assessed according to the Harris Hip scoring (HHS) system.
Results:
Mean HHS at one year follow up was 93.356 (range-60-100). There were four superficial infection, one lag screw migration in to joint (fixation revised) and one implant failure (converted to hemiarthroplasty). Union was achieved in 117 cases. Fourteen patients expired due to unrelated reasons and six patients could not complete the follow up.
Conclusion:
We have used proximal femoral nail for fixation of unstable inter-trochanteric fractures with less operative time, good clinico-radiological outcome and low complication rate.
Level of evidence: IV
Il principio del mutuo riconoscimento nell'ordinamento dell'Unione europea
Authors: Giorgi Eloisa
Published: October 2020

The essay analyses the principle of mutual recognition as a legal technique of coordination of the Member States’ legal systems. We examine its ability of ensuring effectiveness of the individual’s fundamental rights and of favouring the European integration. The study of the principle is both static and dynamic. From a static standpoint, the analysis attempts to delineate the anatomy of mutual recognition, identifying its legal nature, its distinctive features in each of the three areas of its implementation (internal market, judicial cooperation in civil and criminal matters) and the variable geometry that characterises its application. From a dynamic point of view, the research examines the principle of mutual recognition as a technique for coordinating the legal systems of the Member States, in both its horizontal and vertical dimension.
Perfil clí­nico, epidemiológico e laboratorial da tuberculose entre 2014 a 2019 no estado da Bahia
Authors: Dos Santos Marques Lorena Cristina , Santos de Oliveira Ohana Luiza , Andrade Pereira Marilane
Published: October 2020

Objetivo: Analisar as caracterí­sticas clí­nicas-epidemiológicas dos casos de tuberculose com confirmações laboratoriais, evidenciando a distribuição da doença na Bahia entre 2014 a 2019. Método: Para obtenção dos dados utilizou-se o Sistema de Informação de Agravos e Notificações (SINAN) disponí­vel para consulta no banco de dados Departamento de Informática do Sistema Único de Saúde (DATASUS), além da utilização de boletins epidemiológicos, websites e artigos cientí­ficos indexados nas bases de dados. Resultados: Constatou-se um aumento no coeficiente de incidência da tuberculose nos três últimos anos, no estado da Bahia. A caracterização dos portadores de tuberculose nessa região trata-se de uma população com faixa etária de 20 a 39 anos, predominância pela forma pulmonar e destaca que, quanto aos recursos para diagnóstico laboratorial da tuberculose, a baciloscopia do escarro demostrou maior representatividade. Conclusão: Espera-se que os resultados deste estudo fortaleçam a assistência em saúde, aproximando o paciente das medidas de controle da tuberculose.
Escolha do tipo de parto: avaliação do protagonismo da mulher
Authors: Guilherme Burin Luí­s , Mazzetto Pasim Moron Leonardo , Bossolani Charlo Patricia
Published: October 2020

Objetivou-se identificar os tipos de partos empregados para o nascimento em crianças de um hospital de referência, elencando o processo de decisão para referida técnica. Trata-se de pesquisa qualitativa, elaborada com 76 puérperas imediatas, em um municí­pio de médio porte no noroeste do Paraná, nos meses de abril e maio de 2019. Utilizou-se como instrumento de pesquisa um questionário objetivo com o intuito de levantar informações sociodemográficas e sobre a escolha do parto. Os dados revelaram que a grande maioria realizou o número de consultas pré-natal recomendado. No entanto, 64% não foi esclarecida sobre as particularidades de cada tipo de parto pelos seus médicos. No tocante í  escolha da modalidade de parto no iní­cio da gravidez, 72% disseram preferir o parto normal, porém houve um declí­nio no número de gestantes que efetivamente realizaram o parto natural. Conclui-se que apesar da preconização da Organização Mundial da Saúde (OMS), ní­veis superiores ao esperado para cesárea têm sido realizados.
Experiências de solidão entre os idosos que moram sós
Authors: Da Silva Alexandre Kawakami Roselma Marcele , Capriata de Souza Azevedo Rosemeiry , Almeida Oliveira Reiners Annelita , Araújo de Almeida Natália , De Fátima Lima Idilaine , Cegati de Souza Luciane
Published: October 2020

Objetivo: compreender as experiências de solidão entre os idosos que moram sós. Método: estudo exploratório de abordagem qualitativa, desenvolvido na zona urbana de Cuiabá-MT. Trinta e cinco idosos participaram deste estudo. Os dados foram coletados por meio de entrevista semi estruturada, escala de Lawton e Brody e o índex de Katz, analisados pela técnica de análise temática. Resultados: envelhecer e viver em sociedade são processos naturais para idosos, envelhecer com autonomia e independência é desafiador. Morar só é uma condição nova vivenciada por eles, mas, a solidão não é própria da sua natureza. A construção dessa realidade revelou um sentimento de solidão que os ataca em diferentes intensidades a depender da fragilidade dos relacionamentos e do ví­nculo social. Conclusão: entende-se que a sociabilidade permite a integração dos idosos com outras pessoas, e que é importante a rede de apoio social e familiar que os ajudam nessa experiência de morar só.
Fatores de risco para a disseminação de microrganismos em creches: revisão integrativa da literatura
Authors: Pires Cogo Simão Evelise , de Lima Lovadini Vinicius , Correa Ione
Published: October 2020

O objetivo deste estudo foi identificar na literatura fatores de risco para a disseminação de microrganismos em creches. Método: A seleção da amostra se deu por meio do acesso í s bases de dados: Literatura Latino-Americana e do Caribe de Informação em Ciências da Saúde (LILACS), Current Nursing and Allied Health Literature (CINAHL), Cochrane, Embase, Medical Literature Analysis and Retrieval System Online (MedLine/PubMed), Web of Science (WOS). Resultados: A amostra final foi de 67 artigos que indicam o risco de disseminação de microrganismos e doenças infecciosas entre crianças em creches depende das caracterí­sticas das crianças e do ambiente. No entanto, somente o fato de crianças serem assistidas em creches aumenta a probabilidade de adquirir e desenvolver infecções, sobretudo as de repetição. Conclusões: A identificação dos fatores de risco visa garantir a assistência de crianças em creches de forma que não sejam submetidas a um ambiente ou situações insalubres que afetem seu estado de saúde ou favorecer a ocorrência de doenças infecciosas.
Violações de direitos e danos ao projeto de vida no contexto da mineração
Authors: Saraiva Luiz Alex Silva
Published: October 2020

A partir do contexto de exploração mineral verificado em Minas Gerais, Brasil, o livro “Violações de direitos e danos ao projeto de vida no contexto da mineração” tem como objetivo discutir “os principais problemas gerados aos moradores da Cabeceira do turco decorrentes da instalação e operação do complexo minerário Minas-Rio na região”. Para isso apresenta os resultados de um dos mais bem-sucedidos programas de extensão da Universidade Federal de Minas Gerais, o Polos de Cidadania, em atuação desde 1995. A obra apresenta uma visão humanizada dos desdobramentos da atividade mineradora sobre as vidas das famílias acompanhadas, demonstrando que a extensão é um caminho potente para geração de conhecimento, em especial em um momento no qual se debate com mais atenção a imprescindibilidade de uma forma de economia baseada na destruição dos recursos do planeta. Por isso, ele pode ser considerado tanto como um alerta para o futuro, quanto para o vigor do conhecimento produzido na universidade.
Abstract: Starting from the context of mineral exploration in Minas Gerais, Brazil, the book "Violations of rights and damages to the life project in the context of mining" aims to discuss “the main problems generated to the residents of “Cabeceira do turco” arising from the installation and operation of the Minas-Rio mining complex in the region”. To reach this, it presents the results of one of the most successful extension programs of the Federal University of Minas Gerais, Polos de Cidadania, in operation since 1995. The book presents a humanized view of the mining activity consequences to the families lives, demonstrating that extension is a potent path for knowledge generation, especially when more attention is being drawn to the indispensability of a form of economy based on the destruction of the planet's resources. Therefore, it can be considered both as an alert for the future and for the strength of the knowledge produced in the university.
Percepções de estudantes de medicina e profissionais de saúde sobre a capacitação de equipes da atenção primária à saúde no enfrentamento da epidemia da COVID-19
Authors: Oliveira dos Santos Alisson , Cristian Do Amaral Priscila , Fernandes de Moura Pires Bruno , Machado Rocha Gustavo , Cabral Silva Hygor Kleber
Published: October 2020

Em fevereiro de 2020, o Brasil registrava o seu primeiro caso confirmado de COVID-19 e, em março, no município de Divinópolis, confirmava-se o primeiro em Minas Gerais. Sendo a Atenção Primária à Saúde (APS) a porta de entrada do sistema de saúde, torna-se o principal local de atendimento aos pacientes com sintomas respiratórios. Diante disso, criou-se um projeto de extensão, composto por professores e alunos do curso de Medicina, a fim de atuar no enfrentamento a pandemia. Estudantes capacitados, sob supervisão docente, realizaram treinamentos das equipes da APS do município, utilizando-se de simulações de casos realísticos. Ao final da etapa de capacitação das unidades de saúde, todas as equipes do município foram assistidas.  Por seu turno, a percepção dos estudantes e profissionais sobre a vivência durante o processo foi de uma significativa contribuição à comunidade e ao serviço de saúde, além de ter impactado de forma relevante na formação dos discentes participantes, reforçando o sentimento de responsabilidade social.
Palavras-chave: Aprendizagem baseada em problemas; Educação médica; Capacitação em serviço; Extensão comunitária
 
Perceptions of medicine students and healthcare professionals about primary health professionals' training to cope with the COVID-19 epidemic
Abstract: : In Brazil, the first case of COVID-19 was confirmed in February 2020, and Minas Gerais state, in March 2020, precisely in the municipality of Divinópolis. Primary Health Care (PHC) is the gateway to the health system, making it the most likely way to seek outpatients with respiratory symptoms. Thus, an extension project coordinated by professors, with the participation of students from the medical course, from a public university in MG, was created to contribute to facing the pandemic at the loco-regional level. Qualified students were divided into groups guided by one of the teachers, and within the PHC units in the municipality, they trained the teams, using the methodology of realistic case simulations. At the end of the health units training phase, all the teams in the municipality were assisted. In turn, the perception of students and professionals about the experience during the process was a significant contribution to the community and the health service, in addition to having a significant impact on the training of participating students, reinforcing the feeling of social responsibility.
Keywords Problem-Based Learning; Medical Education; Service Learning; Community Extension
ON PUBLIC DANGER AS A FACTOR OF CRIMINALIZATION (DECRIMINALIZATION) OF VIOLATION OF THE ESTABLISHED RULES OF CIRCULATION OF NARCOTIC DRUGS
Authors:   Krynychky District Court of Dnipropetrovsk Oblast, Lisniak Viktoriia
Published: October 2020

The article examines the problem of social conditionality of criminal legal prohibition. The phenomenon of public danger is analyzed as a factor of criminalization (decriminalization) of violation of the established rules of circulation of narcotic drugs, psychotropic substances, their analogues or precursors intended for the production or manufacture of these drugs or substances. The aim of the article: to establish the existence or lack of social conditionality of criminal liability for the violation of established rules of circulation of narcotic drugs, psychotropic substances, their analogues or precursors through the perception of the phenomenon of public danger as a factor of criminalization (decriminalization) of certain acts. The research methodology: historical and legal, systemic, dogmatic, hermeneutic ones. The debatable provisions of this issue are considered, the author’s critical considerations are stated. The scientific position of Ukrainian criminologists is supported, according to which the feature "public danger" of an act should not be applied in the legislative definition of a crime. However, this does not mean that the legislator should be deprived of the need to take into account the public danger (or lack thereof) of certain actions in the process of resolving the issue of their criminalization (decriminalization). The expediency of editorial adjustment of Part 1 of Art. 320 of the Criminal Code of Ukraine has been substantiated. The criminal consequence, which is planned to express significant harm, should be the shortage of narcotic drugs, psychotropic substances, their analogues or precursors on a large scale.
ADVANCING SPORTS AND HEALTH-IMPROVING WORK IN PLACES OF PRE-TRIAL DETENTION AND PENITENTIARY INSTITUTIONS BY DEVELOPING THE EDUCATIONAL COMPONENT
Authors:   Lviv Regional Institute for Public Administration of the National Academy for Public Administration under the President of Ukraine, Prots Tetyana
Published: October 2020

The normative-legal, organizational, material-technical, personnel and educational-methodical support of physical culture and health-improving work in places of pre-trial detention and penitentiary institutions is analyzed. The aim of the article: to develop an educational component for advancing sports and health-improving work in places of pre-trial detention and penitentiary institutions. There is substantiated the necessity for better coordination of interactions between the subjects of the spheres – public authorities, State Penitentiary Service of Ukraine, education, physical culture and sports, civil society institutions (public associations of physical culture and sports) to ensure the quality of training and performance of specialists/employees; improving the organizational, regulatory, personnel, logistical, financial, information support for a fuller realization of the social role of physical culture, in particular in this area; there is deepened the meaning of the concept of "educational component of physical culture and sports as health-improving activities in the places of pre-trial detention and penitentiary institutions" by determining the impact of European integration processes aimed at radical reforming of the penitentiary system, the content and forms, mechanisms and tools for improving efficiency and effectiveness of professional training of employees of the penitentiary system in terms of their physical fitness. We have found out that in the educational programs of the Academy of State Penitentiary Service of Ukraine such disciplines as "Physical Education" and "Special Physical Training" are aimed at forming theoretical knowledge, practical and methodological abilities in physical education as components of their full, harmonious and safe life; gaining experience in the application of acquired values throughout life in private, educational, professional activities; ensuring the appropriate level of development of physical performance; promoting the development of professional, ideological and civic qualities.
PRINCIPLES OF REALIZATION OF NATIONAL REQUEST FOR INFORMATION SECURITY
Authors:   State Institution “Scientific–Practical Medical Rehabilitating – Diagnostic Center of the Ukrainian Ministry of Health”, Panchenko Oleg
Published: October 2020

Ensuring information security is considered as one of the priority state tasks, as an important element of national security. The development of state information policy in Ukraine should foresee the fact that all problems related to information security (formation of information legislation, counteraction to threats in the information sphere, counteraction to information conflicts, information wars, development of legal means and protection organizational measures against information wars), must be resolved holistically. The aim of the article: to investigate the principles of realization of the state request for information security. The research methodology: the methods of logical comparison, systematization and generalization, which made it possible to achieve the goal of the study. The importance of developing an appropriate, consistent state information policy aimed at obtaining a qualitatively new result in the field of information security of a person, society and the state, which would meet the state and trends of the global information society and generally accepted international and European standards in this field of interest, has been outlined. State information policy should be implemented in stages based on the use of organizational, legal and economic principles. At the first stage of the state information policy realization it is necessary to consistently reform information production in the system of state power and management as a whole, at the second - to transform the available information resources gradually into real material and spiritual benefits for the population of the country.
CRIMINAL AND CRIMINOLOGICAL FACTORS AFFECTING INVOLVEMENT OF MINORS IN ILLEGAL ACTIVITIES AND INDUCEMENT TO USE NARCOTICS, PSYCHOTROPIC SUBSTANCES OR THEIR ANALOGUES
Authors:   Odesa State University of Internal Affairs, Sobko Ganna
Published: October 2020

In the case of mental violence, the child is defenseless and unable to protect himself from verbal (constant, systematic, or periodic) insults, threats, humiliation, indifference to him, as well as requirements that do not meet his age and are to her by adult members of her family. More and more often it is possible to hear "My child, I do what I want", which determines the relevance of the chosen topic. The aim of the article is to identify criminal and criminological factors affecting the employment of minors in illegal activities and incitement to use drugs, psychotropic substances or their analogues. The research methodology: the methods of statistics and logical comparison, systematization, and generalization, which made it possible to achieve the goal of the study. The factors that influence the formation of the child's psyche are analyzed. Also based on the studied criminal cases, namely statistics under article 304 " involvement of juveniles in illegal activity" and 315 "addiction to use of drugs, medicines. The changes which according to the author will affect the improvement of a situation are offered.
THE ROLE OF EDUCATIONAL SOCIETIES IN THE DEVELOPMENT OF EDUCATION IN ELISAVETGRAD REGION: SECOND HALF OF XIX–EARLY XX CENTURY
Authors:   Volodymyr Vynnychenko Central Ukrainian State Pedagogical University, Olizko Olena
Published: October 2020

The article reveals the role of educational societies of Yelisavetgrad region in the development of education in the region in the second half of the XIX – early XX century. The purpose of the article is to reveal the role of educational societies of Yelisavetgrad region in the development of education in the region in the second half of the XIX – early XX century. The publication uses a historical-retrospective method, which allows for a retrospective analysis of the history of educational societies of Yelisavetgrad region in the period under study and highlight their contribution to the development of education in the region. It was found that a significant contribution to the development of educational processes in the Yelisavetgrad region in this period was made by educational societies opened on the initiative of progressive public figures of the city. Among the greatest achievements of Yelisavetgrad charity in providing various segments of the population with both basic and special knowledge is the rich and diverse activity of the Yelisavetgrad Society for Literacy and Crafts, which on a charitable basis carried out large-scale educational, pedagogical and educational work: progressive literature, conducted significant educational and organizational and advocacy work among the population and students of educational institutions, organized theater performances, concerts, art exhibitions. Through the efforts of the society, a home for young homeless children, the first kindergartens, a free public library-reading room and a public library were opened in the city. Active educational and propaganda activities of the members of the society played a leading role in the spread of education among various segments of the population, contributed to the development of schooling in the region. N. Braker, P. Ryabkov, M. Fedorovsky, V. Khartsiev and others made a significant contribution to reviving the work of the society.
EDUCATIONAL AND DEVELOPMENTAL ENVIRONMENT AS A FACTOR OF SKILLS FORMATION OF SELF-ORGANIZATION OF PRIMARY SCHOOL PUPILS’ EDUCATIONAL ACTIVITY
Authors:   Ternopil National Pedagogical University named after Volodymyr Hnatyuk, Chaika Volodymyr , Pysarchuk Oksana ,   Ternopil National Pedagogical University named after Volodymyr Hnatyuk, Chykurova Olha ,   Ternopil National Pedagogical University named after Volodymyr Hnatyuk
Published: October 2020

Modernization of educational activities determines the necessity for the formation of educational and developmental environment. Today, the development of students' self-organization in an educational and developmental environment is one of the main demands that modern society puts forward to the system of primary education. The purpose is to study the features of the educational and developmental environment, its classification; development of didactic games at the lessons of Writing and Mathematics that promote the development of pupils’ self-organization in an educational and developmental environment. Research methods: a logical method; methods of system analysis; comparative analysis has made it possible to compare phenomena in order to establish similarities or differences between them. The academic paper has highlighted the essence of the concepts “educational and developmental environment”, “self-organization of educational activities”. The components of the educational and developmental environment of primary school and its classification have been formed. The basic types of primary pupils’ self-organization under the influence of the educational and developmental environment have been considered. The stages of the ability of self-organization of primary schoolchildren’s educational activity within the conditions of educational and developmental environment have been determined. Examples of Writing lessons in grades 1 and 4 have been given at the above stages, which contribute to the formation of skills of self-organization of pupils’ learning activities. Thus, types of didactic games at the lessons of Writing and Mathematics have been offered, which make it possible to provide material in accessible, interesting form, form skills of self-organization of schoolchildren in educational environment.
SUDDEN CARDIAC ARREST IN PATIENTS OVER 60 YEARS OF AGE IN THE OPERATION AREA OF EMERGENCY MEDICAL SERVICE IN SIEDLCE IN 2013-2017
Authors: Hawrylewicz-Łuka Agnieszka , Gałązkowski Robert , Celiński Daniel , Mitura Krzysztof , Szpakowski Leszek , Pilip Sławomir , Świniarski Paweł , Nadolny Klaudiusz
Published: October 2020

Introduction: Sudden cardiac arrest is an integral part of the end of every human life.
The aim: To analyze and determine the characteristics of the geriatric patients with sudden cardiac arrest.
Material and methods: This was a retrospective study covering the operation area of the Emergency Medical Service
in Siedlce. Time range: from January 1, 2013 to December 31, 2017. The Chi2 test was used to assess the significant
differences between the analyzed qualitative variables. The level of significance was 0.05.
Results: Out of 182,584 emergency medical records collected over 5 years, 5682 cases were manually selected as
interventions for a patient with sudden cardiac arrest. This represented 3.11% of all medical services provided, from
which a group of n = 3840 patients over 60 years of age was selected. The patient had usually between 75 and 90 years
of age. The mean age was 75.55 years. The mean arrival time to such a patient was 10.28 min. The most common ECG
rhythm was asystole, followed by return of spontaneous circulation (ROSC) in 12.71% of cases (n = 67). No mechanical
chest compression equipment was used. Most often adrenaline and fluid therapy were administered after obtaining
intravenous access. Mostly, the witness of the event did not undertake rescue activities. The mean resuscitation time
was 48.11 min in the case of ROSC, and 36.98 minutes, if there was no ROSC.
Conclusions: In the studied group of patients over 60 years, the chances of ROSC clearly decreased with age.
THE ASSESSMENT OF WORK BURNOUT AND LIFE SATISFACTION AMONG NURSES WITH THE USE OF COPENHAGEN BURNOUT INVENTORY
Authors: Misiak Bianka , Lewko Jolanta , Sierżantowicz Regina , Lewko Karolina , Guzowski Andrzej , Razak Hady Hady , Ładny Jerzy Robert
Published: October 2020

Introduction: The factors associated with work and the structure of a given organisation can influence on appearing
the burnout of its employees. It does most often affect people who do not have an ability to manage stress as well as
those who are not provided enough with social support.
The aim: The main purpose of the study was to assess the burnout symptoms and satisfaction of personal life of nurse
staff over the age of 40. The influence of demographic-occupational factors was evaluated in connection with the occurrence
of work burnout.
Material and methods: The research included a group of 523 randomly chosen workforce nurses over 40 years old,
CBI - Copenhagen Burnout Inventory was used in the research, the assessment of life satisfaction was conducted with
the use of SWLS - The Satisfaction with Life Scale.
Results: The nurses in a worse material situation feel higher work burnout in almost all researched category. Those
who do not achieve satisfaction from work have definitely much higher level of work burnout than those nurses who
declare high satisfaction level from their work. The higher work burnout, the less life satisfaction.
Conclusions: The level of burnout in the surveyed group can be considered as a moderate one.
THE KNOWLEDGE OF STUDENTS OF THE FACULTY OF MEDICINE AND THE FACULTY OF EMERGENCY MEDICINE ABOUT INTRAOSSEOUS ACCESS
Authors: Męcik-Kronenberg Tomasz , Kuć Aleksandra Joanna , Krzyżak Katarzyna , Kubik Daria Małgorzata , Kościelecka Klaudia Ewa
Published: October 2020

Introduction: Thanks to more and more modern devices, the intraosseous (IO) access is not difficult, however, the
proper determination of the place to effectively obtain this route of drug administration without elementary knowledge
may be problematic. In case of any sudden health threat, it is necessary to establish vascular access. However, it
is not always possible, or it is very time-consuming, and both factors may worsen the patient’s health. In this case, IO
access should be considered. This article presents the results of the examination and comparison of the knowledge of
students of medicine and emergency medicine about the IO access.
The aim: The study aimed to assess the knowledge about IO access and its comparison among students of medicine
and emergency medicine.
Material and methods: 107 students of medicine and 51 students of emergency medicine participated in the study.
The original questionnaire containing 16 questions, including 11 scored, was used as the research tool.
Results: Mean percentage of correct answers in students of medicine was 42%, while in students of emergency medicine
- 40% correct answers.
Conclusions: Both groups of respondents in the conducted study showed a low level of knowledge about IO access.
The article draws attention to significant gaps in the education of both groups in the field of basic information of
particular practical importance for the performance of the future professional practice.
SEVERE METHEMOGLOBINEMIA WITH UNKNOWN CAUSE
– CASE REPORT
Authors: Rak Małgorzata , Dworzyński Michał , Dudek Michał , Ilczak Tomasz , Timler Dariusz , Krakowiak Paweł , Krakowiak Anna
Published: October 2020

The aim: Methemoglobina is an oxidized form of hemoglobin, which normally doesn`t exceed 1%. It is stated that the
amount of methemoglobin over 70% is fatal. The etiology vary, it might for instance be idiopathic, congenital or caused by
toxic compounds.
Material and methods: We analyzed the case of patient who had exceeded the fatal level of methemoglobin in a blood.
Case report: Medical Air Rescue Team was dispatched to an 80-year-old patient who suddenly lost consciousness at home.
Methemoglobin level was measured using Cobas b221 system and amounted to 75%. Given the patient’s advanced age,
congenital causes of methemoglobinemia, such as deficiency of cytochrome-b5 reductase or nicotinamide adenine dinucleotide
reductase (NADPH-MHb reductase) were excluded a priori. It seems that the only reason for the observed methemoglobinemia
in the case of the examined patient was the acquired methemoglobinemia. The patient was treated with
methylene blue with good results, her state improved soon. Despite a detailed interview, it was impossible to establish the
etiological factor of methemoglobinemia. None of the household members exhibited clinical symptoms of poisoning with
methemoglobinogenic substance. Although the methemoglobin level was potentially deadly, the patients survived.
Conclusion: It should be stressed that it is not always possible to determine the etiological factor of the discussed disorders.
Knowledge of the clinical picture of poisoning, as well as of the changes characteristic for poisoning and observable in laboratory,
is extremely important, especially when it is not possible to determine the etiological factor of poisoning.
THE CONCEPT OF DAMAGE CONTROL RESUSCITATION (DCR)
IN THE PREHOSPITAL AS WELL AS IN-HOSPITAL SETTING
– A CASE REPORT
Authors: Stefaniak Wojciech , Rozbicki Łukasz
Published: October 2020

The aim of the study was to present the principles of the “damage control resuscitation” strategy based on a case
report of a patient with multi-organ trauma at the pre-hospital and in-hospital settings. In addition to the fastest possible
implementation of care at the pre-hospital level, a very important factor influencing the effectiveness of actions
is the decision of the head of the emergency medical team to choose the place of transport of the patient (the nearest
poviat Emergency Department or a remote Trauma Center). This should be conditioned not only by anatomical injuries
and physiological parameters of the victim, but also other elements, depending on local possibilities.
PECULIARITIES OF TEETH SIZE IN ADOLESCENTS WHO ARE DIAGNOSED TO HAVE ANGLE’S CLASS I MALOCCLUSION AND DISPLAY DIFFERENT SOMATOTYPES
Authors: Smahliuk Lyubov V. , Sheshukov Dmytro V.
Published: October 2020

Introduction: The issues on identifying criteria for teeth aesthetic and teeth size evaluation regarding body constitutional characteristics are still remaining undeveloped.
The aim of this study was to specify the peculiarities of teeth size in adolescents who were diagnosed with Angle’s Class I malocclusion and display different somatotypes.
Materials and methods: The study included 63 male and 66 female subjects diagnosed with Class I malocclusion by E. Angle classification (1906).
Results: It has been determined that the 33rd tooth in hypersthenic female individuals is of a greater mesiodistal size than in normosthenic and asthenic body types (p <0.05).
Left maxillary incisor in hypersthenic individuals is of a larger size than in asthenic and normosthenic (p <0,05). The normosthenic male individuals have been found out to
have significantly larger size of all canines than that in the females (p <0,05). The asthenic male adolescents compared with females of the same somatotype there has been
revealed the difference in the size of the left mandibular canine (p <0.05). The hypersthenic male adolescents demonstrate an increase in the size of the lateral maxillary incisors
and the first right premolar (p <0,05) compared with those in female individuals of the same somatotype.
Conclusions: Some peculiarities of mesiodistal size typical for adolescents with Angle’s Class I malocclusion and their somatotypes should be taken into account in treatment
planning and maintaining the stability of orthodontic treatment results.
SOCIO-PSYCHOLOGICAL ASPECTS IN THE PREVENTION OF DENTAL DISEASES
Authors: Kostenko Yevhen Ya. , Melnyk Volodymyr S. , Horzov Liudmyla F.
Published: October 2020

Introduction: Measures to prevent dental diseases are included in the list of medical care provided by dentists. Modern socio-economic transformations, including in health
care, have contributed to the gradual evolution of the patient from the recipient of medical care to the consumer of services.
The aim: To study the position of patients regarding the need and effectiveness of preventive dental care.
Materials and methods: Study was conducted among 310 patients who were admitted in various municipal and state medical institutions, dental clinics and private dental
offices in Uzhhorod. The average age of respondents is 26 years. The survey was conducted using questionnaires.
Results: 90% of respondents are willing to pay for dental treatment based on the use of innovative technologies; 64% of people refer to paid services aesthetic therapeutic
treatment; 87% of patients agree to pay for orthopedic treatment and 48% - for surgical intervention. Only 16% of respondents consider additional professional hygiene services
and ready to pay for it themselves. Survey data show that 43.2% of patients give a doctor the main role in the treatment process. 42.8% of respondents need medical help in
the form of advice or counseling for a decision on treatment. 14% of patients prefer to choose their own medical care and control the treatment.
Conclusions: Dental prophylactic measures that are implemented in the practice of regulating social and labor relations, the presence of relationships between the physician
and the patient develop by socio-psychological laws.
IDENTIFICATION AND ASSESSMENT OF RISK FACTORS ROLE IN MYOCARDIAL INFARCTION DEVELOPMENT
Authors: Ognev Victor A. , Podpriadova Anna A. , Lisova Anna V.
Published: October 2020

Introduction:The high level of morbidity and mortality from cardiovascular disease is largely due toinsufficient influence on the main risk factors that contribute to the
development of myocardial infarction.Therefore, a detailed study and assessment of risk factors is among the most important problems of medical and social importance.
The aim: To study and evaluate the impact of biological, social and hygienic, social and economic, psychological, natural and climatic risk factors on the development of
myocardial infarction.
Materials and methods: A sociological survey was conducted in 500 people aged 34 to 85. They were divided into two groups. The main group consisted of 310 patients with
myocardial infarction. The control group consisted of 190 practically healthy people, identical by age, gender and other parameters, without diseases of the cardiovascular system.
Results: It was defined that 30 factors have a significant impact on the development of myocardial infarction.Data analysis revealed that the leading risk factors for myocardial
infarction were biological and socio-hygienic. The main biological factors were: hypertension and hypercholesterolemia. The man socio-hygienic factor was smoking.
Conclusions: Identification of risk factors provides new opportunities for the development of more effective approaches for the prevention and treatment of myocardial infarction.
ALLELIC POLYMORPHISMS OF DNA REPAIR GENES AND THEIR INFLUENCE ON THE FORMATION OF RESISTANCE TO THE DEVELOPMENT OF BRONCHOPULMONARY PATHOLOGY UNDER THE ACTION OF INDUSTRIAL AEROSOLS
Authors: Andrushchenko Tetyana A. , Goncharov Sergiy V. , Dosenko Victor E. , Ishhejkin Konstantin E.
Published: October 2020

Introduction: The frequency of alleles and genotypes of DNA repair genes in people working due to the influence of industrial aerosols (miners and workers of asbestos-cement
plants (n = 215)) was studied.
The aim of the work was to identify allelic polymorphisms affecting the formation of resistance or leading to an increased risk of developing bronchopulmonary pathology.
Materials and methods: In 90 patients with bronchopulmonary pathology and 125 persons working under the same conditions but without respiratory system diseases,
the polymerase chain reaction in real time was determined by the polymorphisms of DNA repair genes: XPD (rs13181, rs799793), ERCC1 (rs11615), XRCC1 ( rs25487) and XRCC3
(rs861539), ATM (rs664677), XRCC7 (rs7003908) and MLH1 (rs1799977).
Results: In the course of this study the alleles and genotypes contributing to resistance to the development of respiratory system pathologies were determined: XRCC1•G/A
(rs25487) (OR=0.57; 95% CI: 0.32-1.02; P≤0.040; χ²=4.14); MLH1•A (rs1799977) (OR=0.62; 95% CI: 0.40-0.96; P≤0.020; χ²=5.06); MLH1•A/A (rs1799977) (OR=0.43; 95% CI:
0.24-0.79; P≤0.003; χ²=8.73). Also, we established the alleles and genotypes associated with the risk of developing bronchopulmonary pathology: XPD•C/C (rs13181) (OR=2.20,
95% CI: 1.02-4.77; P≤0.020; χ²=4.85); XRCC1•A/A (rs25487) (OR=3.37; 95 % CI: 1.22-9.63; P≤0.008; χ²=6.94); ATM•T/T (rs664677) (OR=2.48; 95% CI: 1.16-5.31; Р≤0.010;
χ²=6.61); MLH1•G (rs1799977) (OR=1.61; 95% CI: 1.04-2.49; P≤0.020; χ²=5.06); MLH1•A/G (rs1799977) (OR=2.32; 95% CI: 1.29-4.21; P≤0.002; χ²=9.01).
Conclusions: The results indicate the influence of allelic polymorphisms of DNA repair genes on the formation of resistance to the development of bronchopulmonary pathology
under the action of industrial aerosols and open up prospects for the development of modern preventive measures.
IMPROVING THE RESULTS OF THE LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH COMPLICATED COURSE OF THE CALCULOUS CHOLECYSTITIS
Authors: Kanikovskyi Oleg Y. , Karyi Yaroslav V. , Babiichuk Yura V. , Shaprynskyi Yevhen V.
Published: October 2020

Introduction: The laparoscopic cholecystectomy (LCE) has become “gold standard” in treatment of the gallstone disease (GSD). However, introduction of LCE is accompanied
by increase in the frequency of the bile duct injuries by 2-5 times, and transfer to the conversion offsets main advantages of the laparoscopic access.
The aim: Тo improve the results of treatment of the patients with complicated course of the calculous cholecystitis by developing new methods of the laparoscopic cholecystectomy.
Materials and methods: The results of surgical treatment of 420 patients with complicated course of the calculous cholecystitis were analyzed. The patients were divided
intwo groups: group I (n = 210) where the standard four-trocar LCE was used and the group II (n = 210) where the developed methods of LCE were used. The average age made
up 62 ± 6.0 years. Duration of disease made up from 1 month to 35 years.
Results: The patients in group I LCE with complicated course of the acute cholecystitis was performed in 108 (25.7%) cases, chronic – in 102 (24.3%) cases. The patients in group II
surgical intervention with complicated course of the acute cholecystitis was performed in 112 (26.7%) cases, chronic – in 98 (23.3%) cases. The patients of group I intraoperative injuries
were observed in 12 (5.7%) cases and patients of group II – in 4 (1.9%) cases. The conversion was applied in 13 (6.2%) and in 4 (1.9%) cases, respectively. 2 (0.9%) patients died.
Conclusions: Introduction of the developed methods of LCE with complicated course of the calculous cholecystitis allows to reduce the frequency of intraoperative injuries by
3,8% and conversion rate – by 4,3% (p <0,001).
DYNAMICS OF BIOCHEMICAL MARKERS OF CONNECTIVE TISSUE METABOLISM IN PATIENTS WITH KNEE OSTEOARTHRITIS DURING CONSERVATIVE TREATMENT WITH LASER THERAPY
Authors: Makolinets Kyrylo V. , Makolinets Vasyl I. , Morozenko Dmytro V. , Gliebova Kateryna V. , Danylchenko Svitlana I.
Published: October 2020

Introduction: The biochemical markers of the connective tissue metabolism in blood serum may characterize the disturbances in inflammatory, destructive processes, and
also serve the criteria for diagnostic evaluation of the state of cartilage and bone tissue of the joints in knee osteoarthritis to control the effectiveness of conservative treatment.
The aim: determination of biochemical markers of connective tissue metabolism in the blood of patients with the 1st and 2nd stages of knee osteoarthritis in order to prove the
effectiveness of the complex conservative treatment of patients with the use of low-intensity infrared laser radiation.
Materials and methods: During the study we examined 80 patients with the 1st and 2nd stages of knee osteoarthritis according to the Kellgren and Lawrence classification.
Some patients were prescribed diclofenac sodium and glucosamine hydrochloride, others were prescribed an additional course of laser therapy.
Results: At the end of the treatment the group of patients with knee osteoarthritis who were treated with the use of laser therapy, diclofenac sodium and glucosamine
hydrochloride, showed a decrease in the content of the following blood serum components: glycoproteins (by 28.9 %), sialic acids (by 28.8 %), chondroitinsulfates (by 91.3 %)
due to chondroitin-6-sulfate, activity of alkaline phosphatase (by 36.1 %) compared with the indicators before treatment.
Conclusions: a more significant decrease in the inflammation and destruction of the cartilage tissue of the affected joints was observed during knee osteoarthritis treatment
with the use of laser therapy than without it.
METHODS OF TRANSMISSION AND FEATURES OF THE COURSE OF HEPATITIS C VIRUS INFECTION IN CHILDREN: MEDICAL AND SOCIAL ASPECTS
Authors: Iakovenko Nataliia O. , Zak Maksim Y. , Klymenko Mykola O. , Zhuk Svetlana V. , Nuzhna Olena K.
Published: October 2020

Introduction: Hepatitis C virus (HCV) infection is a major global problem. According to WHO, 150-200 million people globally have hepatitis C infection. Even though HCV
infection morbidity rate in children is relatively low in comparison with the adult population, approximately 5 million children in the world have active HCV. There is a number of differences between HCV infection in adults and in children. However, the data pertaining to this issue is controversial.
The aim: Research, analysis and synthesis of information from contemporary literature on transmission of infection and characteristics of the course of HCV infection in children.
Materials and methods: Analysis and synthesis of information from contemporary literature on transmission of infection and characteristics of the course of HCV infection in children were conducted.
Conclusions: Information from literature of the latest years on peculiarities of infection, disease course and complications of HCV infection in children was analyzed and
summarized in this article.
INSECT BITES AS THE CAUSE OF INFECTIOUS AND ALLERGIC INFLAMMATORY PROCESSES OF THE MAXILLOFACIAL AREA IN CHILDREN
Authors: Tkachenko Pavlo I. , Starchenko Ivan I. , Bilokon Serhii O. , Prylutskyi Oleksii K. , Lokhmatova Nataliia M. , Dolenko Olha B. , Korotych Nataliia M. , Vakhnenko Andrii V. , Gogol Andrii M. , Rezvina Kateryna Yu.
Published: October 2020

Introduction: The part of purulent inflammatory processes (IP) of the maxillofacial area (MFA) as a result of insect bites are increased.
The aim: To attract attention of the medical community to the problem of the complexity of the diagnosis and treatment of these dermatogenic forms of IP MFA.
Materials and methods: The work is based on the results of 5 year observations of 42 patients with acute IP MFA arising after insect bites, their comprehensive examination and treatment.
Conclusions:1. IP of MFA, arising as a result of insect bites, is a very urgent problem of pediatric surgical dentistry and require an individual approach in the diagnosis and
treatment of patients.
2. A large role in preventing the occurrence of these nosological forms is given to medical workers, a sufficient organization level of sanitary and educational work, and thetreatment of such cases becomes a common task of doctors of different profiles. However, much depends on the parents, their level of responsibility and competency, ensuringof timely treatment and provision of qualified medical care to children, preventing the development of severe complications.
3. The issues related to the etiopathogenesis of this pathology require profound scientific research.
ORAL STATUS IN ADOLESCENTS WITH ALCOHOL ADDICTION
Authors: Skrypnikov Andriy N. , Sheshukova Olha V. , Kazakov Oleksii A. , Trufanova Valentyna P. , Polishchuk Tetiana V. , Tkachenko Iryna M.
Published: October 2020

Introduction: Alcohol addiction is one of major public health concerns because rich assortment of alcohol drinks, alcohol advertising may hasten the initiation of alcohol drinking and increase consumption among children and adolescents nowadays. Cytotoxic effect of alcohol is among the leading causes of oral mucosa malignant degeneration, therefore alcohol drinkers are at risk of cancerous diseases. This should be taken into consideration by dentists during routing check-ups. The assessment of oral status in alcohol abusers is essential for making up a treatment plan and prophylaxis, and the investigation of oral manifestations in alcohol drinkers is of great clinical significance.
The aim: To determine the peculiarities of oral status in underage drinkers.
Materials and methods: The study involved 135 inpatients aged 14-17, who took the course of treatment at the Narcological Department, Poltava Regional Clinical Psychiatric Hospital. We assessed the condition of periodontal tissues and oral mucosa.
Results: There was a tendency towards an increase in precancerous diseases depending on the age of patients and the length of alcohol addiction. The prevalence rate of the
diseases in the first group of patients who had being abused alcohol for 2 years was 10,91% of cases; and in the second group of patients who had being abused alcohol for 3 years it made up 16,80%. This may be explained by adverse effect of ethanol on the oral mucosa and by no regular dental check-ups.
Conclusions: Based on the results obtained, it is appropriate to recommend mandatory oral check-ups for adolescents with alcohol abuse.