bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kualitas Pelayanan Terhadap Kepuasan Mahasiswa Mengenai Web Fikom Unisba
Authors: Rachman Zulfa Haitan
Published: October 2020

Abstract - The phenomenon that is happening right now is that private tertiary institutions have become something that is very much needed by the community, due to the progress of the nation. Where quality universities are seen literally by the public from the facilities and infrastructure that are owned and the satisfaction of students who are in the college environment itself. So students are able to achieve the desired goals. In this case the purpose of this study is to find out how much influence the quality of service on student satisfaction regarding the Faculty of Communication Science Unisba. Service quality consists of five dimensions, namely Reliability, Responsiveness, Assurance, Empathy, and Tangibles. The sample used in this study was 40 respondents which were students of Fikom Unisba. Then the data collection in the field using online questionnaires, distributed through online media. Data analysis technique used in this study is to use SPSS. The results showed that service quality had a significant (significant) effect on student satisfaction. From the output obtained a coefficient of determination (R2) of 0.215 which implies that the influence of the independent variable (service quality) on the dependent variable (student satisfaction).

 

Abstrak– Fenomena yang terjadi saat ini yaitu perguruan tinggi swasta menjadi sesuatu yang sangat dibutuhkan oleh masyarakat, karena untuk kemajuan bangsa. Dimana perguruan tinggi yang berkualitas dilihat secara harfiah oleh masyarakat dari sarana dan prasarana yang dimiliki serta kepuasan mahasiswa yang berada di dalam lingkungan perguruan tinggi itu sendiri. Sehingga mahasiswa mampu mencapai tujuan yang diinginkan. Dalam hal ini tujuan penelitian ini yaitu untuk mengetahui seberapa besar pengaruh kualitas pelayanan terhadap kepuasan mahasiswa mengenai web Fikom Unisba. Kualitas pelayanan terdiri dari lima dimensi yaitu Reliability, Responsiveness, Assurance, Empathy, dan Tangibles. Sampel yang digunakan dalam penelitian ini adalah 40 responden yang dimana mahasiswa Fikom Unisba. Kemudian pengumpulan data dilapangan dengan menggunakan angket secara online, disebarkan melalui media online. Teknik analisis data yang digunakan dalam penelitian ini yaitu dengan menggunakan SPSS. Hasil penelitian menunjukkan kualitas pelayanan berpengaruh nyata(signifikan) terhadap kepuasan mahasiswa. Dari output tersebut diperoleh koefisien determinasi (R2) sebesar 0,215 yang mengandung pengertian bahwa pengaruh variabel bebas (kualitas pelayanan) terhadap variabel terikat (kepuasan mahasiswa).
COVID-19: IT'S IMPACT ON TRAVELAND TOURISM SECTOR IN INDIA
Authors: Buragohain Pollypriya
Published: October 2020

In India, travel and tourism industry is generous and vital. Among other industries, travel and tourism industry is one of the prominent and profitable industries in India. According to World Travel and Tourism Council (WTTC), among 185 countries, India ranked at third in case of travel and tourism industry by contributing a profitable amount to GDP in 2018. But in present days, the sector is harshly affected by the outbreak of Coronavirus (COVID-19). Because due to this pandemic of COVID-19, people are refrain from travel to different countries. Due to COVID-19, it is expecting that about 38 million of people in India loss their jobs in tourism industry specially impact of this pandemic would be felt on both blue and white collar jobs and globally over 50 million jobs are at risk which indicates a 12 to 14 percent reduction in jobs. The objectives of this research study are firstly to understand the importance of tourism sector for economic development, secondly to study the impact of COVID-19 on travel and tourism sector, thirdly to find out the hurdles for development of travel and tourism sector in India and lastly to find out the suitable measures to rescue the tourism industry in current situation. The research paper is mostly descriptive in nature entirely based on secondary data. Data and information relating to the present study have been collected from some reliable data sources. In conclusion part, it is found out that this sector is mostly induced by the psychology of the people. Therefore, after this crisis, it is very challenging task to the companies of tourism sector have to regrain the trust of people. If we analyse the present situation then we can predict that the tourism sector will recover partially in 2021and it take a long time to go back to the previous situation completely and for this the Government should take some effective and reliable measures and the common people should response their initiatives properly.
Tratamento de paciente com úlcera venosa com Surepress® e coberturas interativas: relato de caso
Authors: Mendes Chaer Rezende Costa Lara , Soares da Silva Reis Elisângela , Ferreira Gonçalves Perdigão de Castro Natália , Pereira Aleixo Viviane , Vieira Cláudia Patrí­cia , Vieira Rocha Cleideana Cristina , Tinti Moreira Borges Daniela , Alves Marques Éder , Martins do Nascimento Filho Hélio
Published: October 2020

Objetivo: Realizar tratamento de paciente com três úlceras venosas em membro inferior direito há sete anos de acordo com as recomendações cientí­ficas disponí­veis na literatura. Metodologia: Trata-se de um estudo descritivo de natureza aplicada desenvolvido em serviço de tratamento de pacientes com ferida. Resultados: Com dois meses de assistência baseada em evidências cientí­ficas houve a cicatrização das lesões. Conclusão: A assistência transdisciplinar com embasamento cientí­fico diminui o tempo do tratamento, seu custo e potencializa a cicatrização das feridas com impacto positivo na qualidade de vida do doente.
Repercussões da nova craniopuntura de yamamoto na dor e qualidade de vida de profissionais de saúde
Authors: Borges Dutra Luana , Neves Barreiros Raphael , de Araújo Mendes Caroline , Alves Cabral Joice , Lyra da Silva Carlos Roberto , Quinellato Louro Thiago
Published: October 2020

Objetivo: Descrever as repercussões da Nova Craniopuntura de Yamamoto (YNSA) na dor e qualidade de vida de profissionais de saúde. Métodos: Estudo do tipo antes e depois, com profissionais de saúde de uma Estratégia de Saúde da Famí­lia, que possuí­am dores crônicas. Utilizou-se o instrumento WHOQOL-BREF para avaliar a qualidade de vida antes do iní­cio e após o término do tratamento com a YNSA, realizado em um perí­odo de 4 semanas. Resultados: Obteve-se melhora estatí­stica dos domí­nios psicológico, ambientais, de dor, das questões 1 e 2 e do resultado final da qualidade de vida, com destaque para o domí­nio fí­sico (p=0.009). Conclusão: Após o tratamento de YNSA foi possí­vel observar diminuição significativa da dor. Em virtude da melhora da dor também foi possí­vel observar e comprovar a melhora dos domí­nios que compõem a qualidade de vida.
Desafios da prevenção do novo coronaví­rus (COVID-19) na prática odontológica
Authors: Da Silva Camila Caroline , Ramalho Barbosa da Silva Danielle , Nunes Teixeira Gutargo , Figuerêdo Sabino de Lima Victor , da Silva Ribeiro William
Published: October 2020

OBJETIVO: Descrever os principais desafios enfrentados na prática odontológica acerca dos métodos de prevenção da COVID-19. MÉTODO: Trata-se de uma revisão de literatura, foram utilizados artigos nacionais e internacionais publicados no primeiro semestre de 2020, indexados nas plataformas MEDLINE, LILACS e BBO. Para seleção dos artigos utilizou-se os descritores "COVID-19" e "Odontologia", resultando em uma amostra de 5 artigos. RESULTADOS: Considerando o ambiente de trabalho, as práticas e instrumentos utilizados pelos cirurgiões-dentistas, são profissionais constantemente expostos a riscos biológicos. As medidas de proteção utilizadas antes da pandemia, não são totalmente eficazes para impedir a contaminação por COVID-19, causando apreensão nos profissionais, e a necessidade de adquirirem conhecimento sobre as formas de prevenção e controle da Covid-19. CONCLUSíO: Os desafios incluem a qualidade das informações sobre a doença, as adaptações relativas í  biossegurança, geração de protocolos, o medo e a ansiedade presentes no cotidiano dos profissionais no atual contexto sanitário.
Atuação do enfermeiro na coleta do material cérvico-uterino
Authors: Do Ó Araújo Aline , Maynnard Costa Ferreira Thalys , Medeiros dos Santos de Oliveira Rayza Régia , Gonçalves da Silva Danielly , Ferreira Filgueiras Thaynara
Published: October 2020

Objetivo: analisar a atuação dos enfermeiros das unidades básicas de saúde na coleta do material cérvico-uterino. Método: trata-se de estudo de campo com abordagem quantitativa, realizado em março de 2019 em unidades básicas de saúde de um municí­pio paraibano. A amostra composta por 12 enfermeiros foi delimitada pelos critérios de inclusão: ser enfermeiro, atuar no serviço há no mí­nimo um ano e realizar a coleta do exame Papanicolau. O presente estudo obedeceu í s normas e diretrizes regulamentadas pela resolução 466/12. Resultados: as principais dificuldades relatadas foram a realização da coleta do exame em mulheres menopausadas, obesas e gestantes. As profissionais expuseram que receberam capacitação, mas que a maioria não participou de eventos cientí­ficos nos últimos dois anos. Conclusão: observou-se a conduta e o perfil do enfermeiro na atuação da coleta do material cérvico-uterino, visto que a educação permanente precisa ser utilizada com uma estratégia de melhoria na atuação desses profissionais.
ADMINISTRATIVE AND LEGAL ENSURE OF “THE BEST INTERESTS OF THE CHILD” IN THE FIELD OF JUNIOR JUSTICE
Authors:   National University “Odessa Law Academy”, Veselov Mykola
Published: October 2020

Today, the concept of “best interests of the child” is recognized as one of the guiding principles of ensuring the rights of children in all spheres of social relations. The object of this study is social relations in juvenile justice as a specific area of children’s rights. The aim of the article is to clarify the meaning of the concept of “best interests of the child” as well as to define the features of administrative and legal provision of this principle in the field of juvenile justice. To achieve this goal, general scientific and special methods of scientific research are used. The author argues that the definition of “best interests of the child” in the field of juvenile justice should only be generally oriented to guaranteeing child’s vital and social needs as a participant in jurisdictional proceedings, taking into account his or her age, biological and social characteristics. Under any circumstances, the list of such interests cannot be exhaustive. In view of the public-service nature of administrative and legal relations, an important role in the current and future ensure of the best interests of the child in any type of jurisdictional proceedings belongs to the administrative and legal means. The priority of attention to administrative and legal means in ensuring the best interests of the child in the field of juvenile justice is due to the wide range and relative universality of administrative and legal regulation, which allows to meet the procedural needs of children within purely jurisdictional proceedings as well as to facilitate other organizational and legal issues of social protection of children.
INSTITUTE OF PRESIDENCY IN HUNGARY AND UKRAINE: POLITICAL AND LEGAL ASPECT
Authors:   KROK University, Tellis Sergii
Published: October 2020

The article provides a comparative study of the constitutional powers granted to presidents in Ukraine and Hungary in the context of the political and legal aspect, and also an attempt to appraise the role of subjective factors involved in the exercise of state power and transformation of the presidency institute of the aforementioned states. The aim of the article: to comparative study of the constitutional and legal status of Hungarian and Ukrainian presidents in the political and legal context and performing an appraisal of the personal impact exerted by the head of state on the government of the above-said countries. The research methodology: to observation and generalization; ordering of all basic elements; method of scientific generalization, which made it possible to formulate conclusions. As a result, it is established that the institution of the presidency in Ukraine is the core of the executive branch, which dominates the state system. In Hungary, the executive and legislative branches make up a political bloc (alliance) which is counterbalanced in certain relations by the constitutional court and judicial power. The subjective factor, namely personal qualities of presidents – career path, role perception, interpretation of powers – determines the political heft of the head of state. Subject to sufficient individual traits, a constitutionally “weak” president is able to influence the country’s development concept and the positioning strategy on the global scene.
COGNITIVE MODELING IN THE MANAGEMENT OF EDUCATIONAL INSTITUTIONS
Authors:   Ambassador Extraordinary and Plenipotentiary of Ukraine to the State of Kuwait, Balanutsa Oleksandr
Published: October 2020

The article substantiates the possibility of using cognitive analysis for strategic management of educational institutions. The aim of article is to study of the problem of choosing the factors influencing the quality of education. Accounting for the assumption that complex and poorly structured management decision-making tasks can be formalized by constructing cognitive maps that allow them to model changes in results. The main method used in article is semantic analysis of the main to understand the subject area. The main features of cognitive modeling are considered. The main definitions are introduced. The cognitive system is seen as a decision support system. The cognitive map is considered as the basic cognitive model.
IMPLEMENTATION OF CROSS-CURRICULAR INTEGRATION IN THE PROFESSIONAL TRAINING OF FUTURE TEACHERS OF PHYSICAL CULTURE
Authors:   Interregional Academy of Personnel Management, Demchenko Vitaliy
Published: October 2020

The article examines the effectiveness of interdisciplinary integration in the training of future physical education teachers. The purpose of the article is to test the effectiveness of interdisciplinary integration in the training of future teachers of physical education. Research methodology includes: empirical methods: observations, questionnaires, pedagogical experiment is for checking the effectiveness of interdisciplinary integration in the training of future teachers of physical education; methods of mathematical statistics are for processing the results of experimental work. Analysis of the effectiveness of the implementation of interdisciplinary integration in the training of future teachers of physical education is based on a certain system of standards: pedagogical orientation, independence and professional maturity, which we used to diagnose their development by those activities that included students of the experimental group. After analyzing the data, it was found that students of the control and experimental groups have significant differences on such scales as: awareness, decision-making, planning and communication; as well as a positive trend on the scales: mnemonic, volitional and mental. According to the study, it can be said that future physical education teachers of the experimental group are more knowledgeable and confident in choosing their profession, they more rationally and adequately assess the situation and plan their future more thoughtfully than students in the control group.
THE ESSENCE OF THE TEXT UNITS
Authors: Amanov Abdijabbor Sattarovich
Published: October 2020

This article discusses the essence of the text concept in today’s Uzbek linguistics. It also provides an overview of the text in the world linguistic and different approaches to this event.
KEY WORDS: the theory of the text, linguistic of the text, the ontological and functional signs of the text, the semantic structure of the text, the syntactic integrity, the syntactic structure, paragraph, maximum text, minimal text.
ACUTE CORONARY SYNDROME – ARE WE AWARE?
Authors: Lech Mateusz , Bakier Paulina , Jabłońska Sylwia , Milewski Rafał , Duchnowska Emilia , Ładny Jerzy Robert
Published: October 2020

Introduction: Despite the progress of medicine and the implementation of the latest treatment methods, the problem
of Acute Coronary Syndrome (ACS) and the patients’ knowledge of the factors favoring the emergence of the
disease, manifesting symptoms and providing first aid to a person with suspected myocardial infarction are still part
of the discussion not only medical but also economic.
The aim: Assessment of the state of knowledge of patients after cardiac surgery about acute coronary syndromes.
Material and methods: The study evaluated the knowledge of patients after cardiac surgery about acute coronary
syndrome. Patients were treated at the Department of Cardiosurgery, University Hospital in Bialystok from January to
March 2018. The study involved 60 patients after cardiac surgery, of which 43 were men and 17 were women (aged
37 – 83 years). Own survey consisting of 10 single-choice closed questions and metrics has been used.
Results: The respondents’ answers to the questions about risk factors for coronary artery disease were satisfactory
due to the fact that as many as 82% of the respondents indicated the proper reasons for the development of acute
coronary syndromes. The respondents had difficulties with questions regarding the provision of first aid in the event of
ACS symptoms. When asked if they are willing to change their lifestyle to healthier and safer for their organism – 90%
of respondents expressed a desire.
Conclusions: The basis for forming patient awareness is a good knowledge of factors predisposing to the development
of clinical disorders. It is proposed to create expert groups composed of cardiologists, diabetologists, hypertensiologists,
psychologists, family doctors, dietitians and other physicians who may adapt the risk assessment to
the specificities of individual countries, gender, age and co-morbidities. It has been estimated for reducing mortality
that 50% corresponds to good control of the most important risk factors, and the remaining 50% are appropriate
pharmacotherapy.
THE ANALYSIS OF SIXTH-YEAR MEDICINE STUDENTS’ KNOWLEDGE OF PARAMEDICS COMPETENCIES AND THEIR FIELD OF WORK
Authors: Fengler Przemysław Marek , Jaśkiewicz Filip
Published: October 2020

The aim: Knowledge about each other roles and responsibilities among healthcare professionals has been indicated
as one of the core competencies in collaborative healthcare practice. The primary aim of the study was to recognize and
analyze sixth-year medicine students knowledge of paramedic’s competencies and field of work.
Material and methods: A questionnaire addressed to sixth-year medicine students from 12 Polish medical universities
was used as the evaluation method. The questionnaire consisted of 23 questions. Participants could obtain a
maximum number of 48 points. The proportion of 50% was used to establish a minimum level of correct answers in
the study group.
Results: 137 questionnaires were taken into consideration (143 questionnaires in total, 6 excluded due to incomplete
survey data). The mean age of the study group was 25.2 ± 0.2 years. The mean level of correct answers for the entire
study group was 44.31 ± 20% (Me = 43.75, Q25 = 29.17, Q75 = 60.42). The analysis of results identified eight fields
in which the percentage of correct answers was statistically significant below the assumed level of 50%.
Conclusions: The sixth-year medicine students’ awareness of paramedics’ field of work and competencies is insufficient.
Eight specific areas of knowledge were distinguished as insufficient: possible educational activities and workplaces,
types of intravenous and intraosseous drug delivery routes, unsupervised analgesic drugs and catecholamines
available for paramedics, unsupervised intubation in different clinical conditions, pregnancy and childbirth-related
procedures and procedures which can be conducted only under physician’s supervision.
THE USE OF SURVIVAL TECHNIQUES IN RESCUE PROCEEDINGS ON THE EXAMPLE OF THE USE OF MEDICINAL PLANTS
Authors: Kucharski Łukasz
Published: October 2020

Introduction: The text is a response to the results of research conducted on medical rescuers and students of the field of
emergency medicine, which unambiguously present a lack of knowledge on the one hand, and the need to acquire knowledge
in the field of survival for rescue operations on the other. The work contains one of the survival techniques used in the
field using the surrounding environment in the form of the use of plants that have antihemorrhagic properties.
The aim: In this text, the main attention has been paid to aspects related to the use of survival techniques in rescue proceedings.
At the same time, an attempt was made to present the use of medicinal plants in rescue operations both at the level of first aid
and medical rescue operations in extreme conditions, as a complement to the multimodal approach to a trauma patient.
Material and methods: The study was conducted at the turn of February and March 2020, which was attended by 52
part-time students in the field of emergency medicine at the University of Social Sciences in Lublin. Among the research
techniques, a proprietary survey created for the purpose of verifying the topic of work was used, consisting of the record and
questions determining the legitimacy of using survival techniques in rescue operations.
Results: Almost all of the surveyed students believe that theoretical and practical knowledge in the field of survival would
be useful in the profession of a paramedic, while the majority of respondents claim that first degree studies in the field of
emergency medicine do not prepare a paramedic to work in crisis and extreme conditions.
Conclusions: There is potential that gives us the natural environment in the form of plants that can be successfully used in
rescue operations in difficult terrain. In addition, both students and paramedics show interest and training need in the use of
survival techniques used in rescue operations. Therefore, one should strive to create a unified framework program for teaching
future paramedics, based on current knowledge in the field of survival techniques used in emergency medical services
already at the Higher Education level.
PATHOGENETIC ROLE OF NITROGEN MONOXIDE EFFICIENCY OF PHARMACOTHERAPY IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE AND STABLE ANGINA OF TENSION
Authors: Khukhlina Oksana S. , Drozd Viktoriia Yu. , Antoniv Alona A. , Kopchuk Tamara H. , Kotsiubiichuk Zoriana Ia.
Published: October 2020

Introduction: The search for new mechanisms of their interconnection and effective pharmacological correction of gastroesophageal reflux disease (GERD) for comorbidity
with stable angina of tension (SAT).
The aim: To establish the role of nitrogen monoxide (NO) in the pathogenesis of GERD in patients with SAT and to study the effectiveness of the correction of the basic therapy
of SAT in order to eliminate the clinical manifestations of GERD and prevent its development.
Materials and methods: 88 patients with SAT with a comorbid GERD were examined. We determined clinical symptoms, the level of stable NO metabolites, calculated the
number of nitroglycerin tablets taken one week. All patients (2 groups) received baseline therapy for GERD and SAT. In this case, the patients of the 2nd group (45 persons) received
therapy with the exception of long-acting nitrates and, in addition, meldonium for 30 days.
Results: With the exception of the use of nitro-containing drugs and adding to the basic therapy of SAT the drug meldonium we faster (p<0,05) achieved a regression of clinical
symptoms of GERD and decrease in the level of metabolites NO molecule in patients with SAT.
Conclusion: In the case of the exclusion of the intake of long-acting nitrates with the adding of meldonium to the basal therapy of the SAT and the GERD the content of metabolites
of nitrogen monoxide in the blood is more normalized, which correlates with a decrease in the frequency of GERD symptoms in patients with SAT and GERD.
MENTAL ILLNESS AS A CONSEQUENCE OF CRIMINAL OFFENCE AGAINST THE PERSON
Authors: Mytrofanov Igor І. , Lysenko Igor V. , Ryabushko Mykola М.
Published: October 2020

Introduction: Among crimes against human health we distinguish serious bodily harms, one of the signs of which is recognized as a mental illness.
The aim: The paper was aimed at the development of the procedure for determining the mental disorder of a victim as a sign of a serious bodily harm, as well as the establishing the possibilities of clarifying the legislative formulation of the above norm of the Criminal Code.
Materials and methods: Over 300 criminal proceedings under the Arts.121, 122 and 125 of the Criminal Code of Ukraine for the period from 2007 to 2018 have been studied.
For this purpose, common methods of research have been used, namely, the analysis and synthesis, as well as own observations of the process of consideration of the above criminal proceedings.
Results and conclusions: The findings of the study assisted in identification of gaps in the regulation of the procedure to define mental illness as a characteristic feature
of serious bodily harm. The ways of further improvement of the procedure of conducting expert studies of mental illness as a characteristic feature of a serious bodily harm.
The rules for determining the psychic (mental) illness that are recognized by us as archaic and that does not correspond to the established procedure of such definition by the comprehensive forensic medical and forensic psychiatric examination involving a forensic medical expert, two or three psychiatrists (narcologists), summarizing in the conclusion of the presence of mental illness in a person, assessed by experts as a characteristic feature of serious bodily harm should be changed.
EVOLUTIONARY GENETIC APPROACHES TO STUDY THE PROBLEM OF DENTAL CARIES
Authors: Perederii Nina , Zaytsev Andrey
Published: October 2020

Introduction: This work has outlined biological aspect in dental caries. Previous research conducted during the XXth century in this direction related to genetic susceptibility of people to tooth caries and gave a positive result. The modern studies on this topic have shown if not impossibility, but the great complexity of genetic factor managing in tooth caries.
The aim of the study is to analyze the occurrence of dental caries in an evolutionary aspect and to determine the possibility of using the biological scientific methods for finding the essence of caries phenomenon.
Materials and methods: The material was literary sources with information about caries, which can be used in biological methods of study. The method is the analysis of
knowledge from them and their integration with other biological disciplines.
Conclusions: on the basis of the analysis, in which caries was considered for a long period of human evolution, the possibility of managing the carious process, as well as the directions, that would enable a more thorough understanding of the carious phenomenon, were shown.
MEDICAL INSURANCE AS A DIRECTION OF REFORMING THE HEALTH SYSTEM IN UKRAINE
Authors: Vasilevskaya Nadia S. , Bailo Olena V.
Published: October 2020

Introduction: The right to live, the right to healthcare and medical care insurance, which are affirmed at the constitutional level in Ukraine, are exercised by organizing the healthcare system with the due consideration of all social groups of people. The current state of healthcare funding in Ukraine does not encourage the conditions under which the quality medical care is provided to the population as needed, especially to the socially disadvantaged group of people. The formation of marketing system of management in Ukraine, the declaration of it as a socially-oriented country, results in the necessity to carry out healthcare reforms and to implement new systems of funding. The special emphasis in the process has to be given to the development of the insurance.
The aim: To study, to evaluate and elaborate proposals towards the justification of the changes in the healthcare funding through the reforming the system of medical insurance.
Materials and methods: Laws and regulations of Ukraine and related countries are analyzed in the article (by methods of comparison, analysis, synthesis, deductive approach, and scientific abstraction and generalization).
Review: The main forms of healthcare funding (on account of voluntary, compulsory and mixed insurance) were found out. Also, the special features of medical insurance in
different countries based on the generalized models were investigated. As a part of the research, the condition of medical (voluntary and compulsory) insurance in Ukraine was analyzed and, as a result, the issues hindering its development were defined.
Conclusions: The model of insurance for implementation in Ukraine had been defined, as well as the condition of reforming system in compulsory insurance such as “taxesbudget-agency” with the stages had also been estimated. The possible consequences of medical reforming in Ukraine and the possible ways to improve the process of insurance in medical area were specified.
EARLY CAROTID ENDARTERECTOMY IN SYMPTOMATIC PATIENTS
Authors: Trutiak Roman I.
Published: October 2020

Introduction: Stroke is a big social problem. The expediency of surgical treatment is justified as the chances for complete reconvalescence of the neurological deficiency increase.
The aim: To analyze available sources of scientific information on the terms of surgical treatment of patients with acute neurological deficiency.
Materials and methods: We analyzed 41 English publications in PubMed for 5 years from 2012 to 2017, with the keywords “urgent carotid endarterectomy” and “early carotid endarterectomy”.
Conclusions: In the classic course of stroke or TIA, the best treatment results are obtained when the CEA is performed 3-7 days after the marker event. CEA should be performed as soon as possible to restore brain revascularization and prevent the fatal progression of the neurological deficiency after crescendo TIA or stroke-in-evolution, despite the fact that the risk of complications and disability after surgery may be higher than 6%.
THE CASE OF FORMATION OF «KISSING» ULCERS OF DUODENAL BULB OF THE PATIENT WITH CHRONIC NONATROPHIC GASTRITIS ON THE BACKGROUND OF THE EATING OF A VEGETABLE SALAD AND PHYSICAL EXERTION
Authors: Avramenko Anatoly A.
Published: October 2020

Introduction: In certain situations the constituents of food can serve as a catalysator for the formation of such a pathology as peptic ulcer. Not the last role in the formation of ulcerous defects under certain conditions play physical excertion, which is accompanied by sharp rhythmic contraction of the muscles of the anterior abdominal wall. The aim: To analyze the case of formation of “kissing” ulcers of the duodenal bulb of the 25-year-old patient.
Materials and methods: The patient took comprehensive examination: step-by-step рН-metry, esophagogastroduodenoscopy, helicobacter infection test (НР) (helicobacter
urease test and microscopic examination of stained smears), histological investigations of the gastric stump mucous, HELIC – test.
Case report: It was found that on the eve of the ulcer in the patient’s diet during breakfast there was a salad of fresh white cabbage, fresh cucumbers, tomato and radishes and at lunch the patient was subjected to prolonged physical exercise. The level of gastric juice corresponded to the basal normacidity total; endoscopic diagnosis: «Kissing» ulcers duodenal bulb in an active stage. Chronic gastritis type B ». Testing for HP infection revealed a high concentration of the active form of bacteria, the HELIC -test showed a high concentration of ammonia in the stomach cavity.
Conclusions: An abrupt stimulation of secretion by cabbage juice and the presence of urea in vegetables, of which the salad was cooked, led to the formation of a large level
of “residual ammonia” in the cavity of the stomach. Physical strain finally formed the mechanism of ulcer formation.
PECULIARITIES OF MORPHOLOGICAL CHANGES OF ENDOTHELIOCYTES AND REMODELING OF THE ARTERIES UNDER THE EXPERIMENTAL HYPERCHOLESTEROLEMIA
Authors: Yuryk Ihor I. , Bodnar Yaroslav Ya. , Trach-Rosolovska Svitlana V. , Hladii Olena I. , Bodnar Petro Ya. , Voloshyn Volodymyr D.
Published: October 2020

Introduction: Under the conditions of experimental hypercholesterolemia, endothelial dysfunction develops with the morphological marker which is an increase in the number of blood-circulating desquamated endothelial cells (DEC), but this situation needs to be clarified in the development of this pathology in the age aspect.
The aim: To find out the features of remodeling of endothelial cells and arteries of the hind limbs in the rats of pre-repopductive and reproductive age with experimental
hypercholesterolemia.
Materials and methods: The experimental group consisted of 16 animals with biochemically confirmed hypercholesterolemia, which were divided into 2 groups: group 1 – 8 animals, aged 2–3 months, weighing 150–170 grams and group 2 – 8 rats aged from 11 to 11 months weighing 230–250 gram. The control group consisted of rats of the same age of 8 animals in each.
Results: Hypercholesterolemia causes damage to the vascular endothelium of the arteries, which is characterized by an increase in the number of desquamated endothelial cells in the peripheral blood. The most circulating blood in desquamated endothelial cells was detected in 45 days of study in animals of reproductive age, where the number of
desquamated endothelial cells increased by 2.56 times, and in animals of pre-reproductive age – 2.35 times. Morphological changes were characterized by thickening of the intima of the arteries of the femur, knee and tibia due to swelling of the endothelial cells, their desquamation and proliferative changes in places of preserved vascular endothelium.
In response to the deposition of lipids and PAS-positive substrates, cellular reactions appeared as weak lymphocytic infiltration. In addition to hyperlastosis, fragmentation of elastic fibers was revealed. Correlation of intima contributed to the narrowing of vascular lumen. Lipids, xanthoma cells and sour mucopolysaccharides were accumulated in the inner membrane of the arteries. In addition to lymphocytic infiltrates, the amount of collagen fibers in adventitia increased.
Conclusions: Under conditions of hypercholesterolemia the number of desquamated endothelial cells in the blood increases, and arterial remodeling is characterized by
manifestations of hypertrophic-neoplastic remodeling in rats of pre-reproductive age, and in reproductive animals there were sclerotic and inflammatory changes.
IMPACT OF POLYCHEMOTHERAPY ON THE ORAL SOFT TISSUES IN CHILDREN WITH MALIGNANT ABDOMINAL TUMORS
Authors: Popelo Yuliia V. , Tkachenko Pavlo I. , Bilokon Serhii O.
Published: October 2020

Introduction: According to modern standards of treatment of malignant neoplasms conducting polychemotherapy requires up to 90% of cancer patients. However, in addition to the expected cytotoxic effects, it is accompanied by disorders in dental health in the vast majority of patients.
The aim: To study the effect of cytostatics on soft tissues of the oral cavity in children with malignant tumors of the abdominal cavity.
Materials and methods: Material for writing this scientific work served as a synthesis of results for 25 people aged 7 to 15 years with malignant tumors of the abdominal
cavity, in which a comprehensive oral examination was performed to determine the manifestations of dental toxicity cytostatics.
Results: At the end of the first course of chemotherapy, all patients had dry redness of the lips, 20 - (80,0%) with eruptions, in 18 - (20,0%) erosion. The Green-Vermillion, PMA,
and PBI indices grew by 1,8; 7 and 3,3 times respectively. In cytograms with buccal epithelium an increase in the number of cells of polymorphic sizes and forms with signs of gidropic dystrophy was found. The nuclear-cytoplasmic ratio decreased by 1,4 times compared with the primary examination.
Conclusions: This situation creates the preconditions for the development of inflammatory process in the tissues of the oral cavity and requires the use in this category of patients of a substantiated pathogenetic correction of existing disorders.
MEDICAL – SOCIAL REHABILITATION IN A CASE OF THE METAEPIPHYSEAL OSTEOMYELITIS AT THE CHILDREN
Authors: Degtyar Valeryi A. , Baibakov Volodymyr M. , Lukianenko Dmytro M.
Published: October 2020

Introduction: Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to
the socio-psychological rehabilitation.
The aim: Purpose of research is determination volume of methods for rehabilitation this group of patients.
Materials and methods: We investigated contingent of persons (53 respondents), who were treated in the clinic 20 years ago with severe complications and consequences
of metaepiphyseal osteomyelitis (MEO).
Results: In our study we carried out sociological survey, using own questionnaire. On the basic question of the questionnaire – does the disease influence to the realization of vital important plans in a patient’s life, 8 (15.1%) respondents had been answered, that osteomyelitis destroyed all plans in their life.
Conclusions: The given conclusion was shown primary among male - patients – 18.2%, than among female – only 10% (p >0.05). Volume of rehabilitation we combined
with issues of abilitation – the system of therapeutic measures, which should prevent and eliminate pathological conditions at the children with metaepiphyseal osteomyelitis. In the article was scientifically proved the following stages of rehabilitation of children with metaepiphyseal osteomyelitis: treatment of metaepiphyseal osteomyelitis in the acute period and clinical supervision by the surgeon and orthopedist up to 2 years (rehabilitation); recovery of the structure and function of affected segment of a limb during growth of the patient (clinical observation and correction by orthopedist); correction consequences of the metaepiphyseal osteomyelitis.
CHRONIC FATIGUE DEVELOPMENT OF MODERN HUMAN IN THE CONTEXT OF V. VERNADSKY’S NOSOPHERE THEORY
Authors: Miier Tetiana I. , Holodiuk Larysa S. , Rybalko Lina M. , Tkachenko Igor A.
Published: October 2020

Introduction: The existence of the noosphere as a sphere of mind influences human life processes, particularly their physical and mental health, directly. That is why a need
arises to consider the biosphere development in the context of the “boom” of scientific thought and noosphere with its processes affecting human health.
The aim: The research purpose is to reveal the influence of noospheric processes on human health, in particular the information flow effects on human morphofunctional state expressed as chronic fatigue.
Materials and methods: A complex of study methods was used in the research: general scientific (analysis, synthesis, comparison, correlation, systematization, generalization)
and empirical (observation, conversation, questionnaire). The research was conducted within the framework of “Axia” international project (Innovation in Education). For the
stated research purpose achievement subjective state diagnostic technique of “WAM” as used, intended for the qualitative subjective evaluation of three main functional
psycho-emotional human states: well-being, activity and mood.
Respondents of three age groups were involved in the research, 347 people in each group. The first group included the responders aged 14 to 19; the second group included the responders aged 19 to 35; the third group consisted of the respondents aged 35 to 60.
Results: The research results confirmed that the noospheric processes are followed by the acceleration of human life pace, information pressure causing the development of
human mental fatigue, energy depletion, tiredness and chronic fatigue. The results of empirical studies of the influence of the noospheric processes anthropoprice on the human well-being, activity and mood showed the dependence of the positive integral estimation of human subjective state on the orientation towards life-long learning, personal values regardless of the age.
Conclusion: The proposed article reveals the influence of noospheric processes on human morphofunctional state, scientifically grounds the connection and dependence of human tiredness on the noospheric processes anthropoprice.
CLINICAL LABORATORY ANALYSIS OF MAXIMUM INTERCUSPATION REGISTRATION RESULTS IN PATIENTS WITH INTACT DENTITIONS
Authors: Hlushko Taras R. , Vovk Yuriy V. , Vovk Volodymyr Yu.
Published: October 2020

Introduction: In modern dental prosthetic practice, there often occur inconsistencies of occlusion in oral cavity and on cast dental models, leading to search for a solution to
the problem of improving the registration accuracy of occlusal relationships of dentitions.
The aim: Clinical laboratory study of bite registration materials selected efficiency.
Materials and methods: Examination of 10 patients was conducted. Registration biomaterials: Consiflex, Аluwaх, Futar D were successively placed on occlusal surfaces of each patient. After polymerization of registration materials, determination of biometric deviation of markers from complementary position in the regions of dentitions under study was performed. Clinical measurements of BDM values were performed with an accuracy of ±0,01 mm
Results: During clinical examination using Futar D, BDM index in the region of teeth 16-46 reached (0,055±0,05) mm, 26-36 – (0,065±0,05) mm, 13-44 – (0,075±0,04) mm,
23-34 – (0,075±0,06) mm, 21-31 – (0,015±0,02) mm. In case of using aluwax, BDM index in teeth 16-46 was (0,075±0,04) mm, 26-36 – (0,11±0,07) mm, 13-44 – (0,08±0,04)
mm, 23-34 – (0,09±0,07) mm, 21-31 – (0,02±0,03) mm. Application of Consiflex demonstrated BDM index in teeth 16-46 was (0,075±0,06) mm, 26-36 – (0,11±0,07) mm,
13-44 – (0,13±0,06) mm, 23-34 – (0,14±0,07) mm,21-31 – (0,045±0,04) mm.
Conclusions: Clinical and laboratory research with the use of Futar D registration materials in patients with intact dentitions demonstrated lower optimum of differences
between BDM indices in comparison with Consiflex and Aluwax.
MEDICAL ASPECTS OF SPECIALIST TRAINING IN PHYSICAL THERAPY AND ERGOTHERAPY IN THE SYSTEM OF HIGHER EDUCATION OF UKRAINE
Authors: Fastivetz Anna V. , Khomenko Pavlo V. , Onipko Valentyna V. , Emetc Anatoliy V. , Skrinnik Yevheniia O.
Published: October 2020

Introduction: In today’s conditions, the aggravation of health and demographic problems in Ukraine arose the urgent need for physical rehabilitation and restoration of the health of our citizens by means of a non-medical nature. Under such conditions, specialists in physical therapy and ergotherapy become subjects of medical, social and psychological assistance, associates of the improvement of physical qualities, psycho-emotional stability and adaptation reserves.
The aim of the study is to develop and substantiate the medical aspects of training a specialist in physical therapy and ergotherapy in the system of higher education in Ukraine.
Materials and methods: To achieve the goal, a set of research methods, in particular theoretical ones, is used: historical-comparative and logical, terminological, quantitativequalitative
(bibliometry), generalization, abstraction, analysis and synthesis, modeling, studying documents; empirical: observation, survey, analysis of products of activity,
complex pre-nasol diagnostics.
Conclusions: The theoretical synthesis of domestic and foreign experience is carried out and the author’s approach to solving an important and actual scientific problem of
forming the medical competence of future specialists in physiotherapy and ergotherapy is proposed. An analysis of the international experience of training physical rehabilitation specialists has made it possible to identify the most promising American and European models that have a number of significant differences in the principles of organization and financing of pedagogical processes, professional etiquette and self-discipline of specialists.
COMPLEMENTARY MEDICINE: INTERNATIONAL EXPERIENCE OF FUNCTIONING AND SPECIFIC FEATURES OF THE APPLICATION IN UKRAINE
Authors: Samilyk Liudmyla O. , Maliarova Valeriia O. , Dzhafarova Olena V. , Gudz Tetyana I. , Kovalchuk Vitaliy B.
Published: October 2020

Introduction: Finding an optimal model for the development and functioning of the health care system is an important aspect for most economically developed countries. The aim of this article is to comprehensively study the problems of functioning of complementary (alternative) medicine, to identify the main tendencies of its development in some foreign countries and specific features of its application in Ukraine. Materials and methods: During the research the authors have used theoretical methods (analysis, synthesis, generalization, systematization, etc.) and empirical methods (observation, classification, etc.) of scientific research. Review: The conducted study provides grounds for arguing that complementary (alternative) medicine in various forms exists in most countries of the world and is promoted by the World Health Organization (hereafter – WHO). However, the legal regulation of complementary medicine and its interaction with the traditional medicine are significantly different. It has been established that a significant part of patients use alternative methods of treatment, neglecting the information interaction with the attending physician. The authors have revealed the shortcomings of permitting procedures concerning the activity of healers, the result of which there are many fraud cases in this sphere. Conclusions: The authors have proved the necessity of improving the legislative base for the regulation of complementary medicine, integration of alternative methods into official medicine, improvement of the system of professional training of physicians, determination of the volume of usefulness and benefits of medical aid by alternative methods, expansion of international cooperation and exchange of experience with foreign specialists practicing the use of complementary medicine.
CALCULATION OF LOSS OF CHILD MORTALITY IN UKRAINE AS AN INSTRUMENT FOR ESTIMATION OF ACHIEVEMENTS OF SUSTAINABLE DEVELOPMENT GOALS IN UKRAINE
Authors: Rynhach Natalia O. , Moiseenko Raisa O.
Published: October 2020

Introduction: Ukraine has made a commitment to reduce preventable deaths of newborns and children under 5 years of age, within the framework of the relevant task of the Sustainable Development Goals. For a purposeful and effective struggle, it is necessary to realize the scope and structure of losses.
The aim: Identify differences in child mortality rates in Ukraine compared to other countries, to calculate and estimate the number of years of potential life lost (YPLL) due toinfant mortality.
Materials and methods: The information base of the study was official data of the State Statistics Service of Ukraine on the distribution of the deceased by age and causes of
death in 2017 and World Health Statistics 2016 data. The method of potential demography was used to estimate demographic losses.
Review: In Ukraine, in 2017 the absolute number of years of potential life lost (YPLL) was estimated to be almost 217,000 person-years due to under-five mortality, most of
them - more than 179,000 person-years - due to infant mortality. The rest were losses due to mortality within the interval of 1-4 years - almost 40 thousand person-years. 55.6% of all potential life losses due to infant mortality determined Certain conditions occurring in the perinatal period, Congenital malformations, deformities and chromosomal anomalies - 23.4%.
Conclusions: Ukraine has significant reserves for reducing under five mortality rates, primarily through minimization of preventable mortality.
KEY WORDS: Sustainable Development Goals: Ukraine, child mortality; years of potential life lost, person-years, health-related goals, targets, and SDG indicators
Wiad Lek 2019, 72, 5 cz. II, -