Publishing House of Ivano-Frankivsk National Medical University
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Compliance with Postoperative Recommendations by Patients with Different Psychological Types after Early Implant Loading Treatment
Get PDFThe objective of the research was to explore the relationship between different psychological types of patients with an edentulous mandible and their attitudes toward postoperative recommendations and prescriptions after early implant loading treatment.
Materials and Methods. The study was conducted at the Dentistry Center (University Clinic, Ivano-Frankivsk National Medical University), November 2019 - March 2020. Study group consisted of 28 individuals with an edentulous mandible. Patients were divided into subgroups (philosophical, exacting-mind, indifferent, and hysterical) based on their mental characteristics. Surveys about complaints, compliance with postoperative recommendations and prescriptions were performed on the 2nd, 4th, 8-10th and 12-14th days after surgical treatment.
Results. Clinical evaluation data, patients’ complaints, and compliance with the postoperative treatment protocol after early implant loading treatment were analyzed. The degree of compliance to prescribed recommendations in patients with different psychological types were evaluated and discussed.
Conclusions. According to the results within the limitations of this study, it can be concluded that compliance with postoperative recommendations and prescriptions is highly dependent on the patient’ psychological type
What Could Aid in Slowing Down Cognitive Function?
Get PDFThe objective of this research was to assess the relationship between cognitive function, physical activity level, nutritional and depression status in the elderly.
Materials and Methods. A total of 200 individuals (≥ 65 years) were included in the study. General characteristics of the individuals, biochemical findings, nutritional habits, 24-hour physical activity level and food consumption records were assessed. Cognitive function and depression status were screened by the Standardized Mini-Mental State Examination (S-MMSE) and Geriatric Depression Scale-Short Form (GDS-SF), respectively.
Results. Thirty-eight (19%) of the 200 individuals were diagnosed with dementia. On the evaluation of all the individuals, moderate and statistically significant negative correlation (r=-0.558, p < 0.01) was found between the S-MMSE and GDS-SF values. In addition, a moderate and statistically significant positive correlation was found between the S-MMSE and physical activity level values (r=0.553, p < 0.01). Vitamin B1, vitamin B2, vitamin B3, vitamin B6, and zinc intakes were lower in women than in men (p < 0.05). Moreover, it was observed that the vitamin B3 and calcium intakes were below the recommended daily intake in both the genders.
Conclusions. Proper nutritional treatment and increasing the levels of physical activity may aid in slowing down the progression of dementia
Mucinous Cystadenoma of the Ovary Associated with Hyperplasia of Stromal Leydig Cells in Pregnant Woman
Get PDFBackground: The hormonally induced non-neoplastic lesions of ovarian stroma during pregnancy must be recognized by pathologist in order to avoid mistaking them for true tumors.
Case report: A 28-year-old woman was delivered of a healthy infant by cesarean section. As an incidental finding, a multicystic tumor in the left ovary was found and resected. Histopathology was consistent with benign mucinous cystadenoma. In addition, within the stroma beneath the lining mucinous epithelium, a dense population of cohesive polygonal cells with abundant eosinophilic cytoplasm, typically resembling the Leydig cells, was seen. They were uniform without atypia, accompaning by minimal proliferative activity. They strongly expressed vimentin, inhibin, CD99 and calretinin. The final diagnosis of mucinous cystadenoma associated with hyperplasia of stromal Leydig cells was made.
Conclusions: Leydig cell hyperplasia belongs to the specific changes of ovarian stroma associated with pregnancy. The present case stresses that in such situation the pathologists should be aware of it and not confuse it with a tumor
The Effect of Educational Intervention on Care Dependency and Symptom Management After Hematopoietic Stem Cell Transplantation: A Theory-Based Randomized Controlled Study
Get PDFThe objective of the research was to determine the effect of educational intervention based on Bandura’s Social Cognitive Learning Theory on care dependency and symptom management after hematopoietic stem cell transplantation.
Methods. This randomized controlled trial was conducted between January 2019 and February 2020 at the Hematopoietic Stem Cell Transplantation Center. All the patients were randomly divided into two groups: 53 individuals in the intervention group and 53 individuals in the control group. The sociodemographic data collection form, the Edmonton Symptom Assessment Scale and the Care Dependency Scale were used for data collection. Data were collected from the patients one day after hematopoietic stem cell transplantation and 12 weeks later.
Results. There were no statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale at baseline. Twelve weeks after intervention, there were statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale.
Conclusions. Educational intervention along with telephone counseling based on Bandura’s theory was found to be an effective way to reduce symptom severity and care dependency in patients who underwent hematopoietic stem cell transplantation and is recommended for all patients after hematopoietic stem cell transplantation
Features of Changes in the Structural and Functional State of the Myocardium in Patients with Acute Myocardial Infarction Depending on Body Mass Index Considering FABP4 and CTRP3 Levels
Get PDFIntroduction. Adipokines such as fatty acid-binding protein 4 (FABP4) and C1q tumor necrosis factor-related protein 3 (CTRP3) can affect the structural and functional state of the myocardium in patients with acute myocardial infarction and obesity.
The objective of the research was to determine the relationship between FABP4, CTRP3 and echocardiographic parameters of the left ventricular myocardium in patients with acute myocardial infarction depending on body mass index.
Materials and Methods. The observational cross-sectional study examined 189 patients with acute myocardial infarction depending on body mass index, who were divided into the following groups: Group 1 included 60 patients with acute myocardial infarction and normal body mass index; Group 2 comprised 68 patients with acute myocardial infarction and excess body weight; Group 3 included 61 patients with acute myocardial infarction and obesity.
Results. In Group 1, the statistical significance correlations were found: between FABP4 and end-diastolic dimension (EDD; r = -0.458), end-systolic dimension (ESD; r = -0.460), end-diastolic volume (EDV; r = -0.452), left ventricular myocardial mass (LVMM; r = -0.411), LVMM/body surface area index (LVMMI2; r = -0.419); between CTRP3 and EDV (r = 0.425), EDD (r = 0.469), left ventricular relative posterior wall thickness (LVRPWT; r = -0.469). In Group 2, there were found the statistical significance relationships between: FABP4 and EDD (r = 0.461), ESD (r = 0.467), EDV (r = 0.449), end-systolic volume (ESV; r = 0.485), LVMM (r = 0.487), LVMMI1 (r = 0.406); between CTRP3 and EDD (r = -0.440), EDV (r = -0.413), LVMM (r = -0.430), LVMM/height2.7 index (LVMMI1; r = -0.483). In Group 3, the statistical significance correlations were found between: FABP4 and EDV (r = 0.481), ESD (r = 0.411), ESV (r = 0.490), LVMMI1 (r = 0.403); between CTRP3 and EDV (r = -0.326), ESD (r = -0.367), ESV (r = -0.453), LVMMI1 (r = -0.415).
Conclusions. In patients with acute myocardial infarction and overweight/obesity, echocardiographic parameters had a significant low positive correlation with FABP4 and a low negative correlation with CTRP3. On the contrary, in patients with acute myocardial infarction and normal body mass index, echocardiographic parameters had a significant low negative correlation with FABP4 and a low positive correlation with CTRP3
СТАТЕВІ ОСОБЛИВОСТІ ПЕРОКСИДАЦІЇ БІЛКІВ ТА ЛІПІДІВ РОТОВОЇ РІДИНИ ЗА УМОВ ДОКЛІНІЧНИХ ЙОДО- ТА ЗАЛІЗОДЕФІЦИТУ
No full textThe prevalence of somatic pathology in children increases significantly with each passing year, which is associated with socio-economic, environmental conditions, the complex interaction of exogenous and endogenous factors. This problem may be related to micronutrient imbalances, among which iodine deficiency and sideropenia are quite common.
Objective. The aim of the study is to learn the peculiarities of peroxidation of proteins and lipids, the system of antioxidant defence of oral fluid in conditions of preclinical iodine and iron deficiency.
Materials and Methods. The study included 115 children aged 6-18 years. The level of peroxidation of proteins was characterized by the content of oxidative modification of protein products (aldehyde derivatives of the main nature) in the oral fluid. Peroxidation of lipids of oral fluid was assessed by the accumulation of diene conjugates (DCs) of polyunsaturated fatty acids and products responding to thiobarbituric acid (TBA-RP).
Results. It has been determined that in case of iodine and iron deficiencies, their combination causes significant activation of protein and lipid peroxidation processes in the oral fluid of children, accompanied by an imbalance of the prooxidant-antioxidant system of the oral cavity.
Conclusion. Such changes can be predictors of the development of dental pathologyПоширеність соматичної патології у дітей значно зростає із кожним роком, що пов’язано із соціально-економічними, екологічними умовами, складною взаємодією екзо- та ендогенних чинників. Дана проблематика може бути пов’язана із дисбалансом мікроелементів, серед яких доволі поширеними є йододефіцит та сидеропенія.
Метою дослідження було вивчення особливостей пероксидації білків та ліпідів, системи антиоксидантного захисту ротової рідини за умов доклінічних йодо- та залізодефіциту.
Дослідженню підлягали 115 дітей віком 6-18-ти років. Рівень ПОБ характеризували за вмістом продуктів ОМБ (альдегідопохідних основного характеру) у ротовій рідині. Особливості пероксидації ліпідів ротової рідини оцінювали за накопиченням дієнових кон’югатів (ДК) поліненасичених жирних кислот та продуктів, що реагують на тіобарбітурову кислоту (ТБК-АП). Встановлено, при йодо- та залізодефіцитах, їх комбінації суттєво активуються процеси білкової та ліпідної пероксидації у ротовій рідині дітей, що супроводжується дисбалансом показників прооксидантно-антиоксидантної системи ротової порожнини. Такі зміни можуть бути предикторами розвитку стоматологічної патологі
Online Learning Modules in Anatomical Sciences: Effective Sources for Continued Learning for Medical Undergraduates During the Unprecedent COVID-19 Pandemic
Get PDFIntroduction. During the COVID-19 pandemic-induced lockdown, the selection of simple and authentic online material among plethora of web content is difficult for both students and teachers. This forces students and teachers to explore various avenues of learning.
The objective of this research was to evaluate free open-access anatomy e-learning resources in accordance with required standard learning outcomes for medical students.
Methods. During February 2021, an extensive search for online modules for learning anatomy across six Massive Open Online Courses, including edX, Coursera, Udemy, Khan Academy, Canvas and FutureLearn, along with Google and YouTube was conducted. Courses or modules on e-learning platforms, YouTube channels, standalone videos, anatomy atlases, 3D models were considered as learning resources and evaluated. Online materials were classified as structured learning resources if they had a defined syllabus, time duration and instructional design. Resources lacking these characteristics were considered as unstructured ones.
Results. Twenty structured learning courses were identified on the Udemy (6 courses), Coursera (3 courses), edX (2 courses), FutureLearn and Khan academy platforms. Learning resources available through Swayam Prabha were aligned with the defined syllabus and video lectures. The content hosted within Clinical Anatomy, Medvizz and Kenhub was eye-catching. Thirty-two YouTube channels offering standalone learning material were identified. Seven resource materials, other than YouTube channels, offered anatomy learning material in the form of charts and tables. Four websites noted to have 3D interactive learning content regarding gross anatomy.
Conclusions. During the pandemic-induced lockdown, the list presented in the study may act as guide in selection of the simplest and best materials for those teaching and learning anatomy in medical undergraduate courses. However, in most cases, there is no alignment with standard learning outcomes as defined by medical education regulatory authorities
Reproducibility of Retinal Nerve Fiber Layer and Macular Thickness Measurements Using Spectral Domain Optical Coherence Tomography
Get PDFThe objective of the research was to assess the reproducibility of retinal nerve fiber layer (RNFL) and macular thickness using spectral domain optical coherence tomography and to establish whether the same investigator can get the same or similar results when performing the scan thrice in an hour, without reference to the previous scan and the repeat function.
Materials and Methods. In this prospective observational study, 200 subjects who fulfilled the inclusion and exclusion criteria were scanned 3 times according to predefined guidelines at 0, 30 and 60 minutes on the same day, by the same investigator, using spectral domain optical coherence tomography for measurements of RNFL and macular thickness; observations were statistically analyzed and correlated.
Results. In RNFL thickness, the temporal sector showed the worst reproducibility as compared to other sectors. RNFL was the greatest in the superior quadrant and the thinnest in the temporal quadrant. For macular thickness, the temporal sector (mid zone) showed the worst reproducibility, while in the outer zone, the inferior sector showed the worst reproducibility; macular thickness was the thinnest at the central zone (innermost 1-mm ring), the thickest within the inner 3-mm ring and diminished peripherally.
Conclusions. RNFL and macular thickness measurements using spectral domain optical coherence tomography by the same observer at 0, 30 and 60 minutes were very reproducible, except for the sectors specifically mentioned. The greater the thickness of the RNFL in any sector the better was the reproducibility in that sector. For macular thickness, the temporal sector (mid zone) showed the worst reproducibility
Ogilvie Syndrome Following Caesarean Section: A Case Report
Get PDFBackground. Ogilvie syndrome is a rare postpartum complication. It is characterized by an acute colonic pseudo-obstruction which occurs in the absence of a mechanical cause. Early detection of the diagnosis is essential to avoid cecal perforation.
Case report. We report a case of Ogilvie syndrome following caesarean section in a 39-year-old woman (gravida 2, para 2) with a history of secondary infertility 10 years ago due to tubal stenosis and subserous fibroma, which led to the indication for cesarean section in second pregnancy at 39 weeks of gestation. Three days after cesarean section, the patient presented with significant abdominal distension and tenderness, vomiting, weakness, and nausea; an abdominal X-ray showed cecal distension. Abdominal computed tomography scan with intravenous contrast revealed distension of the ascending and transverse colon with air-fluid levels but without transitional mechanical obstruction. The patient was successfully treated.
Conclusions. Ogilvie syndrome is a rare but serious complication that should be considered in fit young patients who present with pain, severe abdominal distension and failure to pass flatus after caesarean section
НОСТРИФІКАЦІЯ УКРАЇНСЬКОГО ДИПЛОМА ЛІКАРЯ–ПРОВІЗОРА В ПОЛЬЩІ
No full textThe article represents the peculiarities of recognizing higher medical education obtained in Ukraine in Poland. Nostrification (from German Nostrifikation derived from Latin Noster – “our”, and Latin Facere – “to do”) is a procedure for the recognition of diplomas issued by educational establishments of other countries. All the certificates and diplomas obtained in Ukraine can be legalized in Poland. The paper describes the procedure for preparing the documents needed and the basic legal components of a successful nostrification of diploma in medicine, pharmacy. The recognition of foreign diploma grants you the right to continue your education and professional activity in Poland and is carried out on an individual basis. If you want your diploma to be recognized in Poland, you should contact the Ministerstwо Nauki i Szkolnictwa Wyższego or Polish National Agency for Academic Exchange – NAWA. An Agreement between the Government of Ukraine and the Government of Republic of Poland on Mutual Recognition of Education Documents and Scientific Degrees was signed on May 31, 2006 (Resolution of the Cabinet of Ministers of Ukraine No. 769). Thus, the Polish documents of secondary education, higher education levels, as well as academic degrees provide the opportunity to continue education in Ukraine and, accordingly, such documents received in Ukraine guarantee this opportunity in Poland. However, the agreement does not apply to certain professional rights including extra payments for academic degrees or ranks. The confirming university shall confirm or refuse to confirm the completion of studies at a specified level within 90 days from the date of submission of the request. In case of differences in study curriculum, learning outcomes or duration of studies, the confirming university may oblige the person to take specific examinations or undergo a professional traineeship. Obtaining a certificate of nostrification allows you to continue the process of recognizing higher medical education in order to ultimately be able to work as a doctor in the European Union.В даній статті розкривається особливість визнання вищої медичної освіти, отриманої в України, на території Польщі.
Нострифікація (від німецької Nostrifikation, від латинської Noster – наш і латинської Facere – робити) процедура визнання дипломів навчальних закладів інших країн. Усі сертифікати і дипломи, отримані в Україні згідно вимог, можуть бути легалізовані в Польщі. Висвітлено процедуру підготовки документів та основні юридичні складові успішної нострифікації диплома лікаря, провізора-фармацевта.
Підтвердження іноземного диплому надає вам право на продовження освіти, і професійну діяльність в Польщі, здійснюється в індивідуальному порядку. Для визнання Українського диплому в Польщі, вам варто звернутися в Ministerstwо Nauki i Szkolnictwa Wyższego або в Національне агентство академічних обмінів – NAWA.
Між Україною та Польщею підписана Угода про академічне взаємовизнання документів про освіту та рівноцінність ступенів (Постанова КМ №769 від 31.05.2006). Таким чином, польські документи про наявність середньої освіти, рівнів вищої освіти, а також наукових ступенів дають можливість на продовження навчання в Україні, й відповідно такі документи, отримані в Україні, гарантують цю можливість в Польщі. Однак дія угоди не поширюється на певні професійні права, зокрема на доплати за наукові ступені чи за вчене звання.
Згідно Польських вимог термін розгляду справи розпочинається у момент подачі заяви до нострифікаційного університету, максимум 90 днів від дати подачі. До терміну не враховується час на здачу програмних різниць.
Отримання документа про нострифікацію дозволяє продовжити процес визнання вищої медичної освіти, щоб у кінцевому результаті одержати можливість працевлаштування лікарем у країнах Європейського Союзу