Видання зареєстровані авторами шляхом самоархівування
Permanent URI for this communityhttps://devessuir.sumdu.edu.ua/handle/123456789/1
Browse
8 results
Search Results
Item The role of leptinresistance in the pathogenesis of obesity in pregnant women(Aluna Publishing, 2022) Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Fartushok, T.V.; Rudenko, L.A.; Fartushok, N.V.The aim: To investigate the relationship between leptin resistance, lipid and carbohydrate metabolism, blood pressure in obese pregnant women. Materials and methods: Under observation were 65 women (main group) with obesity (I degree -27 women, II degree - 24 women, III degree - 14 women) in the II trimester of pregnancy, who were hospitalized in the Department of Pathology of Pregnancy KNP «Maternity Clinical house №1 ”in Lviv during 2017-2020 on preeclampsia of varying severity, which were sent for inpatient treatment by women’s clinics. The control group consisted of 30 healthy pregnant women without obesity. Results: Serum leptin in obese women was directly correlated with BMI (r = 0.66, p<0.001), body weight (r = 0.29, p<0.05), total cholesterol (cholesterol) (r = 0, 37,p<0,009), low density lipoproteins (LDL cholesterol) (r = 0.33, p<0.05) and inversely with high density particles (HDL cholesterol) (r = -0.37, p<0.02 ). Studies of carbohydratemetabolism indicate the following correlation coefficients of BMI with glucose level r = 0.351; p<0,001, BMI with the level of C-peptide r = 0,450; p<0,001, BMI with HOMA index r = 0,1504; p = 0.036. Inverse correlations of C-peptide were detected with the level of P (r = -0.169; p = 0.025). Conclusions: The discovery of the relationship between leptin resistance, lipid and carbohydrate metabolism, blood pressure indicates the possibility of using signs of leptin resistance to prevent complications during pregnancy in the second trimester.Item Determination of the Hazard of Medical Waste in the Convention of the Covid-19 Pandemic(Aluna Publishing, 2022) Brezytska, D.M.; Hushchuk, I.V.; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Vivsiannyk, O.M.; Safonov, R.V.; Khoronzhevska, I.S.Aim: To determine the infectious danger of medical waste from patients with COVID-19, by examining them for the presence of coronavirus SARS-CoV-2. Materials and Methods: Regulatory – legal acts, foreign editions, results of the laboratory researches that we received served as materials for carrying out research. While researching such methods were used: descriptive, bibliographic, analytical, epidemiological, laboratory diagnostics, statistical. Results: The study confirmed the presence of RNA of the coronavirus SARS-CoV-2 in 5 selected samples from protective masks of patients with COVID-19 (8.9%) by polymerase chain reaction (PCR). SARS-CoV-2 coronavirus was not detected in samples taken from medical masks. Separate studies of wastewater from the infectious disease hospital of Ostroh General Hospital and from the city sewer network for the presence of coronavirus SARS-Cov-2 were conducted. SARS-CoV-2 coronavirus was not detected in the selected samples by PCR. Conclusions: The results of the study confirm the infectious potential of medical waste, mostly wrong treatment.Item Improving the Quality of Medical Care and Prevention in Patients with Type 2 Diabetes on the Basis of Remote Medical Service(Aluna Publishing, 2022) Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Дрига, Наталія Олександрівна; Дрыга, Наталия Александровна; Dryha, Nataliia Oleksandrivna; Rudenko, L.A.Aim: To analyze the effectiveness of implementation of remote medical service, involving patients with type 2 diabetes mellitus in dynamic monitoring of their health and treatment, designed to optimize the quality of medical care and prevention at the primary health care level. Materials and Methods: The study included adults aged 18 to 70 years, residents of Sumy who suffer from diabetes. They took part in a medical and sociological survey before introduction of the ICS and gave consent for processing and using of their personal data. A total of 96 patients were involved. We conducted a survey form of the study, using a closed questionnaire for medical and sociological research, conducted during December 2019. The study included such methods as systematic approach, bibliosemantic, comparative and statistical analyses, logical generalization. Results: During the following medical and sociological survey, 96 questionnaires from Sumy residents aged 18 to 69 years, 58 women (60,42±3,53%) and 38 men (39,58±3,53%)) were studied. Analysis of re-monitoring results showed that during the period of implementation of the ICS at the level of primary health care, the indicators of MCQ and health status of respondents have improved. The proportion of patients, who regularly control the level of blood pressure, increased by 32.29%, and those, who control the level of blood glucose – by 31.24%. The incidence of hypoglycemia and/or ketoacidosis states has decreased by 4.17%. During the survey, the part of respondents with targeted blood pressure level increased by 25.00% and the number of respondents with satisfactory level of diabetes compensation increased by 29.18%. The survey showed that more respondents (12.5%) began to regularly take prescribed medications; the number of those, who began to follow diet and dietary regimen has increased by 28.12%; 5.19% of respondents abandoned bad habits (smoking). The number of respondents who have a body mass index ≥ 30.0 has decreased by 4.69%. Conclusions: The introduction of information and communication system (ICS) with feedback between patient and provider of medical services at the primary health care institution level has shown a positive impact on involvement of patients in dynamic monitoring of their health, responsible attitude to prevention of chronic non-communicable diseases` development and their complications, awareness of the impact of modified risk factors on their health.Item The Impact of Nutritional Quality on the Students’ Health(Aluna publishing, 2021) Griban, G.P.; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Lyakhova, N.A.; Tkachenko, P.P.; Harlinska, A.M.; Dovgan, N.Yu.; Karpiuk, R.P.; Brytan, Y.A.Aim: To study the nutritional quality and its impact on the health of the students of higher education institutions. Material and methods: 647 students were interviewed. A questionnaire, which contains 17 questions and is aimed at studying the quality of students’ nutrition, was created by authors. Experimental (EG, n = 60) and control (CG, n = 60) groups were formed. The EG included the students whose diet was rational while studying, the CG included the students whose diet was irrational. The level of students’ health was examined at the end of studying according to the methodology of professor G.L. Apanasenko. Results: It was found that only 30.6% of students ate 3-4 times a day, 14.4% – twice a day, 49.8% did not follow any dietary regimen, and 7.9% of students would not eat breakfast at al 43.7% of male students and 53.3% of female students did not follow a dietary regimen at all. A comparative analysis of the physical health of students of EG and CG showed that among both male and female students, the students whose diet was rational had significantly better (p<0.001) level of health. Conclusions: It was determined that the majority of students had low nutritional quality while studying: nutrition was irrational, incomplete, and not varied. This does not contribute to a healthy lifestyle of modern students and can negatively affect the efficiency of their future professional activities.Item Basic principles of behavioral economics and prospects for their application in the public health system(Aluna Publishing, 2020) Rudenko, L.A.; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Сміянова, Ольга Іванівна; Смиянова, Ольга Ивановна; Smiianova, Olha IvanivnaBehavioral economics is a branch of economic theory that studies the influence of psychological factors on people’s decisions in various life situations. At the same time, much attention is paid to situations where people behave differently than predicted by classical economic theory with its assumption of rationality and selfishness. Interesting possibility of application of behavioral economic in various spheres of human life and society, for example, reforms introducing, insurance system, public health and medicine (healthy living, disease prevention, following-up to the doctor’s recommendations, improving the quality of care, etc.).Item Antibiotic resistance of the nasopharynx microbiota in patients with inflammatory processes(Aluna, 2020) Івахнюк, Тетяна Василівна; Ивахнюк, Татьяна Васильевна; Ivakhniuk, Tetiana Vasylivna; Голубнича, Вікторія Миколаївна; Голубничая, Виктория Николаевна; Holubnycha, Viktoriia Mykolaivna; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Rudenko, L.A.; Сміянов, Євген Владиславович; Смиянов, Евгений Владиславович; Smiianov, Yevhen VladyslavovychМета: Вивчити видовий склад мікроорганізмів, виділених від хворих із запальними процесами різної локалізації, та відстежити чутливість до виділених мікроорганізмів до найбільш часто використовуваних антибіотиків. Матеріали та методи: Протягом 2017–2019 рр. Ми обстежили 517 хворих з гострими запальними процесами носоглотки. Для встановилення етіологічної структури збудників запальних процесів проводилось мікробіологічне дослідження промивань носоглотки із застосуванням класичних методів виділення та ідентифікації мікроорганізмів. Відбір зразків досліджуваного матеріалу у пацієнтів проводили під час першого візиту до лікаря, перед призначенням та проведенням етіопатогенетичної терапії. Для визначення чутливості ізольованих мікроорганізмів до антибактеріальних препаратів, ми використовували метод паперових дисків (виробництва ТОВ «Фармактив» (Київ, Україна) та Himedia (Індія). Результати та висновки: Представлена мікрофлора слизових оболонок носа та горла у хворих з гострими запальними процесами носоглотки переважно моноізолятами стафілококів та стрептококів. Чутливість ізольованих мікроорганізмів до антибіотиків різнилася між різними типами мікроорганізмів та між різними типами антибіотиків. Цефазолін показав ефективність проти всіх типів мікроорганізмів. Штами пневмонії показали найвищу стійкість до антибіотиків. Серед грампозитивних коків, було виділено 18 штамів (4,2%), стійких до всіх антибіотиків, що можна розглядати як циркуляцію госпітальних штамів поза медустановами. КЛЮЧОВІ СЛОВА: антибіотики, резистентність, мікрофлора, ніс, горлоItem Development of informational-communicative system, created to improve medical help for family medicine doctors(Aluna Publishing, 2018) Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Дрига, Наталія Олександрівна; Дрыга, Наталия Александровна; Dryha, Nataliia Oleksandrivna; Сміянова, Ольга Іванівна; Смиянова, Ольга Ивановна; Smiianova, Olha Ivanivna; Ободяк, Віктор Корнелійович; Ободяк, Виктор Корнелиевич; Obodiak, Viktor Korneliiovych; Zudina, T.O.Introduction: Today mobile health`s protection service has no concrete meaning. As an research object it was called mHealth and named by Global observatory of electronic health`s protection as “Doctor and social health practice that can be supported by any mobile units (mobile phones or smartphones), units for patient`s health control, personal computers and other units of non-wired communication”. An active usage of SMS in programs for patients` cure regimen keeping was quiet predictable. Mobile and electronic units only begin their development in medical sphere. Thus, to solve all health`s protection system reformation problems a special memorandum about cooperation in creating E-Health system in Ukraine was signed. The aim: Development of ICS for monitoring and non-infection ill patients` informing system optimization as a first level of medical help. Materials and methods: During research, we used systematical approach, meta-analysis, informational-analytical systems` schemes projection, expositive modeling. Developing the backend (server part of the site), we used next technologies: 1) the Apache web server; 2) programming language PHP; 3) Yii 2 PHP Framework. In the frontend developing were used the following technologies (client part of the site): 1) Bootstrap 3; 2) Vue JS Framework. Results and conclusions: Created duo-channel system “doctor-patient” and “patient-doctor” will allow usual doctors of family medicine (DFM) take the interactive dispensarycure and avoid uncontrolled illness progress. Doctor will monitor basic physical data of patient`s health and curing process. The main goal is to create automatic system to allow doctor regularly write periodical or non-periodical notifications, get patients` questioning answers and spread information between doctor and patient; that will optimize work of DFMs.Item The impact of systemic inflammation on anemia in patients with chronic obstructive pulmonary disease(Aluna Publishing, 2020) Ковчун, Анна Володимирівна; Ковчун, Анна Владимировна; Kovchun, Anna Volodymyrivna; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Кучма, Наталія Григорівна; Кучма, Наталья Григорьевна; Kuchma, Nataliia Hryhorivna; Качковська, Владислава Володимирівна; Качковская, Владислава Владимировна; Kachkovska, Vladyslava Volodymyrivna; Приступа, Людмила Никодимівна; Приступа, Людмила Никодимовна; Prystupa, Liudmyla NykodymivnaМетою нашої роботи було вивчити зміст показників системного запалення у хворих на ХОЗЛ залежно від наявності або відсутності АХЗ. Матеріали і методи дослідження. Було обстежено 202 пацієнтів із ХОЗЛ, у дослідження було включено 144 хворих на ХОЗЛ без анемії (гемоглобін ˃120 г/л для жінок і ˃ 130 г/л для чоловіків), які склали 1 групу і 33 хворих на ХОЗЛ з АХЗ (гемоглобін <120 г/л для жінок і <130 г/л для чоловіків, розчинні трансферрінових рецептори (рТФР) - 8,7 – 28,1 нмоль/л), які склали 2 групу. До групи контролю включили 62 практично здорові людини. Усім хворим проводили визначення вмісту феритину, С-реактивного протеїну (СРП) і гепсидину. Статистичну обробку результатів проводили з використанням програми SPSS-21. Результати. Хворі на ХОЗЛ з АХЗ мають достовірно (р <0,001) вищий вміст феритину, порівняно з хворими на ХОЗЛ без анемії і пацієнтами контрольної групи. Вміст С-РП і гепсидину у пацієнтів з ХОЗЛ із АХЗ був також вірогідно вищим порівняно з пацієнтами без анемії та контрольної групи. Висновки. Визначення вмісту феритину, C-РП і гепсидину у пацієнтів із ХОЗЛ може дозволити своєчасно призначити адекватне лікування для цієї групи хворих.