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    Surgical site infection after cesarean section in Ukraine: results a multicenter study
    (Aluna Publishing, 2021) Salmanov, A.G.; Vitiuk, A.D.; Ishchak, O.M.; Insarov, K.S.; Chyrva, S.I.; Кузьоменська, Марина Леонідівна; Куземенская, Марина Леонидовна; Kuzomenska, Maryna Leonidivna; Golianovsky, O.V.
    The aim: To obtain the first national estimates of the current prevalence rate of SSI after CSEC and antimicrobial resistance of causing pathogens in Ukraine. Materials and methods: We performed a retrospective multhicentre cogort study based surveillance data was conducted from May 2017 to December 2019. The study population consisted of all women who had a cesarean section in 11 regional women hospitals of Ukraine. Definitions of SSI after cesarean section were used from the CDC/ NHSN. Results: A total of 2 326 CSEC operations and 14.7% SSI were identified within 30 days of the operation. Of these, 44.4% were superficial incisional SSI, 28.9% were deep incisional SSI, and 26.6% were organ/space SSI, 25.7% of which were classed as endometritis. Of all cases 70.5% of infections were detected post discharge. The most commonly identifed pathogen were Staphylococcus aureus (23.5%), Escherichiacoli (20%), Coagulase-negative staphylococci (8.1%), Enterococcus spp. (7.7%), Pseudomonasaeruginosa (7.7%), Enterobacter spp. (6.4%), and Streptococcus spp. (5.6%). The overall proportion of extended spectrum beta-lactamase (ESBL) production among Enterobacteriaceae was 18.3% and of methicillin-resistance in S. aureus(MRSA) 13.9%. Resistance to third-generation cephalosporins was observed in 15.2% E.coli and 7.9% Klebsiellapneumoniae isolates. Carbapenem resistance was identified in 7.3% of P.aeruginosa isolates. Conclusions: The results of this study revealed high rates of SSI after CSEC and most causing pathogens were associated with resistant to antibiotic stranis. This knowledge is essential to develop targeted strategies to surveillance and reduce the incidence of postoperative infections.
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    Estimation of Management Effectiveness of Electricity Supply Enterprises in Emerging Economies
    (UIKTEN, 2021) Skibina, T.; Курбатова, Тетяна Олександрівна; Курбатова, Татьяна Александровна; Kurbatova, Tetiana Oleksandrivna; Сотник, Ірина Миколаївна; Сотник, Ирина Николаевна; Sotnyk, Iryna Mykolaivna; Теліженко, Олександр Михайлович; Телиженко, Александр Михайлович; Telizhenko, Oleksandr Mykhailovych; Сотник, Микола Іванович; Сотник, Николай Иванович; Sotnyk, Mykola Ivanovych; Hyrchenko, Y.
    The article gives an estimation of the management effectiveness of electricity supply enterprises in emerging economies on the example of enterprises of the northern and central regions of Ukraine. Estimation was conducted on the basis of the authors’ methodological approach that applies the number of indicators taken as a basis for the formation of the integrated indicator. The latter allows carrying out a comprehensive estimation of the management effectiveness system of the electricity supply enterprises. The obtained results show a low management effectiveness of the considered electricity supply enterprises. As a result, the conducted research identified the barriers that hinder the efficient development of electricity supply enterprises and outlined the main directions for reforming energy supply enterprises’ activity.