Medical perspectives (Medicni perspektivi)

4-14

Authors: DZYAK G.V.

THE WAY TO GLORY AND RESPECT

20-25

Authors: Pototskaya O.Yu., Lievykh A.E., Mamchur V.I.

Some orders of Ministry of Education and Science of Ukraine encourage scientific authors to publish their articles abroad but do not detail selection criteria of the journals recommended. As a result, authors choose the easiest way and publish their papers in low-quality foreign journals. Moreover, some false journals have been created since the Orders entered into force. In this article we emphasize the importance of journal registration in scientometric databases for the international and regional rating of universities. Also attention is paid to the need of verification of journal quality and its reliability by the authors before sending manuscripts for publication. To resolve these problems we propose to indicate URL link of the article in the annual scientific report of scientists, departments and organizations. It will help to verify the quality of the journal and concentrate attention of the authors on checking the existence of journal’s web site before sending their manuscripts. It is important to emphasize that journals without web sites do not influence on the rating of scientific organizations in any scientometric databases. If such link is absent, article should not be scored up for the rating. Additional way is to create adequate system of scientific ratings. For example, articles published in major scientometric databases, such as Scopus and Web of Science, should be scored two (or more) times higher than any other articles. Papers published in other scientometric databases (such as RISC) also should be scored higher than onother articles. Information about principal scientometric databases should be clarified for scientists to help them in choosing optimal journal for manuscripts publishing.

29-33

Authors: Kamenshchyk А.V., Kamyshny A.М., Ivanko О.G.

The genes of nuclear factor of activated T-cells (NFATC) play a key role both in heart valves formation and immune response. The genes belong to transcriptional factors and lead to myocardial hypertrophy in postnatal period that is confirmed by experimental models on animals. The purpose of this study was to reveale NFATC1 and NFATC4 genes expression level in the blood of 30 children with congenital heart diseases (CHD), 15 of them had bicuspid aortic valve, 15 had CHD without valve anomalies and 15 healthy children of the control group. No patients had signs of heart failure. At the first sage of Doppler heart ultrasound study a significant increase of the left ventricle posterior wall and ventricular septum thickness in comparison with CHD and control was revealed in BAV group. At the second stage a significant rise of relative normalized expression of NFATC1 in BAV children compared to CHD and control without differences in the expression of NFATC4 gene were established. Thus, in children with bicuspid aortic valve, formation of early myocardial hypertrophy with changes in nuclear factor of activated T-cells genes expression with prevailing of NFATC1 expression takes place. The detection of NFATC1 expression level in the blood of children could be considered as an early marker of progressive myocardial hypertrophy.

41-46

Authors: Kosul'nikov S.O., Besedin A.M., Tarnapol'skiy S.A., Karpenko S.I., Kravchenko K.V., Simonova E.V.

Recently, in Ukraine a trend to increased incidence of suppurative osteomyelitis of the spine is defined. The main factors contributing to incidence increase is the growth of proportion of population with immunodeficiency and implementation of computer and magnetic resonance tomography in clinical practice. Treatment of suppurative osteomyelitis of the spine should include antibiotic therapy, adequate sanitation of the infectious focus, strict bed rest with exercise therapy. Tactics of surgical treatment combined with antibiotic deescalation therapy with glycopeptide antibiotic – teicoplanin and rehabilitation program which helped to achieve recovery in 23 (37.8%) of patients treated conservatively and in 55 (91%) of the operated patients was proposed.

51-55

Authors: Maryukhnich N.V., Klapchuk V.V.

Secondary school age is a critical period in the development of a person. For the purpose to evaluate and compare the level of exercise performance and aerobic performance in 90 girls at the age of 11-14 with impaired vision in the form of weak and moderate myopia, as well as myopic astigmatism, veloergometric test PWC170 was used. Power of performed load was estimated and indices of maximum oxygen consumption were calculated. It is established that absolute levels of physical per­formance and maximal oxygen consumption in girls significantly increased with age: 8.7%, 17,9% and 19% test PWC170 and 8.4%, 6.4% and 13.4% – aerobic performance by GMT. Relatively to body mass they decreased by 8.4%, 6.4% and 13.4% – test PWC170 , and 12.8%, 14.8% and 21.8 per cent – aerobic performance by GMT. Relative indicators of MSCS girls at the age of 11, 12 and 13 with impaired vision are of the average level of aerobic capacity and girls at the age of 14 – below average.

61-64

Authors: Moshkovskiy V.E.

Asbestos and artificial mineral fibers were used actively at thermal power plants (TPP) as heat insulation of pipes, seal plates, electrical insulation, etc. But content of asbestos fibers in the air of working zone at TPP was not registered to date. Therefore, aim of the work was to assess asbestos containing dust in the air of working zone at steam turbine and gas turbine TPP in the east region of the country. It was found that old insulation at TPP is mixture of asbestoses that contains chrysotile asbestos and traces of amphibole asbestoses – crocidolite and anthophyllite. In the majority of investigated workplaces at the steam turbine TPP significant dust generation with exceed of maximum one-time exposure limits (2 mg/m3) was observed. Concentration of respirable fibers in the air of working zone in all workplaces did not exceed actual hygienic standard (1 fiber/cm3).

70-76

Authors: Andreyeva І.А., Lugova О.V., Nashyvanko О.V., Chernyak Yu.S., Shevchenko О.А.

In the review, the evolution of Public Health and global development tendencies of Public Health system have been discussed. Stages of formation of the updated concept, principles of Public Health organization and the role of various organizations have been shown in the connection with development of the global concept of "Health for All". A well-functioning public health system is primarily the result of multisectoral cooperation. The aim of modern Public Health is to provide conditions of access to appropriate and cost-effective health care for all population groups, including health promotion and disease prevention.

81-86

Authors: Vezhnovets T.A.

The purpose of the research was to determine the features of the socio-psychological climate of health care institutions (HCI) and the factors that cause them. The psychological testing of the socio-psychological climate has been accomplished by the method of A. Nemov “The socio-psychological self-esteem of a collective”, The study involved 152 health care workers of two hospitals in Kherson region (institution N 1 and institution N 2), providing multidisciplinary patient care. It was found that the group of health care workers in the institution N 1 had significantly lower average age and average length of joint work than personnel of the institution N 2 (P<0.007). It was determined that all indicators of climate (responsibility, openness, teamwork, contact, cohesion, orderliness and awareness) had significantly lower levels of the values in the institution N 1, than in the institution N 2 (P<0.007). The worst state of the socio-psychological climate was indicated by the personnel of the institution N 1. In two institutions indicator of team cohesion had the lowest value among all. The direct correlation between the average age and the length of experience of joint work in the collective and the value of indicators of the socio-psychological climate in the team has been established. The status of the socio-psychological climate in HCI collectives is affected by the age of health care workers and the experience of joint work. It was found, that the lower average age and experience of joint work of health care workers, the lower indicators of the socio-psychological climate in the collective are. The feature of the socio-psychological climate of HCI collectives is low evaluation of indicator of cohesion by health care personnel. This testifies to the expressed individuality in actions. The peculiarities of the socio-psychological climate in collectives of health care workers should be considered when evaluating the effectiveness of personnel management in HCI.

92-93

Authors: Korobchansky V.A.

Prescription of healthy ecology. Review on the monograph of Beletskaya E.N., Onul N.M. «Ecological-hygienic assessment of technogenic load caused by the environment as a risk factor for health of population of Pridneprovye»