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3% visibility). In Ukraine, as well as in Europe, the incidence and mortality of gastric cancer in men is 2 times higher than in women.
Conclusions Incidence and mortality rates have declined in Europe in the past decades. Trends in the ten-year dynamics of reducing the incidence and mortality of gastric cancer in Ukraine prove the effectiveness and feasibility of introducing preventive measures at the state level in the future.
Conclusions Incidence and mortality rates have declined in Europe in the past decades. Trends in the ten-year dynamics of reducing the incidence and mortality of gastric cancer in Ukraine prove the effectiveness and feasibility of introducing preventive measures at the state level in the future.
The aim Is to present and substantiate approaches to the organization of radiation diagnostics training using cloud services.
Materials and methods The experimental research was carried out at on 306 students of the Bogomolets National Medical University. To perform the set tasks, some theoretical and empirical methods of scientific research were used, namely system analysis method, bibliosemantic method, statistical method, modeling method.
Results The expediency of building a hybrid digital environment, which combines the capabilities of the corporate and public cloud service and allows one to create an information system of personalized access to electronic educational resources was justified. This environment is implemented within the cloud service Nextcloud. The basic components of radiological diagnostics training by means of network technologies are considered and characterized. An experimental test of the effectiveness of the cloud services use is conducted in the process of training radiological diagnostics.
Conclusions The expediency of creating a modern digital educational environment based on the Nextcloud service for training radiological diagnostics has been justified. Moreover, it is demonstrated that pedagogically balanced and reasoned introduction of cloud services in the educational process promotes increased efficiency of educational process of radiological diagnostics.
Conclusions The expediency of creating a modern digital educational environment based on the Nextcloud service for training radiological diagnostics has been justified. Moreover, it is demonstrated that pedagogically balanced and reasoned introduction of cloud services in the educational process promotes increased efficiency of educational process of radiological diagnostics.
The aim Identifying the components of availability of Primary Health Care (PHC) and integration between PHC and secondary Health care (SHC) which need strengthening to reduce the rate of Ambulatory Care Sensitive Hospitalizations (ACSH) in Ukraine.
Materials and methods The study was conducted in two stages the focus of interviewing experts on the list of components of the availability of PHC and its integration with SHC; survey of our questionnaire is based on the results of the first stage of the study. The responses of 93 respondents - 20 experts and 73 general practitioners/family doctors - were analyzed using descriptive and analytical statistics.
Results There were identified 14 components of PHC availability and 8 integration components of PHC with SHC, their quantitative value (in points) of impact on ACSH. The informativeness of components is confirmed by the agreement of opinions of experts on their list (concordance coefficient W = 0.75 -0.87; p <0.01) and the reliable correlations of scores of impact assessments of the identified components with overall values of the impact availability PHC and the integration between PHC and SHC on the ACSH.
Conclusions The results of the study can be used to develop an action plan for reform of PHC, the implementation of which will reduce rates hospitalizations of Ambulatory care sensitive conditions and increase the efficiency use of limited resources of health care system of Ukraine.
Conclusions The results of the study can be used to develop an action plan for reform of PHC, the implementation of which will reduce rates hospitalizations of Ambulatory care sensitive conditions and increase the efficiency use of limited resources of health care system of Ukraine.
The aim Our aim was to assess the hemostatic potential of patients with liver cirrhosis and atrial fibrillation by LPTEG global coagulation assay, to investigate changes in LPTEG parameters according to the stage of liver cirrhosis and compare results with liver cirrhosis group.
Materials and methods We performed a prospective cross-sectional study including 70 patients with liver cirrhosis and atrial fibrillation, 36 patients with liver cirrhosis and 20 healthy individuals. read more LPTEG parameters were measured using ARP-01M "Mednord" in order to assess coagulation abnormalities.
Results t1 and Intensity of contact coagulation didn't differ (p>0,05), Constant of thrombin activity was increased (47.53±0.8vs.34.51±1.88, p<0.001), t3 was reduced (5,0±0.1vs.6.7±0.36 p<0.001), Intensity of coagulation drive was increased (52.8±1.8vs.38.55±1.54, p = 0.001), Intensity of clot polymerization was increased (19.66±0.28vs.16.29±0.28,p<0.001), time t5 was reduced (32.94±0.36 vs. 36.8±1.30, p<0.01), Maximum amplitude was increased (655.7±9.19 vs. 547±19.38, p<0.001), Intensity of total coagulation was increased (19.41±0.34vs.15,09±0.56, p<0.001), Intensity of clot retraction and lysis was increased (4.1±0.07vs.3±0.15, p<0.001) and Coefficient of total anticoagulant activity was increased (2.81±0.05 vs. 2.48 ± 0.06, p<0.001) compared to liver cirrhosis.
Conclusions In patients with liver cirrhosis and atrial fibrillation the hemostatic potential is significantly shifted towards hypercoagulation with a gradual worsening of coagulation disorders, starting from the compensated stage of liver cirrhosis.
Conclusions In patients with liver cirrhosis and atrial fibrillation the hemostatic potential is significantly shifted towards hypercoagulation with a gradual worsening of coagulation disorders, starting from the compensated stage of liver cirrhosis.
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