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  • 1
    Online Resource
    Online Resource
    Academic Research and Publishing U.G. ; 2020
    In:  Health Economics and Management Review Vol. 1, No. 1 ( 2020), p. 84-92
    In: Health Economics and Management Review, Academic Research and Publishing U.G., Vol. 1, No. 1 ( 2020), p. 84-92
    Abstract: This paper summarizes the arguments and counterarguments within the scientific discussion on the factors that influence public health service. The main purpose of this research is to determine the expected indicators of pathogenic and sanogenic effects on significant risk factors of pathology among children. For achieving the research goal, the authors substantiated the models of final results for the modification of risk factors. Investigation of antenatal and genealogical factors in healthy and ill children groups was performed using a specially compiled expert assessment card and parents’ interviews. The systemic population modeling methods were applied to develop and substantiate population health management models (early diagnosis and primary prevention). Evaluation of the expected effectiveness of the N-factor program of primary prevention was carried out on a set of genealogical and antenatal factors. Conducted logical analysis of the methodology of quantitative and qualitative determination of health and the gathered experience in that respect were taken into account in developing population models of preventive effects. This study provides the identified priority directions for realizing the regional and population programs to implement them further. The authors presented the example of calculating the expected effectiveness of children’s health management by eliminating the investigated factors. The authors determine the priority directions for realizing the regional and population programs pathology based on the influence on the various elements to improve the public health services system. An example of calculating the expected effectiveness of children’s health management by eliminating these factors is given. The obtained results could be used to further research the issues associated with a prospective assessment of the program’s effectiveness in reducing the impact of antenatal and genealogical factors on children’s health.
    Type of Medium: Online Resource
    URL: Issue
    URL: Issue
    Language: English
    Publisher: Academic Research and Publishing U.G.
    Publication Date: 2020
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  • 2
    Online Resource
    Online Resource
    Institute of Nephrology of the National Academy of Medical Sciences ; 2021
    In:  Ukrainian Journal of Nephrology and Dialysis , No. 3(71) ( 2021-05-13), p. 3-10
    In: Ukrainian Journal of Nephrology and Dialysis, Institute of Nephrology of the National Academy of Medical Sciences, , No. 3(71) ( 2021-05-13), p. 3-10
    Abstract: Abstract. The number of patients with diabetes increases annually. Modern forecasts predict that diabetes will be the seventh leading cause of death in 2030. Despite many significant advances in the research of diabetes and the use of new modern treatments, the disease is still progressing, and it is necessary to continue to study the effects of diabetes on human systems and organs: kidney and myocardium. Methods. A total of 24 rats of reproductive age (6 months old) were involved in this experimental study. Experimental rats were injected with alloxan intraperitoneally once at a dose of 20 mg/100 g on an empty stomach. In addition, they received a 10% glucose solution 24 hours after alloxan injection and a 5% glucose solution during the experiment. We measured glucose level with Accu-Chek Advantage (Boehringer, Germany) after 2, 12, and 24 hours after alloxan injection, and then weekly. The subjects of the investigation were kidney and heart of the experimental (n=12) and control (n=12) animals for correct comparative analysis. Results. The average blood glucose level remained at 11 mmol/L ± 2 mmol/L. During the experimental period, the rats' weight gain, dilation of both ventricles and relative renal weight gain were determined. By the histological examination of the myocardium, we revealed polymorphic nuclei, perinuclear cytolysis, fragmentation, wavy-like deformation of cardiomyocytes, stromal and perivascular edema, uneven filling of blood vessels, and local fibrosis. Thinning of fibrous capsule and cortical layer, destruction of nephrons, and hemorrhages were detected in the kidney. Conclusions. Our study confirms the robustness of alloxan-induced hyperglycemia in rats. We came to this conclusion because the early changes in the kidneys and heart are explained by the development of microangiopathies, which is a typical feature of the pathogenesis of diabetes. With prolonged exposure to chronic hyperglycemia, structural disorders of vital organs are worsened. This experimental model could be used for conducting comprehensive research aimed to study the mechanisms of diabetes mellitus, the effects of hyperglycemia on organs and tissues, and correct the complications.
    Type of Medium: Online Resource
    ISSN: 2616-7352 , 2304-0238
    Language: Unknown
    Publisher: Institute of Nephrology of the National Academy of Medical Sciences
    Publication Date: 2021
    detail.hit.zdb_id: 2999731-8
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  • 3
    Online Resource
    Online Resource
    Leonid Yuzkov Khmelnytskyi University of Management and Law ; 2020
    In:  University Scientific Notes
    In: University Scientific Notes, Leonid Yuzkov Khmelnytskyi University of Management and Law
    Abstract: The author’s legal support of the components of the structural-functional model (SFM) of medical care for children with bronchopulmonary dysplasia (BPD) is given in this article, in particular regarding social support for families in which children with disabilities are raised, which is aimed at strengthening social protection, individualization of the worker schedule and employment, expanding the availability and cheapening of food products, patient-oriented social assistance and improving the economic condition of persons with children with disabilities, other urgent problems of patients with BPD. The Law of Ukraine number 544-VIII «On Employment» renewed the rights of citizens with additional guarantees in employment, and provided these guarantees, and with respect to the target contingent of the SFM, it strengthens the social protection of parents, the establishment of a shorter working time or part-time or non-working week only for women who raise a disabled child, individualization of working time in the care of a sick family member. It is envisaged to ensure fairness in taxation in accordance with EU Council Directive number 2006/112, and in relation to the target contingent of the SFM — the reduction in the cost of food for special nutrition for children. It is also ensured that social justice is implemented in the pension provision of the parental family and, in relation to the target contingent of the SFM, is the improvement of the economic condition of persons with disabled children. A comprehensive reform of the health care system has been defined to create a network of state and communal institutions with a sufficient level of independence, which in relation to the target contingent, the SFM implements approaches aimed at creating a patient-oriented system that can provide medical care in an institution. In order to improve the legislative and regulatory support during 2014–2019, directions for the implementation of the legislative initiative were identified. Socio-medical assistance has been improved: social protection of parents with dependent children under 6 years of age has been strengthened, working hours have been individualized when taking care of a sick family member, food products have been cheapened for special nutrition of children, the creation of a patient-oriented care system has been substantiated, the economic state of persons supporting children has been improved while increasing the mutual responsibility of parents in material assistance and other, which improved the regulatory and legal support of this component of the SFM of medical care for children with BDL.
    Type of Medium: Online Resource
    ISSN: 2078-9165
    Language: Ukrainian
    Publisher: Leonid Yuzkov Khmelnytskyi University of Management and Law
    Publication Date: 2020
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