Наукові праці. Кафедра анатомії з клінічною анатомією та оперативною хірургією
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Перегляд Наукові праці. Кафедра анатомії з клінічною анатомією та оперативною хірургією за Автор "Bilash, V. P."
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Документ Clinical thinking аs an important element of effective professional activity of the future medical worker(Полтавський державний медичний університет, 2023) Bobukh, V. V. ; Andreiko, S. S.; Bilanova, L. P.; Bilash, V. P.; Oliinichenko, Ya. O.; Shkolna, O. V.; Bilash, S. M.; Бобух, Валерія Валеріївна; Андрейко, Світлана Станіславівна; Біланова, Лариса Павлівна; Білаш, Валентина Павлівна; Олійніченко, Ярина Олександрівна; Школьна, Олена Віталіївна; Білаш, Сергій МихайловичClinical thinking plays a significant role in training highly qualified medical workers, as it creates the basis for transforming acquired knowledge into the ability to apply it in practical activities. For healthcare workers, the formation of professional competence is significant, a combination of a high level of theoretical knowledge, professional skills, practical skills, the creative potential of an individual and a culture of communication. A significant role in this is played by the ability of medical workers to think "clinically", to learn to express their own opinions, to analyze and think logically, and to react quickly and highly qualified in critical situations. The formation of clinical thinking begins already during training in a medical institution and is further improved during one's professional activity. In addition, various modern teaching methods play a significant role in forming clinical thinking. These include the case method, the business game method, the "brainstorming" method, as well as the use of situational tasks. All these methods aim to teach students to fulfil their professional duties with dignity and apply the acquired knowledge in practical activities. In addition, the combination of these methods contributes not only to the formation of clinical thinking but also has a direct impact on both creative and critical thinking since it is impossible to draw a clear line between these concepts, especially when it comes to medical workers. Therefore, nurses' combination of essential, creative and clinical thinking elements is a crucial element of effective professional activity.Документ Development of professional competencies of future healthcare professionals using digital learning objects(Полтавський державний медичний університет (м. Полтава, Україна), 2025-02-17) Bobukh, V. V.; Andreiko, S. S.; Bilanova, L. P.; Oliinichenko, Ya. O.; Bilash, V. P.; Bilash, S. M.; Shkolna, O. V.; Бобух, Вікторія Валеріївна; Андрейко, Світлана Станіславівна; Біланова, Лариса Павлівна; Олійніченко, Ярина Олександрівна; Білаш, Валентина Павлівна; Білаш, Сергій Михайлович; Школьна Олена ВіталіївнаAn essential element of modern medical education and the healthcare system is training future nurses who provide nursing care, perform medical manipulations, actively interact with patients and support doctors in the treatment process. Given the scientific and technological process that penetrates all spheres of human activity, including the educational space, an integral part of the training of medical professionals at various levels is the use of digital learning objects – digital materials created to support and improve the educational process. These include e-textbooks, interactive courses, multimedia presentations, video and audio materials, test programs, simulators, virtual and augmented reality, etc. The article analyzes some of the most common digital learning objects used at the Professional College of Medicine and Pharmacy of Poltava State Medical University in the training of professional junior bachelors in the speciality 223 Nursing and their impact on the formation of professional competencies of future healthcare professionals. Immersive technologies based on the use of such phenomena as virtual, augmented and mixed reality play a significant role. To create an immersive educational environment, we use ONIKO multimedia systems that allow students to immerse themselves in virtual reality with VR glasses for an in-depth study of 3D projections of various organs and systems and to work with an interactive medical simulator that uses virtual patient technology. In addition, multimedia presentations and Google Classroom are widely used. It has been established that the integrated use of these digital learning objects allows for creating a flexible and effective learning environment that promotes the development of professional competencies and readiness to work in real clinical settings. Важливим елементом сучасної медичної освіти та системи охорони здоров’я є підготовка майбутніх медичних сестер, які забезпечують надання доглядової допомоги, здійснюють медичні маніпуляції, активно взаємодіють з пацієнтами та підтримують лікарів у процесі лікування. Зважаючи на науковотехнічний процес, який проникає в усі сфери людської діяльності, зокрема освітній простір, невід’ємною складовою підготовки медичних фахівців різних рівнів є застосування в навчальному процесі електронних освітніх ресурсів – цифрових матеріалів, створених для підтримки та вдосконалення освітнього процесу. До них відносять електронні підручники, інтерактивні курси, мультимедійні презентації, відео- та аудіоматеріали, тестові програми, симулятори, віртуальну та доповнену реальності тощо. У статті проаналізовані деякі з найпоширеніших електронних освітніх ресурсів, які використовуються у фаховому медико-фармацевтичному коледжі Полтавського державного медичного університету при підготовці фахових молодших бакалаврів за спеціальністю 223 Медсестринство та їх вплив на формування професійних компетентностей майбутніх медичних працівників. Значну роль відіграють імерсійні технології, які ґрунтуються на використанні таких феноменів як віртуальна, доповнена та змішана реальність. Для створення імерсійного освітнього середовища залучені мультимедійні комплекси «ОНІКО», які дають змогу здобувачам фахової передвищої освіти поринути за допомогою VR-окулярів у віртуальну реальність для поглибленого вивчення 3D проєкції різних органів та систем, а також працювати інтерактивним медичним симулятором, що використовує технологію віртуальних пацієнтів. Крім того, широко застосовуються мультимедійні презентації та Google Classroom. Було встановлено, що комплексне використання зазначених електронних освітніх ресурсів дозволяє створити гнучке та ефективне освітнє середовище, що сприяє розвитку професійних компетенцій та готовності до роботи у реальних клінічних умовах.Документ Particularities associated with the expression of glial acidic fibrillary protein on the structural components of cerebellum of the rats influenced by the food additives complex(ALUNA Publishing House, Poland, 2021) Bilash, S. M.; Kononov, B. S.; Pronina, O. M.; Kononova, M. M.; Bilash, V. P.; Shostya, A. M.; Koptev, M. M.; Білаш, Сергій Михайлович; Кононов, Богдан Сергійович; Проніна, Олена Миколаївна; Кононова, Марина Миколаївна; Білаш, Валентина Павлівна; Шостя, Анатолій Михайлович; Коптев, Михайло Миколайович; Билаш, Сергей Михайлович; Кононов, Богдан Сергеевич; Пронина, Елена Николаевна; Кононова, Марина Николаевна; Билаш, Валентина Павловна; Шостя, Анатолий Михайлович; Коптев, Михаил НиколаевичABSTRACT. The aim: To define the degree for glial acidic fibrillary protein expression on the structural components of cerebellum of the rats in health and when rats influenced by the food additives complex. Materials and methods: In order to determine the degree of expression of the immunohistochemical marker GFAP on the structural components of the cerebellum of rats we applied immunohistochemical, morphometric and statistical methods in our study. Results: In histological specimens at the end of 1st week of observation in the gray matter of the cerebellum there occurred a gradual increase in 1.16 times of the average number of GFAP-positive cells. At the end of 4th week of the experimental study, the average number of GFAP-positive cells increased accurately (at p<0.05 compared to the control group) in 1.27 times, at the end of 8th week it has increased in 1.99 times, at the end of 12th week in 2.25, and at the end of 16th week in 2.39 times. Conclusions: The outcomes of our study are as follows the increase in the average number of GFAP-positive cells is directly related to the decrease in the average number of major neurons of the gray matter of the brain, while the fluctuations in the average number of astrocytic glia cells represent a compensatory mechanism in the recovery of gray matter neurons of the brain from neural stem cells with the subsequent development of reactive astrogliosis and, thereafter the possible development of neuropathology.Документ Progress and problems of vaccination against coronavirus infection Covid-19(Полтавський державний медичний університет, 2022-09-16) Karatash, A. V.; Bilanova, L. P.; Bilash, S. M.; Pronina, O. M.; Bilash, V. P.; Hryn, K. V.; Hryn, V. G.; Oliinichenko, Ya. O.; Караташ, Андрій Вячеславович; Біланова, Лариса Павлівна; Білаш, Сергій Михайлович; Проніна, Олена Миколаївна; Білаш, Валентина Павлівна; Гринь, Катерина Вікторівна; Гринь, Володимир Григорович; Олійніченко, Ярина ОлександрівнаThis article is devoted to the main achievements and problems associated with vaccination against the COVID-19 coronavirus infection. This problem remains relevant as the coronavirus infection is a highly contagious disease that spreads widely worldwide. Vaccination is currently the most effective way to prevent the occurrence of a coronavirus infection or its severe consequences. The difficulty is that vaccination against COVID-19 is effective only when the antigenic structure of the circulating virus matches the antigens contained in the vaccine (or, in the case of RNA and DNA vaccines, the viral antigens programmed into the genetic code). However, the coronavirus is constantly changing its genetic structure, resulting in new strains that differ from circulating variants and have pandemic potential, against which existing vaccines may be ineffective. This study aimed to determine the main approaches to creating a vaccine's advantages and disadvantages of vaccination through bibliographic analysis. A literature search was conducted among published peer-reviewed articles, books, textbooks, and monographs. The obtained data were systematized and processed. Attention was paid to the main approaches to creating vaccines against COVID-19; the problems of immunological imprinting and antibody-dependent enhancement of infection were assessed. It was established that strategies based on the use of DNA and RNA vaccines to solve the problem of their low immunogenicity in humans are a real alternative for the future development of medicine in the prevention of infectious diseases.Документ Stress-Protected Effect of Torasemide in Acute Immobilization Stress in Rats(Полтавський державний медичний університет, 2021) Bilash, S. M.; Bilash, V. P.; Koptev, M. M.; Deviatkina, N. M.; Vynnyk, N. I.; Filenko, B. M.; Proskurnya, S. A.; Roiko, N. V.; Білаш, Сергій Михайлович; Білаш, Валентина Павлівна; Коптев, Михайло Миколайович; Дев'яткіна, Наталія Миколаївна; Винник, Наталія Іванівна; Филенко, Борис Миколайович; Проскурня, Сергій Анатолійович; Ройко, Наталія ВіталіївнаThe issue of search and selection the novel effective and, most importantly, safe methods of prevention and treatment of stress disorders remains one of the priorities for contemporary medical science. The paper was aimed at the morphological study of the rational use of torasemide as a stress protector. Based on bioethics regulations, 25 albino mature male rats aged were involved into morphological study. Group І involved intact animals; Group II involved animals that were exposed to acute immobilization stress without correction; Group III involved animals, exposed to stress after intraperitoneal administration of sodium chloride; Group IV involved animals, exposed to stress and corrected with mexidol; Group V involved rodents, exposed to stress and corrected with torasemide. After rats’ sacrifice, macroscopic and microscopic study of the lungs, liver, kidneys and spleen was performed. Histological preparations were stained with hematoxylin and eosin. Studies of the stress-protective properties of torasemide indicate its positive corrective effect on the structure of the lungs, liver and spleen in acute immobilization stress. However, morphologically, correction with torasemide in acute immobilization stress caused enhancement of stress-related renal alterations. Due to the adverse effects of torasemide on the histological structure of the kidneys under stress, its use as a stress protector is not considered rational.Документ The biographical method as a means of forming the professional personality and professional identity of the future doctor (as exemplified by the integration of the study of human anatomy and the disciplines of the foreign language training cycle)(Полтавський державний медичний університет, 2023) Bieliaieva, O. M.; Bilash, S. M.; Pronina, O. M.; Lysanets, Yu. V.; Bilash, V. P.; Havrylieva, K. H.; Taran, Z. M.; Бєляєва, Олена Миколаївна; Білаш, Сергій Михайлович; Проніна, Олена Миколаївна; Лисанець, Юлія Валеріївна; Білаш, Валентина Павлівна; Гаврильєва, Ксеня Григорівна; Таран, Зінаїда МихайлівнаBiographies of outstanding personalities serve as both a means and a source of historical knowledge, which acquires special importance in the process of training future doctors, because medicine maintains an inseparable connection between the past and the present, and any scientific discoveries accumulate or nullify the achievements of predecessors. On the one hand, biographical method is aimed at realizing the role of the individual in history, and on the other – at understanding the influence of history, in fact, society, at a specific stage of its existence, social contexts, ethical rules and norms, society on the formation of an individual and his life path, choosing a life position, ideals and values, dialogue between an outstanding personality and contemporaries. Reconstructing the curriculum vitae, the biographical method enables the reproduction of the socio-political and socio-cultural contexts in which scientific discoveries, cultural and other achievements arose and spread, serving as one of means of forming the professional personality and professional identity of the future doctor, in particular, in the process of studying anatomy and disciplines of the foreign language training cycle.Документ Typical topographic-anatomical characteristics of the structure of the submandibular vegetative node in elderly and old people(Полтавський державний медичний університет, 2024) Rozhnov, V. G.; Pronina, O. M.; Bilash, S. M.; Bilash, V. P.; Serbin, S. I.; Dubyna, S. O.; Tkachenko, O. T.; Рожнов, Валерій Георгійович; Проніна, Олена Миколаївна; Білаш, Сергій Михайлович; Білаш, Валентина Павлівна; Сербін, Сергій Ігорович; Дубина, Сергій Олександрович; Ткаченко, Олексій ТарасовичAt the current stage of the development of morphology and clinical medicine, the interest in vegetative nodes, which are complex peripheral nerve centers connected to the central nervous system and are trophic and communication and distribution centers, does not decrease. In this regard, it becomes clear that without the doctor's knowledge of the features of the topography and individual structure of the submandibular node (SMN) and its connections with neighboring nerves, it is not possible to provide significant help in understanding the pathogenesis and clinical manifestations of diseases of the node, developing new ones and optimizing already existing methods of treatment. Before starting the main part of our study, we determined the shape of the head (skull) and face – head and face indices. In the future, we used anatomical preparation of the SMN after cosmetic access to it. The sizes of the node were measured using a millimeter ruler. Photography of the prepared SMN was carried out using a digital camera. Based on the results of the research, we determined the main topographical positions of the SMN; revealed variants of the external structure of SMNs by frequency of occurrence and their sizes; the extreme types of the structure of the SMNs are established and it is shown in which forms of the head and face they occur; the topography of the branched connections of the SMN – adductor roots: tympanic-lingual, sympathic and efferent roots has been clarified. The revealed dependence of the topographic-anatomical variability of the human SMN on the shape of the skull will help clinicians to justify the choice of the node blockade method in various pathological conditions