Кафедра внутрішньої медицини № 2
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Перегляд Кафедра внутрішньої медицини № 2 за Автор "Bilash, S. M."
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Документ Peculiarities of diabetes mellitus impact on the effectiveness of cardiac rehabilitation of patients with coronary heart disease after myocardial revascularization(Aluna Publishing, 2023) Teslenko, Yu. V.; Pysana, B. O.; Teslenko, M. M.; Dubrovinska, T. V.; Bilash, S. M.; Lyulka, N. O.; Тесленко, Юрій Віталійович; Писана, Богдана Олександрівна; Тесленко, Марина Миколаївна; Дубровінська, Тетяна Володимирівна; Білаш, Сергій Михайлович; Люлька, Надія ОлександрівнаAim: To investigate the impact of diabetes mellitus on the course of the disease, the quality of rehabilitation measures and the psycho-emotional state of patients. Materials and Methods: The study involved 134 patients, who were divided into four groups depending on the method of revascularization and the presence or absence of diabetes mellitus. The patients underwent a 21-day rehabilitation programme, at the beginning and at the end of which they were assessed for left ventricular ejection fraction, exercise tolerance, maximum oxygen consumption, and treatment adherence. Throughout the study, the patients were under the supervision of a psychologist. Results: The study found that patients with diabetes showed a significant improvement in the measured indicators, but to a lesser extent than patients without diabetes. Conclusions: The mechanisms of poorer outcomes in patients with diabetes are mostly related to psycho-emotional factors as a result of the diagnosed disease, but they require further study.Документ Peculiarities of morphoetiopathogenesis of acute appendicitis and consequences after appendectomy(Aluna Publishing, 2022) Hryn, V. H.; Drabovskiy, V. S.; Sytnik, D. A.; Ryabuschko, R. M.; Riabuschko, M. M.; Bilash, S. M.; Gonzhak, B. I.; Гринь, Володимир Григорович; Драбовський, Віталій Сергійович; Ситнік, Дмитро Анатолійович; Рябушко, Роман Миколайович; Рябушко, Микола Миколайович; Білаш, Сергій Михайлович; Гонжак, Б. І.The aim: To study the features of morphoethiopathogenesis of acute appendicitis and the consequences after appendectomy. Materials and methods: 10 preparations of human appendix were studied, from which 5 appendixes were normal in people who died in adulthood and old age and 5 processes were taken intraoperatively during appendectomy. Morphometric characteristics of the tissue structures of the preparations were compared with the systematic review data, the literature search by the following keywords: morphoethiopathy”, “vermiform process”, “lymphoepithelial formations”, “digestive system”, “lymphoid nodule”, “Peyer’s patches”, “mucous membrane”. Results: Pathogenesis of acute appendicitis – it is a consistent, staged process that is completely subject to the laws of exudative inflammation in response to microbial aggression. Removal of the appendicular process should be approached carefully and based on possible immunological consequences. Removal of the appendix as an immunocompetent organ Unreasonable removal of pathohistological unchanged appendix has medical consequences (can lead to consequences such as colon cancer) and not only. Conclusions: Our results suggest that the vermiform appendix retains its active function throughout human life. The study provides an overview with current knowledge about the etiology, pathogenesis and possible consequences of appendectomy as the main method of treatment of acute appendicitis. The search for ways to prevent appendicitis can be successful only by finding out the causes and factors that in some individuals cause the inability of the appendix to resist bacterial invasion. Appendix is necessary to fully support the immune responses of the digestive tract, but it belongs to the category of those organs, the loss of which during forced surgery does not cause significant damage to the body