Недоліки в оформленні та веденні медичних карт стаціонарного і амбулаторного хворого та їх значення для судово-медичної практики

У статті звернено увагу на якість оформлення і ведення медичних документів практичними лікарями.Проаналізовано особливості оформлення медичних карт стаціонарного і амбулаторного хворого у лікувальнихзакладах різного профілю (переважно хірургічного, травматологічного). Підкреслено важливість правильногозаповнення і ведення первинних медичних документів для виконання судово-медичних експертиз, виявленонайбільш часті недоліки та визначено причини їх виникнення

Age-depending peculiarities of ultrastructural myocardium changes caused by experimental hyperuricemia and its combination with hypercholesterolemia

Gladii O., Bodnar Ya., Gudyma A., Trach Rosolovska S. Age-depending peculiarities of ultrastructural myocardium changes caused by experimental hyperuricemia and its combination with hypercholesterolemia. Journal of Education, Health and Sport. 2016;6(11):584-591. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.198743 http://ojs.ukw.edu.pl/index.php/johs/article/view/4055       The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.11.2016. Revised 22.11.2016. Accepted: 30.11.2016.   UDC 616.127-091.8-02:616.153.857/.922]-092.9   age-depending peculiarities of ultrastructural myocardium changes caused by experimental hyperuricemia and its combination with hypercholesterolemia   Olena Gladii, Yaroslav Bodnar, Arsen Gudyma, Svitlana Trach Rosolovska   State Higher Educational Establishment “Ternopil I.Ya.Horbachevsky State Medical University”, Ternopil, Ukraine   Summary Ultrastructural myocardial changes are the first signs that let characterizing morphological features of various pathological processes morphogenesis, including metabolic cardiomyopathy. It was defined that in animals of pubertal period hyperuricemia and its combination with hypercholesterolemia led to myocardial hyperfunction, which manifested mainly by hyperplasia of different cellular ultrastructures. Among adult animals in modelled metabolic deviations could be noted degenerative myocardial changes that appeared as partial or total organelles destruction. Key words: myocardium, hyperuricemia, ultrastructure, experiment

The hystological and morphometrical analisys of structural changes of the autonomous nerves of the urinary bladder wall in women of early and late menopausal periods.

The overactive bladder is a current issue in world urology research. The morphology patterns are not well investigated yet, especially in menopausal women. Objective. The study presents the results of investigation of qualitative and quantitative changes in autonomous nervous system of the urinary bladder wall in case of its dysfunction in women of early and late menopausal periods. Methods. The study was performed on detrusor specimens of 12 autopsied women with overactive bladder diagnosed before their death. The modified Falk’s method was used for biogenic amines detection. It is based on catecholamines capacity to fluoresce in passing ultraviolet light. For investigation of cholinergic detrusor elements we used our own method, which is based on Crevier-Belanger’s one in Savay-Csillik’s modification – the thiolacetate acid hydrolysis by cholinesterase detects its activity in synapses zones and along all cholinesterase-positive nerve fibers as well. Results. The density of adrenergic and cholinesterase-positive nerve fibers in the urinary bladder wall in women of early menopausal period were decreased on 29,46% and 25% (p<0,05) from control respectively, which means a slight prevalence of parasympathetic innervation. In the late menopausal period the density of adrenergic fibers in this group decreased significantly on 51,16% and 30,77% comparing the control and early menopause groups respectively. The density of the cholinesterase-positive fibers decreased significantly on 30,56% comparing the control group, but the difference between early and late menopause periods was not significant statistically. Conclusion. The progressive sympathetic and parasympathetic denervation of the urinary bladder was detected as well as its dependence of the menopause period. The prevalence of parasympathetic innervation is proven by quantitative analysis. The main factors are the degenerative changes of the autonomous nerves as well as the sclerosis of the parenchyma and the microcirculatory channel system

Насильство у сім’ї: судово-медичні та судово-психологічні аспекти

The article reveals the content of the concept of "domestic violence", relevance, psychological, medical and social significance of the problem. Special attention is drawn to the need for detailed study of all components of this phenomenon by analyzing the conditions, manifestations of various forms of violence, which will allow a more detailed and objective approach to address issues relating to the mechanism and characteristics of the occurrence of injuries depending on the specified situations.Статья раскрывает содержание понятия "насилие в семье", актуальность, психологическую и медико-социальную значимость проблемы. Обращается внимание на необходимость подробного изучения всех составляющих, в т.ч. судебно-медицинских аспектов, данного явления путем анализа условий возникновения, закономерностей распределения, проявлений разных форм насилия, что позволит более детально и объективно подходить к решению вопросов касающихся механизма и особенностей возникновения повреждений в зависимости от определенных ситуаций.Стаття розкриває зміст поняття "насильство в сім’ї", актуальність, психологічну і медико-соціальну значимість проблеми. Наголошено на необхідності докладного вивчення усіх складових, у т.ч. судово-медичних аспектів, даного явища шляхом аналізу умов виникнення, закономірностей розподілу, проявів різних форм насильства, що дозволить більш детально і об’єктивно підходити до вирішення питань щодо механізму і особливостей виникнення ушкоджень, залежно від означених ситуацій