Electronic Ternopil region: state and prospects of development

Тотальне запровадження та розвиток електронного урядування покликані сприяти системному реформуванню усіх рівнів державного управління та місцевого самоврядування в Україні у світлі європейського вибору нашої держави. У статті досліджено практичне втілення програмних документів щодо розвитку електронного урядування на прикладі Тернопільської області. Висвітлено роль державних та волонтерських проектів у побудові ефективної системи взаємодії органів влади і громадськості з використанням інформаційно-комунікаційних технологій. Встановлено, що попри значні здобутки Тернопільщини у запровадженні е-послуг і е-демократії, зусилля владних органів повинні бути більше зосереджені на вирішенні потреб суспільства.The total introduction and development of e-governance are promoted to systemic reform of all levels of state administration and local self- governance in Ukraine towards the European choice of our state. The practical implementation of program documents as for development of e-governance on the example of the Ternopil region has been investigated in the article. The role of state and volunteer projects in building an effective system of interaction between bodies of power and the public with using of information and communication technologies has been highlighted. It has been established that despite the significant achievements of Ternopil region in the introduction of e-services and e-democracy, the efforts of power bodies should be more focused on satisfying society needs

Function of external respiration in patients after kidney transplantation under conditions of immunosuppressive therapy.

The aim of our study was to evaluate the changes in the parameters of the function of external respiration in patients after kidney transplantation due to chronic kidney disease and to assess the relationship between the level of cyclosporin A and tacrolimus in the blood with FVD indices. The study included 37 patients after kidney transplantation. The first group included 27 patients who received cyclosporine at an average dose of 225 [175-350] mg/day under the immunosuppressive therapy regimen, the second group included 10 patients who received tacrolimus at an average dose of 8.25 [5.0-9.0] mg/day. A significant difference (p˂0.05) between the indicators of the VCmax (78 [71-90]% and 76.5 [72-78]%), FVC (93 [85-99]% and 95 [91-98]%), PEF (82 [64-94]% and 80 [69-84]%), MEF25-75 (75 [66-112]% and 82.5 [67-90]%) was found in patients of the first and second groups relative to the FVD of the comparison group: VCmax (102.5 [98-113]%), FVC (107.5 [105.5-124]%), PEF (99.5 [95-102.5]%), MEF25-75 (98.5 [97.5-101.5]%). In both groups, a statistically significant negative correlation between the indicators of the VCmax, FVC and the level of cyclosporin A (R=-0.69, p<0.0001 and R=-0.4, p<0.037) in the blood in the first group and FVC and tacrolimus (R=-0.72, p<0.018) in the second group was found. A moderate decrease in the VCmax values in patients after kidney transplantation requires monitoring of the function of external respiration and managing such patients by nephrologists together with specialists in the pulmonological profile