Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 80
Wiad Lek ; 75(6): 1699-1704, 2022.
Article in English | MEDLINE | ID: covidwho-1994974


OBJECTIVE: The aim: The study aims to develop ways of solving the social and legal problems of vaccination against COVID-19, showing them the example of Ukraine before and after the beginning of the active phase of Russian aggression. PATIENTS AND METHODS: Materials and methods: The study is based on international documents and legal acts adopted to combat the COVID-19 epidemic, the survey results of 165 ordinary Ukrainians on vaccination, interviewing health care organizers; statistical information, and content analysis of the media on vaccination, as well as ways of avoiding it. Dialectical, analytical-synthetic, system-structural methods, as well as methods of content analysis, questionnaires, interviews, and included observation, were used. CONCLUSION: Conclusions: Ways of overcoming the adverse socio-legal problems of vaccination and related background phenomena are to conduct quality information campaigns to inform the public about the benefits and safety of vaccination, counter misinformation, increase the availability of vaccines with a choice of vaccines from different manufacturers, and increase the effectiveness of criminal legal counteraction to forgery of documents confirming vaccination. After the imposition of martial law in Ukraine, there has been a change in the focus of public attention to solving vital problems, which, along with the transfer of anti-coronavirus restrictions to the status of recommendatory, creates danger of significant reduction in vaccination.

COVID-19 Vaccines , COVID-19 , COVID-19/prevention & control , COVID-19 Vaccines/therapeutic use , Human Rights , Humans , Ukraine , Vaccination
Br J Gen Pract ; 72(721): 386, 2022 08.
Article in English | MEDLINE | ID: covidwho-1988086
Pediatr Blood Cancer ; 69(9): e29769, 2022 09.
Article in English | MEDLINE | ID: covidwho-1981973


Due to the war in Ukraine, many children have been killed and those who suffer from severe diseases, such as oncological pathologies, are facing serious challenges as their treatment is interrupted. The objective of this report is to describe one of the first Italian humanitarian expeditions launched to rescue children and their families to provide them with the best possible cancer care. The Pediatric Oncology Unit of Turin has welcomed 60 Ukrainians who are patients, caregivers and siblings. This report underlines the activities that have been implemented to offer this new type of patient the best possible care.

Medical Oncology , Neoplasms , Caregivers , Child , Ethnicity , Humans , Neoplasms/therapy , Ukraine
Wiad Lek ; 75(6): 1592-1595, 2022.
Article in English | MEDLINE | ID: covidwho-1975858


THE AIM: To analyze the activities of a medical institution in providing medical care to the children's population. One of the priorities of the work of the Poltava Children's City Clinical Hospital team is close cooperation and contact with the National Health Service of Ukraine under the program of medical guarantees. Since March 2020, on the basis of the Pediatric Department No. 1, infectious and diagnostic beds have been opened for medical care for patients with COVID-19 for residents of the city of Poltava and the Poltava region, which are 100% equipped with a centralized oxygen supply. The main principles for the effective formation and implementation of the strategic tasks of the hospital are: a programmatic and targeted approach to the management of the institution, the implementation of state, regional and local programs. It is important to form a financial, personnel, material and technical plan, to determine the economic efficiency of the measures taken. The main strategic directions of the hospital are active work on the formation and signing of packages of medical guarantees for 2022 with the National Health Service of Ukraine, carrying out analytical work to comply with quality standards during the treatment and diagnostic process. Important is the high level of surgical activity in the surgical departments with the implementation of modern surgical interventions.

COVID-19 , Child Health Services , State Medicine , Child , Delivery of Health Care , Humans , Ukraine
Wiad Lek ; 75(5 pt 2): 1261-1267, 2022.
Article in English | MEDLINE | ID: covidwho-1912740


OBJECTIVE: The aim: To study the emotional impact of the COVID-19 pandemic on healthcare workers in Ukraine. PATIENTS AND METHODS: Materials and methods: 1087 healthcare workers across all regions of Ukraine completed an online questionnaire. Respondents were divided into two groups: A - 863 (79.4%), В - 224 (20.6%), according to whether or not they experienced anxiety/fear related to COVID-19. RESULTS: Results: Such factors as risk of contracting COVID-19, news of new cases, insufficient staff in healthcare facilities, risk of transmission of COVID-19 to family or friends, risk of death from COVID-19, the threat of the spread of the COVID-19 pandemic were associated with high level of anxiety/fear among healthcare workers. Factors that facilitate coping with stress included absence of Covid-19 cases among staff, recovering patients, availability of gear and protective equipment and absence of COVID-19 infected among loved ones, relieving stress (relaxation, going info sports and so on), communication with family and friends to relieve stress and get support, avoidance of COVID-19 media reports in particular on deaths connected cases, getting information about the spread of Covid-19 only from legitimate sources. CONCLUSION: Conclusions: The data obtained in this study indicate an urgent need for the development and implementation of preventive and rehabilitation measures aimed at stabilizing the psycho-emotional state of health workers and improving the quality of care in the special conditions of the COVID-19 pandemic. Achieving these goals will be facilitated by taking into account the specifics of the response to COVID-19 and measures to reduce the effects of stress while enhancing the effects of stressors among health care workers.

COVID-19 , Adaptation, Psychological , COVID-19/epidemiology , Health Personnel/psychology , Humans , Pandemics , Ukraine/epidemiology
Br J Gen Pract ; 72(720): 334, 2022 07.
Article in English | MEDLINE | ID: covidwho-1911751
Lancet Oncol ; 23(7): 845-847, 2022 07.
Article in English | MEDLINE | ID: covidwho-1907914
Br J Nurs ; 31(11): S6-S7, 2022 06 09.
Article in English | MEDLINE | ID: covidwho-1903907
Pediatr Int ; 64(1): e15225, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1901820


BACKGROUND: Home mechanical ventilation (HMV) prolongs survival in patients with Duchenne muscular dystrophy (DMD) until ±35 years of age. This study evaluates the implementation of a HMV pilot project in children with DMD in Ukraine. METHODS: Children with DMD were invited to Kirovograd Regional Children's Clinical Hospital, Kropyvnytskyi, Ukraine, for 5 days' training with non-invasive ventilation. Donated equipment comprised second-hand Covidien PB560 ventilators from Belgium. Due to the absence of carbon dioxide pressure and pulse oximetry monitoring, indications for HMV included sleep-related symptoms, restrictive lung function test, loss of ambulation for more than 1 year, or age greater than 17 years. Master class lectures on HMV were conducted for Ukrainian doctors in conjunction with patient training. RESULTS: Twelve Ukrainian physicians took part in face-to-face master classes and 50 Ukrainian physicians participated in online master classes. Simultaneously, eight Duchenne inpatients, mean age 15.4 (SD: 1.8) years and body mass index 25.8 (SD: 4.0), were included in the study. All patients chose nasal masks and volume-pressure-assisted control mode. After 6 weeks, one patient stopped HMV, two others used HMV partially during sleep, and 5/8 used nocturnal HMV increasingly with few complaints. Follow up via phone call was organized after hospitalization. CONCLUSIONS: Implementation of HMV is feasible in DMD inpatients in Ukraine. In the short term, the Ukrainian parliament should recognize official centers for HMV, and define the funding policy of equipment for HMV, and its maintenance. Local distributors should deliver equipment for HMV and devices for monitoring carbon dioxide pressure and pulse oximetry in specialized centers for HMV.

Muscular Dystrophy, Duchenne , Respiration, Artificial , Adolescent , Carbon Dioxide , Child , Humans , Muscular Dystrophy, Duchenne/therapy , Pilot Projects , Retrospective Studies , Ukraine
PLoS Med ; 19(5): e1004007, 2022 05.
Article in English | MEDLINE | ID: covidwho-1886980

Armed Conflicts , Humans , Ukraine
Int J Environ Res Public Health ; 19(12)2022 06 08.
Article in English | MEDLINE | ID: covidwho-1884170


Russia's military incursion into Ukraine triggered the mass displacement of two-thirds of Ukrainian children and adolescents, creating a cascade of population health consequences and producing extraordinary challenges for monitoring and controlling preventable pediatric infectious diseases. From the onset of the war, infectious disease surveillance and healthcare systems were severely disrupted. Prior to the reestablishment of dependable infectious disease surveillance systems, and during the early months of the conflict, our international team of pediatricians, infectious disease specialists, and population health scientists assessed the health implications for child and adolescent populations. The invasion occurred just as the COVID-19 Omicron surge was peaking throughout Europe and Ukrainian children had not received COVID-19 vaccines. In addition, vaccine coverage for multiple vaccine-preventable diseases, most notably measles, was alarmingly low as Ukrainian children and adolescents were forced to migrate from their home communities, living precariously as internally displaced persons inside Ukraine or streaming into European border nations as refugees. The incursion created immediate impediments in accessing HIV treatment services, aimed at preventing serial transmission from HIV-positive persons to adolescent sexual or drug-injection partners and to prevent vertical transmission from HIV-positive pregnant women to their newborns. The war also led to new-onset, conflict-associated, preventable infectious diseases in children and adolescents. First, children and adolescents were at risk of wound infections from medical trauma sustained during bombardment and other acts of war. Second, young people were at risk of sexually transmitted infections resulting from sexual assault perpetrated by invading Russian military personnel on youth trapped in occupied territories or from sexual assault perpetrated on vulnerable youth attempting to migrate to safety. Given the cascading risks that Ukrainian children and adolescents faced in the early months of the war-and will likely continue to face-infectious disease specialists and pediatricians are using their international networks to assist refugee-receiving host nations to improve infectious disease screening and interventions.

COVID-19 , Communicable Diseases , HIV Infections , Adolescent , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19 Vaccines , Child , Communicable Diseases/epidemiology , Female , HIV Infections/epidemiology , Humans , Infant, Newborn , Pregnancy , Ukraine/epidemiology
Anaesth Crit Care Pain Med ; 41(3): 101062, 2022 06.
Article in English | MEDLINE | ID: covidwho-1881591
Lancet ; 399(10341): 2084-2086, 2022 06 04.
Article in English | MEDLINE | ID: covidwho-1878428