Patient-centered approach to the management of acute kidney injury in the Covid-19 outcomes.

OBJECTIVE: Aim: To identify patients at risk of AKI with severe COVID-19 and to guide management strategies according to national and global scientific data for improving kidney-related outcomes. PATIENTS AND METHODS: Materials and Methods: We conducted retrospective study case-control analysing cases of hospitalisation patients with COVID-19 with or without AKI during hospital stay. RESULTS: Results: In the study, we found that there was a positive correlation between AKI and respiratory insufficiency (0,513 - moderate, p<0,0001), moderate in the case of AKI grade 2 (0.301, <0,001) and mild in the case of AKI grade 1 and 3 correspondingly (0.252, p<0,01; 0.277, <0,001). Lethality (in-hospital death rate) correlated with respiratory insufficiency and AKI (0.733, 0,617; p<0,0001). We found that age had a reverse correlation with AKI and RI (younger patients were more likely to have a higher prevalence of AKI and RI, p<0,001). It was noticed that AKI correlated with the minimal albumin level (-0,35, p=0,016), minimal lymphocyte count (-0.377, p<0,0001), IL-6 (0.201, p=0,035), ferritin (0.34, p <0,0001), maximal CRP (0.439, p<0,0001). There was a mild correlation between Padua Score and AKI (0,232, p<0,01) and PLRI (0,172, p=0,05). CONCLUSION: Conclusions: Early assessment of renal dysfunction could be used as a marker of severe outcomes of COVID-19, especially in the case of comorbidities such as metabolic disorders and cardiovascular events. We suggest using the Padua score, assessment of personal lethality risk index (PLRI), and rise of serum creatinine as additional tools for assessment criteria for hospitalisation.

SELF-ASSESSMENT OF THE CONTENT OF THE PUBLIC HEALTH MASTER'S EDUCATIONAL PROGRAM FOR COMPLIANCE WITH THE EUROPEAN PUBLIC HEALTH CORE COMPETENCES PROGRAMME.

OBJECTIVE: The aim: Determining the compliance of the developed Public Health Educational Program with the principles and basic provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region. PATIENTS AND METHODS: Materials and methods: The study used bibliographic and information-analytical methods and content analysis. A comparative analysis compliance of the content of the Public Health Master's Educational Program, developed in Bogomolets National Medical University, with the provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region in terms of providing academic disciplines in the ECTS credits (European credit transfer and accumulation system), has been carried out. RESULTS: Results: Comparative analysis of the components of the University Public Health Master's Educational Program and regulations of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region has identified a high level of their compliance in all areas of competence formation, including science and practice, health promotion, legislation, policy, ethics, common health and safety in health, leadership and operational mind-set, cooperation and partnership, communication, culture and advocacy, strategic and resource management, professional development, organizational training and adaptability. The competence-based educational program provides future professionals with theoretical knowledge and practical skills for a clear understanding of public health problems, a reasonable choice of methods for solving them, taking into account modern practices; forming partnerships, effective communication and cooperation on a cross-sectoral basis, developing leadership skills, organizing and providing people-centred public health services. CONCLUSION: Conclusions: Self-assessment of the content of Public Health Master's Educational Program for compliance with European educational standards for the formation of the necessary competencies is an important tool for its quality formation and improvement. A comparative analysis of the university's Public Health Master's Educational Program, with the European Competency Framework for Public Health Workforce, has identified a high level of compliance.

Prevalence of bad habits among students of the institutions of higher medical education and ways of counteraction.

OBJECTIVE: Introduction: The relevance of scientific research is determined by the significant importance of lifestyle in preserving and strengthening the health of the population especially young people what determines the future of any society. Among the numerous youth lifestyle characteristics, particular attention is paid to behavioral factors, including the presence of bad habits. Data of scientific publications indicate a significant prevalence in student environment of tobacco-smoking, consumption of alcohol and other manifestations of unhealthy behavior, which are powerful factors of the risk of developing non-communicable diseases, injuries and other health disorders. One of the most important tasks is the formation and establishment of a healthy lifestyle among medical students, because in the future they will not only treat patients, but also carry out professional activities for the prevention of diseases and risk factors for their development, correcting and overcoming already existing risk factors. Doctors must be conscious supporter of healthy lifestyle and serve as a role model for their patients. The aim: To identify the features of prevalence of tobacco use, alcohol and energy drinks among medical students and justify ways of counteraction based on the results of own sociological research, scientific literature, WHO program and strategic documents. PATIENTS AND METHODS: Materials and methods: An anonymous questioning was covered 948 students of institutions of higher medical education including 34.5% of men and 65.5% women. It had been used bibliosemantic, sociological and medical-statistical methods. The information base of the study included program and strategic documents of WHO, sources of scientific literature, data of own research. Statistical processing of the obtained results was carried out using generally accepted medical statistics methods using licensed programs (SPSS, STATA, Statistica 10.0 and MS Excel XP). RESULTS: Results: The results of the study indicate a sufficient significant prevalence in the student environment of tobacco, alcohol and energy drinks. Third part of students consumes tobacco, of which 15.2 per 100 respondents are regular smokers with experience, 9.3 per 100 respondents smoked 10 or more cigarettes a day. A new negative trend is the use of hookah by almost half of the interviewed students and consumption of electronic cigarettes (8.5 per 100 respondents), what must be taken into account when substantiating counteraction ways. Three quarters of the respondents consume alcohol. Despite the prevailing consumption of low-alcohol beverages and wine by respondents, every seventh of the respondents consumes strong drinks. The reason for the worrying is the fact that 13.6 ± 4.7 in 100 respondents combine the consuming of energy drinks with alcohol. By 4.9 per 100 students interviewed, energy drink increases the desire to drink alcohol. CONCLUSION: Conclusions: The revealed connection between tobacco, alcohol and energy drinks consumption among medical students proves the need for an integrated approach to reduce the prevalence of risk factors in the context of a healthy lifestyle.