Training Of Medical Personnel Research Articles

First experience of endovascular balloon occlusion of the aorta in the wounded with hemorrhagic shock during the war in Ukraine

Background. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is used worldwide to stop bleeding in trauma and wounds in patients with hemorrhagic shock. REBOA allows for the hemodynamic stabilization, patient transportation and final bleeding control. The study aims to demonstrate the capabilities of REBOA as a method of bleeding control in the wounded with hemorrhagic shock in the context of war in Ukraine. Materials and methods. Five AFU servicemen who sustained mine-blast wounds in the Eastern Ukraine as a result of shelling by Russian troops were delivered with signs of internal bleeding and hemorrhagic shock to the primary and secondary levels of medical care (Role 1, 2). The REBOA balloon catheter was inserted and inflated by surgeons working in stabilization centers or advanced surgical teams. Upon admission, all patients underwent chest and abdominal ultrasound according to the FAST protocol. We used COBRA-OS 4 Fr and ER-REBOA 7 Fr balloon catheters. The positioning of the balloon in the aorta was performed according to external anatomical landmarks (3 cases) and ultrasound (2 cases). In all clinical cases, the balloon catheter was placed in zone I. In one case, the balloon was moved from zone I to zone III (control of the source of bleeding). The duration of aortic occlusion ranged from 15 to 50 minutes. Immediately after removal of the introducer, manual compression of the puncture site was used (3 cases) or suturing of the arteriotomy (2 cases). Results. The sources of bleeding in our clinical cases were injuries of the iliac vessels (2 cases), the renal artery (1 case), and injuries of the inferior vena cava and liver (2 cases). Four patients were evacuated to a higher level of medical care after the REBOA was installed. In one case, there were complications from vascular access (femoral artery thrombosis). We were unable to save one wounded soldier, most likely due to the delay in evacuation from the previous stage, the severity of injury, and massive blood loss. Conclusions. As our observations have shown, the use of REBOA in combat conditions allows not only to stabilize hemodynamics in the wounded with severe combined trauma and bleeding but also to conduct a successful evacuation to a higher level of medical care to stop bleeding ultimately. REBOA can be successfully used at the prehospital stage. This requires clearly defined indications for the technique’s use, training of medical personnel, and provision of balloon catheters to medical units of the Armed Forces of Ukraine.

Personnel reserve: training of medical personnel

In the article we consider the existing approaches to the training of nursing staff. The study is based on the analysis of scientific literature, regulatory legal acts regulating the activities of nursing staff and their own supervision of the work of an educational institution and the work of young staff.

Artificial Intelligence in the U.S. Military Health System: Forging a New Frontier for Clinical Care and Efficiency

ABSTRACT The Military Health System (MHS) has historically been at the forefront of innovation in medicine and science, but it has also historically struggled to implement battlefield innovations or civilian technologies for wider domestic use. Artificial intelligence (AI) has emerged as a transformative force in health care with civilian health systems and institutions at the forefront of these innovations. While these tools have the potential to support resolution of military health’s most pressing issues, the MHS is behind its civilian counterparts in advancing AI. Adoption of AI could benefit the MHS in such areas as service member and beneficiary access to care; more precise allocation of medical personnel and resources; improved operations of military treatment facilities; early detection of emerging threats to health; and force multiplication of existing telehealth capabilities. This evolving and highly visible technology also presents challenges in the military context above those in the civilian context, such as additional levels of privacy and security, integration with purpose-built secure systems, and additional regulatory obligations. To address these, the MHS should engage in three lines of effort to advance AI: establishing governance, education and training of medical personnel, and engaging in research, development, testing, and piloting of AI applications. This will require dedicated personnel and resources for a substantial initial outlay to be recouped later through more effective administration and care. By leveraging lessons learned from civilian systems, the MHS can design, adopt, and implement AI solutions to improve care for service members in both domestic and operational contexts, and for their beneficiaries.

The Experience of Teaching the Discipline "Phantom Course" for the 6th Year Students

Simulation courses play an important role in the development of professional competencies, emotional and communicative skills of future medical professionals. Constant feedback from students after completing the training of simulation courses allows updating the methodology of mastering practical and clinical skills in order to ensure a high level of training of medical personnel.

Current Problems and Prospects for Training Mid-Level Medical Workers for the Palliative Care System

In the context of the growing need for palliative medicine, it will probably be necessary to reorganize the existing system of training of mid-level medical personnel, include a course on palliative medical care in the curriculum of institutions of secondary vocational education, and introduce active teaching methods. Therefore, an important area is the training and education of medical workers providing palliative care, including nursing staff to provide nursing care for terminally ill patients.

Historical aspects of the creation and development of university clinics (literature review)

The study is relevant due to the special role of university clinics in maintaining and strengthening public health, since these medical institutions provide training future doctors, conduct clinical and scientific activities, develop and test advanced treatment methods. A systematic review of the literature sources (original research and reviews) selected using bibliographic and semantic search in the databases MedLine, The Cochrane Library, Global Health, Cyb,erLeninka, RSCI, devoted to the historical aspects of the creation and development of university clinics. The authors studied the specifics of the activities of university clinics, searched for solutions to the problem of improving the efficiency and quality of both medical and educational processes of their life. Despite the fact that university clinics originated in different ways, the main models of their activities are highlighted in the form of a single educational, scientific, and medical complex, which allows training of medical personnel at a qualitatively different level, providing practice-oriented training, as well as the possibility of developing scientific achievements of medical science. The literature data provided by the authors indicate university clinics today to be centers of advanced practical and scientific experience in providing medical care of the population. The study of historical patterns of development of university clinics makes it possible to use the most successful experience of their management in the structure of an educational institution and develop requirements that a university clinic must meet at the present stage to ensure strategic sectoral tasks of the state health system both within the framework of training medical personnel and in ensuring the process of providing medical care of the population in the Russian Federation.

Identifikasi Penyakit Protozoa Terhadap Manusia

Protozoa is a microscopic, one-cell organism that belongs to the protista group. Some protozoa species are pathogenic and can cause a variety of serious diseases in humans, which are often spread through water, contaminated food, or vectors such as mosquitoes and flies. Diseases caused by protozoa, such as malaria, amebiasis, giardiasis, and leishmaniasis, have a significant impact on public health, especially in developing countries with poor sanitation and limited health systems. This research uses a method (literature review) with a keyword search for articles on protozoa disease against humans in the context of articles in Indonesia. Data collection techniques using search processes in Google Scholar Research results show that increased awareness, education, and training for medical personnel are also important to ensure that protozoa infections can be diagnosed and treated effectively, thus minimizing the impact of the disease on society. Overall, the study emphasizes the importance of sanitation, personal hygiene, health education, routine screening, and vector control to reduce the prevalence of intestinal protozoa infections and improve the health of people with weakened immunity

The Role of the Simulation Center in Conducting and Preparing for the Olympiads in Surgical Specialties Among Residents

The simulation center plays an important role in training medical personnel. The All-Russian Interdisciplinary Olympiad among residents has been held for two years at the A.V. Vishnevsky National Medical Research Center of Surgery. Pros: immersion in the specialty, working through surgical interventions, improving hand motor skills, communication between educational institutions. Cons: high workload for students, high costs for preparing competitions. Organizing and holding Olympiads in a simulation center is a progressive stage in training medical personnel in surgical specialties.

Research activity of the kyiv anatomical school: from origins to the present day

The history of the Department of Human Anatomy at the O. O. Bogomolets National Medical University demonstrates the significant contribution of prominent individuals to the development of Ukrainian anatomy, who devoted their lives to scientific and educational work, nurtured successors, and passed on their knowledge and experience. Invaluable contributions to the advancement of anatomical science were made by scholars who facilitated the refinement of research methods, the development of innovative technologies, and practical applications of acquired knowledge. The anatomical school of Kyiv distinguished itself by establishing the key principle of the interdependence of form and function, leading to the integration of theory and practice into a unified system. This was a crucial step towards further progress in the field of human body structure and function science. Such an approach allowed the merging of theoretical knowledge with practical reality, enhancing the more effective utilization of acquired data in medical practice. Anatomical science is constantly evolving and changing. Scientists not only enhance objective research and diagnostic methods but also make significant contributions to conducting clinical studies and developing innovative treatment techniques. An essential aspect of anatomy development is its connection to the practice of Ukrainian healthcare. Advances in anatomy contribute to improving the quality of medical services and ensure more effective patient treatment. Anatomy experts continue to work on improving education methods and medical personnel training to secure the future health and well-being of the nation. The Ukrainian anatomical school continues to evolve and maintain high standards in the field of medical science, providing a comprehensive approach to studying the structure and functions of the human body. Its achievements and contributions to the advancement of global anatomical science are of utmost importance to the medical community and society as a whole.

Analyzing unmanned aerial vehicle (drone) attacks; a disaster medicine perspective

IntroductionUnmanned aerial vehicles (UAVs), more commonly known as drones, have rapidly become more diverse in capabilities and utilization through technology advancements and affordability. While drones have had significant positive impact on healthcare and consumer delivery particularly in remote and austere environments, Violent Non-State Actors (VNSAs) have increasingly used drones as weapons in planning and executing terrorist attacks resulting in significant morbidity and mortality. We aim to analyze drone-related attacks globally against civilians and critical infrastructure for more effective hospital and prehospital care preparedness. MethodsWe retrospectively reviewed the Global Terrorism Database (GTD) from 1970 to 2020 to analyze the worldwide prevalence of drone-related attacks against civilians and critical infrastructure. Cases were excluded if they had insufficient information regarding a drone involvement, and if attacks were conducted by the government entities. The trends in the number of attacks per month, as well as the number of fatalities and injuries, were examined using time series and trend analysis. ResultsThe database search yielded 253 drone-related incidents, 173 of which met inclusion criteria. These incidents resulted in 92 fatalities and 215 injuries with civilian targets most commonly attacked by drones (76 events, 43.9%), followed by military (46 events, 26.5-%). The Middle East region was most affected (168 events, 97% of attacks) and the Islamic state of Iraq was the most common perpetrator (106 events, 61.2%). Almost all attacks were by explosive devices attached to drones (172 events, 99.4%). Time series with linear trend analyses suggested an upward trends of drone attacks by VNSAs, resulting in a greater number of injuries and fatalities, that became more frequent over the years. ConclusionsOvertime, there were upward trends of drone attacks, with higher lethality and morbidity. There were more injuries compared to fatalities. Most common region affected was the Middle East, and most common type of weapon employed by drone technology was explosive weapon. Investment in medical personnel training, security, and research is crucial for an effective mass-casualty incident response after the drone attacks.

ANALYSIS OF HEALTHCARE QUALITY IN THE ERA OF DIGITALIZATION: CHALLENGES AND OPPORTUNITIES

Digitalization offers numerous opportunities to improve the quality of health services. This study aims to analyze the impact of digitalization on the health services, identify the challenges faced in the implementation of digital technology, and explore the opportunities offered by digitalization in improving the health service quality. A qualitative approach is used to understand the perspectives and experiences of patients and medical personnel towards digitalization. Quantitative analysis is carried out using descriptive and inferential statistics to identify trends and patterns in the data. Thematic analysis techniques are used to identify the main themes and categories that emerged from the interview and observation data. Digitalization has a significant impact on the quality services, both positive and negative. To maximize the benefits of the digitalization, efforts are needed to address existing challenges, including increasing access to digital technology and strengthening data security and privacy, and providing training and support for medical personnel. Further research is needed to explore how digital technology can be used to improve health services and provide recommendations to overcome existing challenges.

Modern model of nurse activity in a multi-profile hospital

Considering the knowledge acquired both at the basic level and through continuous education and the skills developed over the years, the level of training of medical personnel has increased. This allows delegating part of the doctor’s powers to a nurse, thereby partially solving the problem of shortage of medical personnel.

Android-Based Drug Information Application Using Augmented Reality Technology

The use of Augmented Reality technology in the pharmaceutical sector, particularly in pharmacies, has introduced significant innovations in providing drug information to consumers. AR applications can help healthcare workers and patients better understand drug use through three-dimensional visualization superimposed on the real environment. Observations at Sultan Abdul Aziz Syah Peureulak Hospital indicate that 70% of patients still experience confusion regarding the drug information provided by pharmacy staff. This difficulty is caused by the complexity of the information, lack of personal interaction, or low health literacy. To address this problem, the Android-based Mediscan application was developed using AR technology. This application utilizes Unity and Vuforia Engine software to present drug information visually in card form via the smart device screen. Users can point the camera at a particular drug and receive complete information regarding general indications, dosage, drug class, contraindications, and side effects. This research aims to develop the Mediscan application, calculate the level of patient understanding, measure consumer satisfaction, and evaluate the impact of using AR in presenting drug information. The System Development Life Cycle methodology with the Waterfall model was used in this research. The results show that AR technology can be implemented in Android-based applications to present drug information visually and interactively. The majority of patients feel more informed and gain a better understanding of the medication they are taking. AR technology in the Mediscan application improves user experience, supports the education and training of medical personnel and patients, and enhances the quality of healthcare services in hospitals. This application also makes it easier for medical personnel and pharmacists to convey drug information more effectively and efficiently.

Экспертная оценка индикаторов и показателей для разработки модели цифровой зрелости первичной медико-санитарной помощи.

The research is devoted to the development of a model of digital maturity of primary health care in the Russian Federation. Through expert evaluation, key indicators and indicators of digital maturity were identified, which made it possible to create a comprehensive model for assessing the digital development of medical organizations. The main attention is paid to the functional capabilities of medical information systems and information and communication technologies that ensure high quality and accessibility of medical care. Aim: to conduct an expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care. This includes an analysis of existing indicators, identification of key indicators, their classification and assessment of significance for the formation of an objective model for assessing the digital maturity of medical organizations. Materials and methods. For a systematic assessment of the digital maturity of primary health care, a questionnaire was developed containing 6 indicators and 52 indicators reflecting various aspects of the digital maturity of the subjects of the Russian Federation. Regulatory documents, methodological guidelines and recommendations from experts in the field of medicine and information technology were studied. Experts assessed the importance of each indicator on a scale from 0 to 10 points, and the results of the assessments were classified to form the final model. Results. The expert assessment showed that the functionality of the medical information system is evaluated higher than the equipment of information and communication technologies. Key indicators, such as access to research results and telemedicine consultations, received high marks, indicating their importance for the digital maturity of medical organizations. The recommendations include updating the digital infrastructure, developing the functionality of the medical information system and improving the level of training of medical personnel. Conclusions: the study showed that in order to achieve a high level of digital maturity of PHC, it is necessary to pay attention to both the technical equipment and the development of the IIA functionality. An integrated approach, including updating the infrastructure and improving the digital literacy of medical personnel, will significantly improve the quality and accessibility of medical care. The proposed recommendations can serve as a basis for further planning of measures to increase the digital maturity of primary health care in the Russian Federation.

Influence of nursing services and facilities on the satisfaction level of BPJS Patients in the inpatient ward of Wajo health Center

Overview: The research conducted at the Wajo Health Center in Baubau City in 2023 aims to evaluate the impact of nursing services and facilities on the satisfaction of BPJS patients. Using an analytical cross-sectional approach, this study involved 42 patients selected through accidental sampling. Primary data were collected through survey questionnaires, while secondary data were obtained from the health center's medical records. Body of Knowledge: This study evaluates the influence of nursing services and health facilities on BPJS patient satisfaction as a key indicator of the effectiveness of the National Health Insurance. The research highlights the importance of improving service quality and health infrastructure to achieve equitable health coverage in line with the WHO's Universal Health Coverage goals. Methods: The study employed an analytical cross-sectional design at the Wajo Health Center in Baubau City from May to June 2023. Out of a population of 55 patients, 42 were selected via accidental sampling. Primary data were gathered through questionnaires and analyzed using univariate, bivariate, and Chi-Square statistical methods. Ethical considerations were maintained by ensuring informed consent, anonymity, and data confidentiality. Results: The majority of respondents were female (81%), predominantly aged 20-29 years (54.8%), and had a high school education (57.1%). Most were housewives (66.7%). There was a high level of satisfaction with nursing care (71.4%) and health facilities (81%). Bivariate analysis showed a significant relationship between satisfaction with nursing services (X² = 10.438, p = 0.005) and health facilities (X² = 12.101, p = 0.003) and BPJS patient satisfaction. Recommendation: It is recommended to enhance service quality through regular training for medical personnel to improve interpersonal and clinical skills. Periodic evaluations of health infrastructure are necessary to ensure reliability. Continuous support from management is required for ongoing improvements, ensuring that health service standards meet BPJS patient expectations.

The Role of Communication Skills in the System of Higher Medical Education of the Republic of Armenia

A high level of communication skills (CS) among health care workers increases adherence to treatment and improves treatment outcomes. The work clarifies and describes the existing barriers and difficulties in studying, teaching and assessing CS for future doctors, and suggests approaches to improving the educational process. Modern frameworks, models and teaching strategies have been studied to effectively integrate the didactic components of CS into the educational program. Particular attention is paid to the system of training medical personnel in Armenia.

Assessing Student Satisfaction When Using Virtual Reality Content on the Example of Injection Manipulations

The scientific substantiation of the effectiveness of the use of virtual simulation technologies in the system of training medical personnel will significantly improve the quality of the formation of practice-oriented competencies among students of medical universities.

Isu Etika dalam Pemanfaatan Tenaga Kesehatan Warga Negara Asing di Indonesia: Perspektif Keberlanjutan Pelayanan Kesehatan

The phenomenon of globalization has transformed the world's landscape, connecting nations, and inspiring the concept of Special Economic Zones (SEZs). The utilization of Foreign National Health Workers (FHNWs) has become a strategy to address the shortage of medical personnel and enhance healthcare services, particularly in remote regions. However, the implementation of this policy also faces several ethical, cultural, and linguistic challenges. The ethical aspect takes center stage in the utilization of FHNWs. Patient rights, professionalism, and cross-cultural collaboration are crucial focal points in healthcare service practices. Despite its benefits, the utilization of FHNWs encounters communication hurdles, especially when the employed language is unfamiliar. Additionally, the integration of local cultural values becomes a pivotal aspect in delivering sensitive and patient-centered care. This paper analyzes policy documents related to the utilization of Foreign National Health Workers (FHNWs) in Indonesia through normative and predictive approaches. The objective is to comprehend the concepts and regulatory implementations concerning the ethics of FHNW utilization within the context of Indonesian healthcare services. The phenomena of globalization and efforts to expedite economic growth through Special Economic Zones (SEZs) have influenced these policies. The analysis involves various policy documents relevant to FHNW utilization. In facing the ethical dilemmas arising in the practice of healthcare services by foreign medical personnel, it is imperative for them to adapt to the local culture without compromising the principles of medical ethics. Moreover, competition within the job market and cultural disparities between foreign and local medical personnel also present challenges that need to be addressed. In dealing with competition, a holistic approach involving the government, relevant institutions, and professional training for local medical personnel is required. Overall, the utilization of FHNWs holds potential benefits in addressing medical workforce shortages and enhancing healthcare access. However, this utilization must be carried out with ethical responsibility, respecting patient rights, and considering cultural and professional aspects. With a prudent approach, the utilization of FHNWs can contribute to improving the quality of healthcare services and the well-being of local medical personnel, in line with ethical principles and national interests.

The history of the institute of higher and additional professional education of the Endocrinology Reserch Centre

The Endocrinology Reserch Centre is proud not only of its achievements in the area of personalized approach to the examination and treatment of patients in accordance with the principles of evidence-based medicine, the use of modern diagnostic and treatment technologies, but also of its rich history of training scientific and medical personnel. For many years theCenter has been attracting the best and most talented graduates of higher medical institutions, becoming the "alma mater" for young doctors - endocrinologists, pediatric endocrinologists and nutritionists. Specialists, graduates of NMRC, make a significant contribution to the development of medicine, conducting research, creating innovative methods of treatment and helping patients not only in our country, but also abroad. However, the State Research Center of the Russian Federation FGBU «NMRC Endocrinology» is famous not only for its high-quality and comprehensive training, but also for its experienced, dedicated teaching staff, giving students unique opportunities for professional growth. The purpose of this article is to reflect the most important milestones in the development of education at NMIC Endocrinology, which began its formation more than a century ago, during the most difficult period of transition for our country.

Financial aspects of healthcare development

The topic of financial support for the development of healthcare is especially relevant today due to the fact that public health is the key to the successful functioning of the state system. The article examines the key areas of health care development and analyzes the expenditures of the budgets of the budgetary system of the Russian Federation on health care. The transformations in the healthcare system are aimed at optimizing the work of medical organizations providing primary health care, forming a system of continuous training of medical personnel and forming criteria for assessing the quality and accessibility of medical care.