Primary Healthcare Under Transformation in 3 Eastern European Countries: Quality Satisfaction as Rated by Students

Ahiyevets Sviatlana,Shpakou Andrei,Baj-Korpak Joanna,Kleszczewska Ewa,Rzatkiewicz Katarzyna,Mancewicz Krzysztof,Stetsenko Valentina,Stetsenko Semen 질병관리본부 2020 Osong Public Health and Research Persptectives Vol.11 No.5

Objectives This study aimed to determine the reasons for student dissatisfaction with the quality of primary healthcare (PHC) in countries under healthcare system transformation (Belarus, Poland, and Ukraine) to identify reserves and make improvements. Methods A comparative multipopulation survey was translated, verified, and completed during face-to-face interviews during March 2019 to May 2019. There were 700 Humanities students included in this study to determine satisfaction with the quality of PHC provided by the family doctor. Satisfaction was assessed according to the availability of the doctor, the level of organization of the institution, the service process, the quality of the interaction with the doctor, adherence to the rights of patients, and any additional financial expense incurred by the patient. Results Politeness and attentiveness of doctors were rated highly. Dissatisfaction was associated with the negative attitude of medical personnel towards the patient. One in 10 respondents replied that medical confidentiality was not observed. More than 65% of students had paid for diagnostic tests/or treatments, and some respondents from Poland and Ukraine were asked by the doctor to pay for services without a receipt. Conclusion Dissatisfaction with the quality of PHC in countries under transformation of the health system was largely due to ethical aspects of the doctor-patient relationship. Therefore, ethical standards need to be upheld and patients need to be aware of these standards using medical education materials covering the moral aspects of the relationship between medical personnel and patient.

Safety of EEG BIS-guided nurse-administered procedural sedation during gastro-intestinal intervention

Alexander Oh,Sviatlana Vasileuskaya,Nabil Kibriya,Paula Puro,Damian Mullan,Hans-Ulrich Laasch 소화기인터벤션의학회 2024 International journal of gastrointestinal interven Vol.13 No.1

Background: Sedation remains a subject of contention and anxiety for many interventional teams. We reviewed our outcomes of electroencephalographic (EEG) bi-spectral index sensor (BIS) guidance, which allowed us to transfer the role of the sedation practitioner to the interventional radiology nurses. Methods: In total, 150 consecutive cancer-related interventional procedures were collected prospectively at a tertiary center. All patients were given 4 L oxygen via a nasal cannula and had conscious sedation administered by two trained interventional nurses. In addition to standard monitoring, frontal lobe EEG BIS monitoring was used. The initial amount of midazolam or fentanyl administered were dependant on the patient’s age and American Society of Anesthesiologists classification score. Thereafter, conscious sedation was maintained by titrating small incremental doses to maintain BIS between 80 and 85. The patients’ vitals were monitored at 5-minute intervals and recorded along with the Ramsay sedation scale and tolerance score. Results: The three most common procedures were: radiologically inserted gastrostomy (48%), percutaneous transhepatic cholangiography (35%), and esophageal stenting (11%). All procedures were completed without disruption or unexpected patient movements. No reversal agents or airway management were required and no incidences of hypoxia occurred. Conclusion: BIS monitoring is an invaluable tool that has successfully allowed the role of the sedation practitioner to be transferred to the interventional nurses. It allows sedation to be personalized to each patient and their individual susceptibility to combination sedation and represents a vast improvement over interval clinical assessment of patients’ responsiveness to stimuli.

Effect of corrosion inhibitors on PEO coated Mg alloys

Bahram Vaghefinazari,Sviatlana Lamaka,Carsten Blawert,Mikhail L. Zheludkevich 한국표면공학회 2023 한국표면공학회 학술발표회 초록집 Vol.2023 No.11-1

Commercial synthetic hydrotalcite as an adsorbent nanomaterial for removal of bacteria from contaminated water

Anastasiya V. Sidarenka,Sviatlana I. Leanovich,Emiliya I. Kalamiyets,Daniel E.L. Vieira,João P.V. Cardoso,João Tedim,Andrei N. Salak 대한환경공학회 2023 Environmental Engineering Research Vol.28 No.3

Layered double hydroxides (LDHs) are regarded as potential adsorbents for water treatment from a wide range of pollutants. However, there are only a few studies concerning application of LDHs for elimination of microorganisms from aquatic systems. In this work, experiments were conducted to investigate the efficiency of commercial synthetic hydrotalcite Mg6Al2(CO3)(OH)16·4H2O as an adsorbent for water purification from fecal indicator bacteria Escherichia coli BIM B-378 and Enterococcus faecalis BIM B-1530. Our findings indicate that exposure for 4 h to hydrotalcite (5 g/L) in suspension resulted in the removal of about 40% of coliforms and 25% of enterococci from water, at a high bacterial load (2×1010 CFU/L), and the removal efficiency of E. coli and E. faecalis did not significantly change when both bacteria were present in water. In addition, the percentage of removed bacteria increased with increasing of hydrotalcite concentration in the suspension (0.5 to 10 g/L), contact time (1–7 h) and decrease of pH (5.5), and decreased at low incubation temperature (16°C). Finally, hydrotalcite did not exhibit bactericidal activity and retention of bacteria was found to be reversible. Therefore, our findings suggest that commercial synthetic hydrotalcite could be potentially used in technologies of water treatment from bacterial contamination.

Genetic Diversity and Differentiation in Remnant Populations of Bupleurum latissimum Nakai, an Endangered Endemic Plant Species to Ulleung Island, Korea

Youn-Bong Ku,Hyun-Kyung Oh,Hak-Yong Kong,Min Hwan Suh,Min-Hyo Lee,Sviatlana Trybush,Kang-Hyun Cho 한국통합생물학회 2004 Animal cells and systems Vol.8 No.4

Bupleurum latissimum is a narrowly endemic and endangered plant, restricted to only two small populations on steep cliffs of a small island, Ulleung Island, in Korea. The genetic diversity and population differentiation in the two remnant populations of the species were investigated using RAPD (random amplified polymorphic DNA) analysis. The Nei’s gene diversities were 0.146 in the smaller population of 45 individuals, and 0.151 in the larger population of 61 individuals. The genetic variation was not significantly different between these two populations. Genetic diversity within populations was not low considering the very small size of populations. Analysis of molecular variance (AMOVA) revealed higher variation within populations (65.9%) than genetic differentiation between them (34.1%). B. latissimum revealed higher population differentiation than other outbreeding species. The differentiation of the populations corresponded to low gene flow (Nem = 0.482). The cluster and principal coordination analyses provide strong support for high population differentiation, showing that all individuals of the two populations have built up population-specific clusters. Although gene flow between the two populations of B. latissimum was limited, they have preserved relatively high levels of genetic variation.

Genetic Diversity and Differentiation in Remnant Populations of Bupleurum latissimum Nakai, an Endangered Endemic Plant Species to Ulleung Island, Korea

Ku, Youn-Bong,Oh, Hyun-Kyung,Kong, Hak-Yang,Suh, Min-Hwan,Lee, Min-Hyo,Sviatlana, Trybush,Cho, Kang-Hyun The Korean Society for Integrative Biology 2004 Korean journal of biological sciences Vol.8 No.4

Bupleurum latissimum is a narrowly endemic and endangered plant, restricted to only two small populations on steep cliffs of a small island, Ulleung Island, in Korea. The genetic diversity and population differentiation in the two remnant populations of the species were investigated using RAPD (random amplified polymorphic DNA) analysis. The Neis gene diversities were 0.146 in the smaller population of 45 individuals, and 0.151 in the larger population of 61 individuals. The genetic variation was not significantly different between these two populations. Genetic diversity within populations was not low considering the very small size of populations. Analysis of molecular variance (AMOVA) revealed higher variation within populations (65.9%) than genetic differentiation between them (34.1%). B. latissimum revealed higher population differentiation than other outbreeding species. The differentiation of the populations corresponded to low gene flow (Nem = 0.482). The cluster and principal coordination analyses provide strong support for high population differentiation, showing that all individuals of the two populations have built up population-specific clusters. Although gene flow between the two populations of B. latissimum was limited, they have preserved relatively high levels of genetic variation.