scholarly journals PECULIARITIES OF THE PRACTICAL SKILLS BY STUDENTS OF THE MEDICAL FACULTY IN THE STUDY OF CLINICAL ANATOMY AND OPERATIVE SURGERY

2021 ◽  
Vol 20 (1) ◽  
pp. 43-47
Author(s):  
Mykhailo Hnatiuk ◽  
Sergii Konovalenko ◽  
Myroslav Kritsak ◽  
Oleh Yasinovskiy

The article provides basic information about the peculiarities of the acquisition of practical skills by students of the medical faculty in the study of clinical anatomy and operative surgery.A pedagogical experiment was conducted in which 65 students took part, who were divided into two groups and studied clinical anatomy and operative surgery. The fi rst group, after getting acquainted with the theory of operative surgery, began to perform operations on animals. The second group, after studying the theory, trained in the gym and began operations on animals. It was found that students of the fi rst group made 27.5% of mistakes when performing operations and manipulations on animals, and the second group – 11.25%.The results of the study show that the most adequate and full-fl edged practical skills in operative surgery are students who study in stages with the acquisition of the required minimum of theoretical knowledge, with practical skills in the gym, with surgical interventions on experimental animals and detailed analysis of time of operations, complications, consequences at diff erent times of the postoperative period and surgical corrective actions to eliminate them.

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Vasyl Kavyn

The educational process in Ukraine, that is undergoing reform due to the introduction of the European Credit Transfer System, requires the improvement of the basic forms of education, namely lectures. This is due to the dynamic development of scientific advances in medicine, the appearance of innovative technologies, the growth of requirements for the formation of a competitive specialist, a doctor who constantly needs to improve his/her knowledge and practical skills in particular. The questionnaire of student audience helps clarify the advantages and disadvantages of the teaching material presented during the lecture and the level of mastering the key moments of the lecture by students. We present the results of a questionnaire of students about the lecture delivered at the Department of Cinical Anatomy and Operative Surgery.


2017 ◽  
Vol 23 (1) ◽  
Author(s):  
Vasyl Kavyn ◽  
Yuriy Popovich ◽  
Volodymyr Fedorak ◽  
Ihor Bilinskuy ◽  
Stephan Romaniuk ◽  
...  

The article has analyzed a questionnaire survey of second-year dental students of Ivano-Frankivsk National Medical University who completed the study course “Operative Surgery and Topographic Anatomy”. The questioning of students was conducted to assess the independent preparation of students for practical training as well as to clarify the students’ attitude to both the educational process at the Department of Clinical Anatomy and Operative Surgery and the mastering of practical skills. The dialogue with students through questioning allows to find out ways for the improvement of teaching the discipline “Operative Surgery and Topographic Anatomy” in the credit-transfer system of the educational process.


2019 ◽  
Vol 27 (2) ◽  
pp. 8-12
Author(s):  
M. N. Vasyukov

Surgical operations on the lungs are accompanied by certain topographic-anatomical changes in the chest. These include displacement of the mediastinum, reduction of the intercostal spaces and the rise of the dome of the diaphragm on the side of the operation. These changes are relevant in clinical anatomy and surgery. The purpose of the study is to identify patterns of topographic-anatomical changes in the diaphragm after lung operations. A quantitative and qualitative analysis of computed tomograms of 113 patients (76 lobectomy, 36 pneumonectomy) after lung operations was performed at various times after the intervention. The level of the diaphragm dome, its shape before the operation, in the early postoperative period, 3, 6, 12 months after the intervention were analyzed. It was revealed that the degree of elevation, the shape, the dynamics of changes in the dome of the diaphragm depends on the volume of the operation and the duration of the postoperative period. Changes after pneumonectomy are irreversible, after resection of the lungs, these changes are reversible. The elevation of the dome of the diaphragm leads to changes in the topography of the abdominal organs. The results of the study should be considered when performing invasive diagnostic procedures, surgical interventions on the chest and abdominal organs.


Author(s):  
T. I. Gargula ◽  
◽  
M. S. Hnatiuk ◽  

The introduction of European standards in the training of competent, highly qualified specialists who are able to use the theoretical knowledge acquired in the learning process in practice, has led to increased requirements for the quality of their professional development. Clinical anatomy and operative surgery is a discipline that allows students to apply clinical thinking in practice, because only on the basis of knowledge about the anatomical features of the structure of a particular part of the human body can choose successful surgical treatment tactics. The aim of the work was to highlight the peculiarities of teaching clinical anatomy and operative surgery at the Department of Operative Surgery and Clinical Anatomy of I. Horbachevsky Ternopil National Medical University and ways to improve them in modern conditions. At the Department of Operative Surgery and Clinical Anatomy of I. Horbachevsky Ternopil National Medical University pays attention not only to the theoretical but also to the practical component of student training. Students independently conduct training operations on experimental animals, thus consolidating theoretical knowledge and gaining practical skills, learn to work in a team, perform other functional duties of members of the operating team, and in the postoperative period observe the body’s response to surgery. The transition of the educational process to the distance form with the introduction of the online platform Microsoft Teams made it possible to conduct classes in real time, and the use of an interactive method of business game allowed to ‘virtually’ conduct educational operations. The use of virtual and augmented reality technology gives students the opportunity to learn more about the subject, to gain experience to which they do not have access, especially in conditions of quarantine restrictions.


2020 ◽  
pp. 51-56
Author(s):  
V.М. Аntonyuk-Kysil ◽  
◽  
І.Y. Dziubanovskyi ◽  
V.М. Yenikeeva ◽  
S.І. Lichner ◽  
...  

The objective: to evaluate the results of planned open surgical interventions (POSI) in pregnant women with primary symptomatic chronic vein disease (PSCVD). Materials and methods. The study included 457 pregnant women operated on a routine basis with PSCVD. The patients underwent ultrasound duplex angioscanning (USDA) of the veins of the lower extremities, inguinal canals, and iliac veins. The severity of the clinical manifestations of PSCVD was evaluated on a VCSS scale. With the help of the circadian visual-analog scale, the dynamics after the operative pain were studied. The effect of POSI on uterine tone and cardiac function of the fetus was investigated using cardiotocography. When forming the results for POSI, data from USDA, the severity of clinical and cosmetic manifestations of PCVD, the need for active prevention of thrombophlebetic, thromboembolic and hemorrhagic complications, minimization of surgical childbirth were taken into account. The results of treatment were studied in 2 groups of patients. Patients of the first group were treated with conservative therapy, the second group – POSI. Parametric indicators, which were presented as mean and standard error M(SD), were used for statistical data processing of the study, and their reliability was estimated using Student’s t-test. The species was determined to be significant at p<0.05. Results. 495 POSI were performed at 28-38 weeks gestation in an obstetric hospital (perinatal center), by a vascular surgeon from the staff of the center, who was familiarized with the peculiarities of working with this contingent of patients. Surgery was performed under local anesthesia in 346 (75.49%) pregnant women at one extremity, in 111 (24.51%) – at two in one session. According to the results of the study, it was noted that in the first group 33.7% of patients had a positive clinical result due to the reduction of pain syndrome, while 67.5% of patients had an increase and spread of varicose transformation in the area of saphenous and/or non-saphenous veins with spread of pathological venous reflux in the distal direction. 78% of patients had the need to administer prophylactic doses of low molecular weight heparins, both during pregnancy and in postpartum period. Out of 126 pregnant women with pronounced varicose veins of the external genital organs and perineum in 36 (28.6%) deliveries were performed by caesarean section. In 9 (3%) patients there was an acute thrombophlebitis of the subcutaneous veins of the lower extremities, which required 5 pregnant women to undergo urgent surgery when the inflammatory process had spread to the middle and above along the femoral vein of the large subcutaneous vein. Pregnant women of the second group with PSCVD on the basis of obstetric hospital (perinatal center) POSI were performed in the organization, which laid the ideology of the FTS program, strictly individual indications for intervention in the optimal terms of pregnancy, multidisciplinary management of patients, due to this in 93% of operated patients regression of clinical manifestations of the disease was noted, whch contributed to the correct and safe delivery of pregnancy with 100% absence of preterm birth, abnormalities in fetal development, pregnancy course, negative impact on obstetric and somatic condition of the pregnant woman. No hemorrhagic, thrombophlebic, thromboembolic complications were noted. Patients in the postoperative period did not require medical support, as during the period of pregnancy, during delivery and in the postpartum period. There were no indications for surgical delivery. 2.4% of patients experienced complications of post-operative wounds in the form of cheese, which had no effect on pregnancy and was eliminated before delivery. In the postoperative period, if necessary, it was recommended to use elastic compression class garments 1–2. Conclusion. POSI made at PSCVD in optimal terms of pregnancy in a specialized obstetric hospital by a vascular surgeon in strictly individual indications is safe, both for the fetus and the pregnant woman. It is promising to further study the results of POSI in pregnant women with PSCVD to introduce it into the arsenal of treatment of this pathology. Key words: FTS ideology, planned open surgical interventions in pregnant women.


1993 ◽  
Vol 102 (9) ◽  
pp. 705-711 ◽  
Author(s):  
Gerald Wolf ◽  
Wolfgang Anderhuber ◽  
Frederick Kuhn

The pediatric nasal cavity and paranasal sinuses, when compared to those in adults, differ not only in size but also in proportion. Knowledge of the unique anatomy and pneumatization of children's sinuses is an important prerequisite to understanding the pathogenesis of sinusitis and its complications. It is also important in evaluation of radiographs and in planning surgical interventions. In order to study the development of the paranasal sinuses in children and relate clinical anatomy to sinus surgery, the sinuses in 102 pediatric skulls and cadaver heads were measured. The results were classified by stage of development into 4 different age groups: newborn and 1 to 4, 4 to 8, and 8 to 12 years. The characteristics of each group and their clinical importance for paranasal sinus surgery are described.


2015 ◽  
Vol 220-221 ◽  
pp. 981-988
Author(s):  
Audrius Jasėnas ◽  
Eligijus Toločka

The article analyses the possibilities of and demand for a combination of non-formal and formal education systems for the students studying mechatronics engineering and improving practical skills and synergistic abilities. The paper surveys the sector of Lithuanian engineering industry as well as its competitiveness and non-formal education of young specialists relevant to the sector. The publication also reviews the results of profit and demand for non-formal education projects concerning the students studying mechatronics engineering. The piece of writing provides a model and its logical scheme for improving the theoretical knowledge and practical skills of young mechatronics specialists through non-formal education.


Author(s):  
Aleksandr A. Tainkin ◽  

Due to the transition of higher educational institutions to remote functioning in the spring of 2020 and the impossibility of conducting nursing practice on the basis of medical establishments it became necessary to create a new form of having classes that would allow students to master practical skills without contacting patients. The article presents the author's methodology of remote practical training in class to obtain professional skills and experience of professional activity (nursing) at the medical faculty. The author offers simple methods of making moulages for students to master practical skills and describes the methodology of organizing and conducting distance classes using these moulages. The pedagogical analysis of one of the classes is carried out. It is shown that the new form of conducting classes allows to individualize the work with students and help each student achieve perfection in mastering the methods of nursing manipulations. The method of giving remote classes described by the author can be used by teachers at practical training in the future, in classes on “nursing” at the medical faculty, in institutes of higher nursing education, and after the removal of epidemiological restrictions imposed due to the spread of a new coronavirus infection, for remote counseling of students undergoing nursing practice in medical establishments outside the Saratov region.


Author(s):  
Leonid Borodavko ◽  
Andrey Ermakov ◽  
Valentina Belyankina

The article discusses some aspects to be taken into account when preparing polygraph examiners in order to form skills for conducting polygraph tests using search tests related to the method of revealing hidden information. Search tests have their own characteristics and differ from other tests, both in the degree of complexity and the composition of the methodological techniques used, and in the degree of accuracy and reliability of the results obtained. The use of search tests assumes that the polygraph examiner has not only knowledge, but also practical skills to perform a certain sequence of actions for their use, as well as the interpretation of the results obtained. Special attention is paid to the consideration of a number of difficulties that arise when using search tests, directly related to the interpretation of the information received and the development of techniques for the formation of skills for solving them. The authors put the main emphasis on the fact that in the process of training polygraph examiners, self-conducting polygraph tests when solving problems modeled on the basis of situations from practical activities, as well as a detailed consideration of the causes of psychophysiological reactions, will contribute to improving the level of professional competence in decision-making in nonstandard situations. In addition, conducting a detailed analysis of the results obtained, taking into account the interpretation of the recorded reactions when using search tests, will help to reduce the likelihood of making errors of various types in the real conditions of the future polygraph examiner’s professional activity.


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