Human autonomy in the field of healthcare as one of the fundamental principles in medical practice, the value of legal medicine and a tool for the formation of a human-centered healthcare system has been researched. Medical sorting and autonomy in decision-making have been considered, clinical and priority triage has been allocated, key principles of priority sorting have been proposed. It has been found out that the principle of autonomy in priority medical sorting is subject to significant restrictions, which negatively affect the observance of human rights in the field of healthcare. It has been noted that ensuring the individual mobility of persons with disabilities with the maximum possible degree of their autonomy, independence from outside assistance will guarantee the constitutional principle of equality of all people in their rights and freedoms.
The spectrum of definitions of the notion “medical tourism” has been outlined based on the results of the original review, and the authors’ vision of the said definition has been proposed. The WMA Statement on Medical Tourism has been analyzed and general principles for the functioning of medical tourism have been identified. The basic provisions for patients receiving services in the field of medical tourism and physicians involved therein have been crystallized on the basis of the said Statement. The experience of foreign countries in which the outlined sphere of tourism is actively developing, and which have the recognition of quality by WHO, has been covered. Authors’ axioms for the development of medical tourism, which can be useful for any country that is willing to build legal medical tourism, have been proposed.
The recent experience of using social media by the Ukrainian scientific and medical journal "Proceedings of the Shevchenko Scientific Society. Medical Sciences" DOI: 10.25040/ntsh (Medical Sciences) is presented, which have become important tools for increasing the visibility of medical journals. Social media have become an important tool for enhancing the visibility of medical journals. Social media facilitate the dissemination of knowledge, promote publications, engage audiences, and support the development of professional communities. Platforms such as LinkedIn, Facebook, and X (formerly Twitter) enable the formation of networks among authors, reviewers, and readers, help disseminate content, and contribute to establishing a positive image of the journal. Graphic abstracts are a promising tool for visual communication; however, they require standardized styles and the availability of consistent templates. A successful social media presence requires clear branding, high-quality content, bilingual communication, and a strategic approach. Although social media activity does not automatically lead to increased citation rates, it contributes to author promotion and the expansion of the journal’s reach. The mission of the "Medical Sciences" journal is to establish a global scholarly presence, foster open communication, and support Ukraine especially during wartime through scientific dialogue.
Keywords: medical science, medical journals, visual abstract, scientific writing, social media, communication, scientific publishing, journal club.
Introduction and aim. The effect of balneotherapy in the Truskavets Spa on physical working capacity is complex and individ- ualized. This study aims to identify an optimal constellation of predictors for the actotropic effects of balneotherapy.
Material and methods. We observed 34 men with maladaptation against the background of chronic pyelonephritis in remis- sion. We recorded physical working capacity, heart rate variability, electroencephalography, adaptation hormones, and blood and urine metabolites before and after a standardized balneotherapy regimen.
Results. Standard balneotherapy resulted in various effects on physical working capacity150: an increase in 9 patients (26.5%), no significant change in 16 patients (47.1%), and a decrease in 9 patients (26.5%). Through discriminant analysis, we identified a constellation of 25 initial parameters that could predict the nature of the actotropic effect with 100% accuracy. These param- eters included measures of physical working capacity, cardiorespiratory fitness, electroencephalography, heart rate variabili- ty, hormones, and metabolism. Furthermore, multiple linear regression analysis allowed us to predict quantitative changes in physical work capacity150 with a standard error of 0.28 W/kg. This predictive model incorporated hemodynamic and Electroen- cephalography parameters, achieving an adjusted R2 of 0.555.
Conclusion. The directionality and magnitude of physical working capacity150 changes under the influence of balneofactors at the Truskavets Spa are determined by a complex constellation of initial physiological parameters, which forms the body’s reac- tivity. This finding has significant implications for personalizing balneotherapy treatments.
Background: The clinical overlap syndrome between multisystem inflammatory syndrome in children (MIS-C) and Kawasaki disease (KD), particularly in the context of SARS-CoV-2 infection, presents diagnostic challenges. The presence of both complete and incomplete Kawasaki-like phenotypes (KLP) further complicates differentiation. This study aimed to analyze Kawasaki-like phenotype of MIS-C, its clinical features, and improve diagnostic accuracy, patient outcomes.
Methods: A retrospective cohort study was conducted on 48 pediatric patients diagnosed with MIS-С between 2020 and 2022. All cases met the MIS-C diagnostic criteria established by the Council of State and Territorial Epidemiologists (2022) and were classified according to the American Heart Association Kawasaki disease criteria (2017). Patients were grouped as non-Kawasaki-like or Kawasaki-like MIS-C phenotypes, with the latter subdivided into complete and incomplete subtypes. Clinical and echocardiographic features were compared using appropriate statistical methods.
Results: Among the 48 MIS-C cases analyzed, 22 patients (46%) met the Kawasaki disease criteria, equally divided between complete and incomplete Kawasaki-like phenotypes. btion was longest in the complete phenotype (9.7 days) and shortest in the incomplete phenotype (5.5 days). Patients with neurological involvement experienced longer febrile periods (8.3 vs. 5.4 days). All 100% patients with the complete phenotype exhibited neurological symptoms vs. 46% of incomplete cases. Half of the Kawasaki-like phenotype patients demonstrated echocardiographic abnormalities vs. 15% of non-Kawasaki-like (NKL); highest in the incomplete phenotype (91%) compared to 15% in non-Kawasaki-like and 9% in complete KLP. The highest incidence of coronary dilatation was recorded in the incomplete phenotype (73%) vs. 9% in the complete and 15% in the non-Kawasaki-like MIS-C.
Discussion: Kawasaki-like MIS-C phenotypes display distinct clinical and cardiovascular profiles. Accurate phenotypic identification is crucial for risk stratification and optimizing patient management. Further research is necessary to refine classification criteria and establish effective long-term monitoring strategies for affected children.
Keywords: Kawasaki disease; SARS-CoV-2; clinical characteristics; multisystem inflammatory syndrome in children; phenotypes.