Modern Medicine, Pharmacy and Psychological Health
http://journals.maup.com.ua/index.php/psych-health
<p><strong><img style="float: left; padding-right: 10px; padding-bottom: 10px;" src="http://journals.maup.com.ua/public/site/images/admin/psyhol12.png" alt="" width="250" height="351" /></strong><strong>ISSN (Print): <a href="https://portal.issn.org/resource/ISSN/2786-7153" target="_blank" rel="noopener">2786-7153 </a><br /></strong><strong>ISSN (Online): <a href="https://portal.issn.org/resource/ISSN/2786-7161" target="_blank" rel="noopener">2786-7161 </a></strong><br /><strong>DOI: </strong><a href="https://search.crossref.org/search/works?q=10.32689%2F2663-0672&from_ui=yes" target="_blank" rel="noopener">10.32689/2663-0672</a><br /><strong>Scientific Profile (Cluster):</strong> Biology, Biotechnology, Medicine, and Rehabilitation.<br /><strong>Periodicity:</strong> 4 times a year.<br /><strong>Professional registration (category «B»): </strong><a href="https://mon.gov.ua/ua/npa/pro-zatverdzhennya-rishen-atestacijnoyi-kolegiyi-ministerstva-530" target="_blank" rel="noopener">Decree of MES of Ukraine No. 530 (Annex 2) dated June 06, 2022</a>; <a href="https://mon.gov.ua/ua/npa/pro-zatverdzhennya-rishen-atestacijnoyi-kolegiyi-ministerstva23122022" target="_blank" rel="noopener">Decree of MES of Ukraine No. 1166 (Annex 3) dated 23.12.2022</a>, <a href="https://mon.gov.ua/ua/npa/pro-zatverdzhennya-rishen-atestacijnoyi-kolegiyi-ministerstva27042023" target="_blank" rel="noopener">Decree of MES of Ukraine No. 491 (Annex 3) dated 24.04.2023</a>.<br /><strong>Specialities:</strong> I1 Dentistry, I2 Medicine, I4 Medical Psychology, І5 Nursing (with specializations), І7 Therapy and Rehabilitation (with specializations), І9 Public Health.</p>Interregional Academy of Personnel Managementuk-UAModern Medicine, Pharmacy and Psychological Health2663-0672DEPENDENCE OF SURGICAL OUTCOMES IN ASCENDING AORTIC ANEURYSMS ON THE COMPLETENESS OF REVASCULARIZATION WITH REGARD TO GENDER
http://journals.maup.com.ua/index.php/psych-health/article/view/5577
<p>Background. Ascending aortic aneurysms combined with coronary artery disease (CAD) represent a high-risk patient population. Recent studies suggest poorer outcomes in women and a potential impact of incomplete revascularization on postoperative results. However, gender-related aspects of combined surgery for ascending aortic aneurysm repair and coronary artery bypass grafting (CABG) remain insufficiently investigated, warranting comprehensive analysis with regard to sex and completeness of revascularization. Purpose – to evaluate surgical outcomes of ascending aortic aneurysm repair depending on the completeness of myocardial revascularization and gender. Materials and Methods. A total of 341 patients with aortic aneurysms and CAD were included. Patients were stratified by sex: the main group comprised 241 patients who underwent combined or staged aortic and coronary surgery, and the comparison group included 100 patients with aortic aneurysms without CAD. The present analysis included 46 patients who underwent ascending aortic aneurysm repair with CABG: 23 (50.0%) women and 23 men; patients with aortic dissection were excluded. Women had a higher BMI (30.7±6.1 vs 28.2±4.7) and slightly larger ascending aortic diameter (56.8±10.8 mm vs 54.4±12.6 mm), but shorter hospital stay (26.0±10.2 vs 29.0±10.2 days). Results. Operative time, cardiopulmonary bypass duration, and blood loss did not differ between groups (p>0.05), with a trend toward longer aortic cross-clamp time in men (p=0.052). In women, revascularization of 1–2 coronary arteries predominated (43.5% each); three distal anastomoses were performed in 13.0%, and internal mammary artery grafting was not used. In men, two-vessel revascularization was most common (47.8%), and internal mammary artery grafting was performed in 4.3%. Revascularization of the left anterior descending artery was performed in 69.6% of women and 73.9% of men (p=0.011). The circumflex artery was revascularized in 21.7% of women and 34.8% of men (p=0.0001), and the right coronary artery in 39.1% and 47.8%, respectively (p=0.0001). The overall extent of revascularization did not significantly depend on sex: CABG-1 (43.5% vs 30.4%), CABG-2 (43.5% vs 47.8%), CABG-3 (13.0% in both groups), and CABG-4 (0% vs 8.7%) showed no significant differences (p≥0.05). Conclusions. However, qualitative analysis demonstrated gender-related differences in the distribution of coronary involvement, suggesting potential anatomical and functional sex-specific features of the coronary bed.</p>Ihor ZhekovIvan Makohonchuk
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2026-06-052026-06-051(23)81410.32689/2663-0672-2026-1-1ANXIETY DISORDERS IN MILITARY PERSONNEL AFTER MINEEXPLOSIVE TRAUMA: CLINICAL STRUCTURE, COURSE, AND TREATMENT EFFECTIVENESS
http://journals.maup.com.ua/index.php/psych-health/article/view/5578
<p>Background. Anxiety disorders are among the most common mental health conditions in military personnel following combat-related trauma. In the context of ongoing military conflict, the prevalence of anxiety and depressive disorders increases significantly, often accompanied by somatic symptoms and leading to impaired quality of life and functioning. Purpose. To investigate the clinical and psychopathological features of anxiety disorders in military personnel after mine-explosive injury, to determine their structure and course, and to evaluate the effectiveness of hydroxyzine in complex therapy. Materials and Methods. The study included 35 military personnel with combat experience and mine-explosive injury presenting with anxiety disorders (main group) and 20 military personnel without anxiety symptoms (control group). The mean age was 38.5 ± 2.1 years. Psychological assessment included the Spielberger–Khanin State-Trait Anxiety Inventory, the Hamilton Depression Rating Scale, and the Positive and Negative Affect Schedule (PANAS). Patients received hydroxyzine at a daily dose of 75–100 mg. Statistical analysis was performed using parametric and non-parametric methods. Results. Generalized anxiety disorder (34.29%) and mixed anxiety-depressive disorder (28.57%) were the most prevalent conditions. A high frequency of somatovegetative symptoms was observed. In most cases, anxiety disorders had a relatively short duration, although some patients showed a tendency toward chronicity. After treatment, a significant reduction in situational anxiety, depressive symptoms, and psychopathological syndromes was observed (p < 0.05–0.01), along with an increase in positive affect and a decrease in negative affect. No adverse effects were reported. Conclusions. Anxiety disorders in military personnel after mine-explosive injury are characterized by a polymorphic clinical presentation, somatovegetative manifestations, and a tendency toward prolonged course. Hydroxyzine is an effective and safe treatment option that significantly reduces anxiety and improves psychoemotional status.</p>Bozhena ZadorozhnaVolodymyr ShevagaAndriі ZadorozhnyMyroslava Semchyshyn
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2026-06-052026-06-051(23)152110.32689/2663-0672-2026-1-2THE ROLE OF POINT-OF-CARE ULTRASOUND (POCUS) IN THE EARLY DIAGNOSIS OF CRITICAL CONDITIONS IN NEWBORNS
http://journals.maup.com.ua/index.php/psych-health/article/view/5579
<p>Background. The article is devoted to the issue of determining effective methods for the early diagnosis of critical conditions in newborns. Critical conditions in newborns are characterized by rapid progression and limited clinical signs in the early stages. This complicates early diagnosis and timely determination of effective therapy. Traditional imaging methods are often associated with time delays and additional risks for unstable patients. At the same time, Point-of-Care ultrasound (POCUS) is an effective, safe, non-invasive diagnostic method that allows for instant assessment of the condition of newborns and helps neonatologists optimize treatment. The aim of this study is to establish the role of Point-of-Care ultrasound (POCUS) in the early diagnosis of critical conditions in newborns. Materials and methods. The study analyzed current literature from the scientometric databases Scopus, Web of Science, and PubMed. Results. According to the literature, POCUS is used in 60–85% of cases of initial assessment of critically ill newborns. The use of bedside ultrasound reduces the time to preliminary diagnosis from 45–60 minutes to 10–15 minutes. A change in clinical tactics after POCUS is noted in 30–50% of patients. Pulmonary POCUS is highly sensitive in respiratory disorders (up to 94%) and is associated with a 40–60% reduction in the number of X-ray examinations. Abdominal and vascular POCUS enable early detection of complications and reduce the frequency of invasive interventions. Conclusions. Point-of-Care ultrasound (POCUS) is an effective tool for the early diagnosis of critical conditions in newborns. This approach improves the accuracy of newborn diagnosis, which helps in choosing a treatment strategy. POCUS demonstrates the greatest clinical effect when implemented systematically and with appropriate training of medical personnel.</p>Andriy ZakrevskyyKyrylo Zakrevskyi
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2026-06-052026-06-051(23)222810.32689/2663-0672-2026-1-3PREDICTORS AND CONSEQUENCES OF SCREEN ADDICTION AMONG HIGHER EDUCATION STUDENTS
http://journals.maup.com.ua/index.php/psych-health/article/view/5580
<p>Background. Due to widespread digitalization and the effects of chronic stress under martial law, the problem of excessive gadget use among youth has become a global concern. The study aimed to identify multifactorial predictors and behavioral markers of screen addiction among medical university students. Purpose – to identify multifactorial predictors and behavioral markers associated with the development of screen addiction among undergraduate medical students, taking into account gender-, age-, and content-related determinants of digital behavior. Materials and Methods. A cross-sectional online survey of 171 medical students (76.6% female, 23.4% male) was conducted using adapted modules of the Smartphone Addiction Scale (SAS) and the Internet Addiction Test (IAT). Results. A strong positive correlation was found between total screen time and the level of addiction (r=0.620; p<0.001). Gaming activity emerged as the strongest predictor of addiction (r=0.692), whereas time spent on social media showed no statistically significant association with addiction (r=0.058). Men demonstrated significantly higher levels of gaming engagement and overall addiction, although total screen time did not differ between genders. The phenomenon of «digital anosognosia» is described for the first time: a negative correlation between the objective level of addiction and subjective self-assessment (r=-0.286; p<0.001). Conclusions. Screen addiction has a contentdifferentiated nature. Social networks perform a communicative function («adaptive digitalization»), while games act as the primary trigger of addictive behavior, accompanied by escapism and a progressive loss of self-criticism.</p>Kateryna PosokhovaAndrii ChornomydzViktor PydaValentyna Cherniashova
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2026-06-052026-06-051(23)293710.32689/2663-0672-2026-1-4CARDIOVASCULAR EVENTS IN MULTIPLE MYELOMA PATIENTS TREATED WITH PROTEASOME INHIBITORS (LITERATURE REVIEW)
http://journals.maup.com.ua/index.php/psych-health/article/view/5581
<p>Background. This narrative review summarizes clinical experience with proteasome inhibitors in multiple myeloma, with a particular focus on the pattern of cardiovascular adverse events (CVAEs) observed during treatment. We highlight the molecular basis of proteasome inhibition in malignant plasma cells and discuss how these pathways may inadvertently damage cardiomyocytes and endothelial cells. In addition, we provide an updated overview of available strategies for the detection, prevention and management of proteasome inhibitor-related cardiotoxicity and indicate areas where current practice can be improved. Purpose. To collate and critically appraise data on CVAEs in patients with multiple myeloma treated with proteasome inhibitors and to summarize practical recommendations for surveillance and clinical management. Materials and Methods. To collate and critically appraise data on CVAEs in patients with multiple myeloma treated with proteasome inhibitors and to summarize practical recommendations for surveillance and clinical management. Results. Patients with pre-existing cardiovascular disease and those exposed to carfilzomib exhibit the highest burden of CVAEs, most commonly hypertension, heart failure and arrhythmias. The proposed mechanisms include direct inhibition of proteasomes in cardiomyocytes, endothelial dysfunction and impaired autophagy. Routine care pathways should incorporate baseline cardiovascular risk assessment, early BNP / NT-proBNP monitoring, individualized echocardiographic follow-up and timely adjustment of drug dose and infusion schedules. Conclusions. Harmonized prevention and surveillance algorithms and close collaboration within cardio-onco-hematology teams are essential to limit CVAEs while maintaining the therapeutic efficacy of proteasome inhibitor–based regimens in multiple myeloma.</p>Borys SamuraMariia PanasenkoTetiana Samura
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2026-06-052026-06-051(23)385110.32689/2663-0672-2026-1-5SYSTEMIC ANALYSIS OF MODERN APPROACHES TO RESILIENCE AS AN INTEGRATIVE CHARACTERISTIC OF MENTAL HEALTH
http://journals.maup.com.ua/index.php/psych-health/article/view/5590
<p>Introduction. Contemporary social challenges, including global crises, armed conflicts, and economic instability, highlight the importance of preserving population mental health. In this context, the concept of resilience has gained particular significance as the ability of an individual to effectively adapt to stressors and recover from adverse experiences. Objective. To conduct a comprehensive analysis of modern approaches to resilience and determine its role within the structure of mental health. Materials and methods. The study employed a theoretical analysis of scientific sources, as well as methods of systematization and synthesis of contemporary concepts. A PESTLE analysis was conducted to assess the impact of external factors, while a SWOT analysis was used to identify the strengths and weaknesses of modern approaches to resilience, as well as opportunities and threats related to their implementation. Results. It was established that modern approaches to understanding resilience have evolved from viewing it as a stable personal trait to a multilevel dynamic process formed through the interaction of biological, psychological, and social factors within the biopsychosocial paradigm. Resilience performs a system-forming role by ensuring the interaction of cognitive, emotional, and social components, determining the capacity for adaptation and recovery in the face of stress, and acting as an integrative characteristic of mental health. The integration of PESTLE and SWOT analyses made it possible to develop a comprehensive model, confirming that the effectiveness of interventions depends on consideration of social determinants and macro-environmental determinants. The necessity of implementing comprehensive, interdisciplinary, and standardized approaches to resilience development within the public health system has been substantiated.</p>Liliya PonomaryovaVladlena YevdokymenkoNataliia Tsukor
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2026-06-052026-06-051(23)11712410.32689/2663-0672-2026-1-14DEVELOPMENT AND VALIDATION OF THE IODOMETRIC METHOD FOR THE QUANTITATIVE DETERMINATION OF AMOXICILLIN
http://journals.maup.com.ua/index.php/psych-health/article/view/5586
<p>Background. The development of new methods for quantitative determination of penicillin’s remains relevant. The developed method of quantitative determination of Amoxicillin can be used to develop analytical regulatory documentation for medicinal products, as well as in the practice of state laboratories for quality control of medicinal products and central factory laboratories of pharmaceutical enterprises. Purpose. Development of new improved unified method for the quantitative determination of Amoxicillin (Amox) by redox titration. Materials and Methods. The object of the study was Amox sodium powder in vials for the preparation of an injection solution («Amoxicillin Sodium Salt», 1000 mg). Peroxomonosulfate acid as triple potassium salt 2КНSO5∙КНSO4∙K2SO4 (Oxone®) of “extra pure” qualification was used as oxidant. The redox titration method was used to develop a method for the quantitative determination of amoxicillin in a substance and a medicinal product using potassium caroate as an analytical reagent (KHSO5). Results. The kinetics and stoichiometry of the S-oxidation reaction of Amox with potassium caroate in aqueous solutions were investigated by iodometric titration. A unified methodology was developed and the possibility of qualitative determination of Amox in pure substance and drug using potassium caroate was investigated by redox titration method. At pH 2-4 for 1 mole of penicillin, 1 mole of KHSO5 is consumed, the quantitative interaction is achieved within a time of more than 1 minute (observation time). The results obtained according to the recommended procedure for seven repeated titrations of mixtures of different concentrations. RSD = 0.85%, δ = (+ 0.16)%. Conclusions. Using the redox titration method, a method for the quantitative determination of Amox in the substance was developed and the drug product have been developed using potassium caroate as an analytical reagent (KHSO5). The possibility of analytical determination of Amox by the biologically active part of the molecule is shown, the proposed methods give reproducible and accurate results.</p>Svitlana KarpovaOlga Antonenko
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2026-06-052026-06-051(23)808610.32689/2663-0672-2026-1-10PHARMACEUTICAL CARE FOR PATIENTS WITH HYPERTENSIVE DISEASE: INTEGRATION OF THE CLINICAL PHARMACIST INTO PRIMARY HEALTH CARE
http://journals.maup.com.ua/index.php/psych-health/article/view/5587
<p>Background. One of the most prevalent non communicable diseases worldwide, including in Ukraine, and a leading risk factor for the development of cardiovascular complications associated with high mortality and disability, is hypertensive disease (arterial hypertension), which remains a major global public health problem. Aim. The aim of this study was to substantiate the feasibility of involving a clinical pharmacist in the management of pharmacotherapy for hypertensive disease (arterial hypertension), to improve patient routing at the primary health care level, and to develop practical recommendations for the integration of pharmaceutical care. Materials and Methods. The study materials included information sources as well as the regulatory and legal framework of the medical and pharmaceutical sectors related to pharmaceutical care for patients with arterial hypertension. The study was carried out using a complex of general scientific and special methods. Results. The feasibility of integrating a clinical pharmacist into the pharmacotherapy management of hypertensive disease (arterial hypertension) was substantiated, and the key roles and functions of the clinical pharmacist at the primary health care level were systematized. Based on a questionnaire survey of patients with arterial hypertension, the impact of clinical and pharmaceutical counseling provided by a clinical pharmacist on patients’ awareness of antihypertensive pharmacotherapy, treatment adherence, and blood pressure self-monitoring practices was assessed. The irregular use of self-monitoring data for pharmacotherapy adjustment indicates the need to strengthen the role of the clinical pharmacist in the long-term follow-up and support of patients with arterial hypertension. A comparative analysis of organizational models for managing patients with arterial hypertension at the primary health care level was conducted, and their advantages and limitations were identified. The most promising direction for the development of patient management at the primary health care level involves a combination of a team-based approach, telemedicine and telepharmacy tools, and patient self-management, which is consistent with current public health strategies and the principles of sustainable health care system development. A clinical pathway for patients with arterial hypertension at the primary health care level and practical recommendations for the integration of pharmaceutical care are proposed. Conclusions. The integration of a clinical pharmacist into primary health care for patients with hypertensive disease (arterial hypertension) may contribute to more efficient use of national health care system resources, promote a culture of patient responsibility for personal health, and strengthen the sustainability of the socioeconomic determinants of Ukraine’s public health system.</p>Аnzhela OlkhovskaKonstantin SokolOlena KupinaAndriy Berezniakov
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2026-06-052026-06-051(23)8710010.32689/2663-0672-2026-1-11TREATMENT OF MASTITIS IN COWS: AN OVERVIEW OF THE PHARMACEUTICAL MARKET FOR THE MOST COMMON INJECTABLE THERAPIES
http://journals.maup.com.ua/index.php/psych-health/article/view/5588
<p>Background. Mastitis is one of the most common diseases of dairy cows and causes significant economic losses due to reduced productivity, deterioration in milk quality, and increased veterinary costs. Under current conditions, the analysis of the availability and structure of the market for injectable drugs used in mastitis therapy is of particular importance. Purpose. To analyze the range of injectable medicinal products available on the modern pharmaceutical market of Ukraine for the treatment of mastitis in cows, evaluate their availability and pricing policy, and determine the prospects for expanding production and developing new products. Materials and Methods. The assortment analysis was carried out using the data of the State Register of Medicinal Products of Ukraine as of January 2026, the Compendium reference source, information from open sources, and veterinary pharmacy networks. Statistical, logical, and graphical methods of analysis were used. Results. It was established that the Ukrainian market is dominated by injectable antibiotics based on enrofloxacin, amoxicillin, ceftiofur, oxytetracycline, and cloxacillin. Non-steroidal anti-inflammatory drugs and immunomodulators also occupy a significant market share. Domestic manufacturers provide more than half of the market supply, while mono-drugs remain the predominant product type. The most common packaging format is 100 ml vials. An insufficient representation of combined products and injectable sulfonamides was identified. Conclusions. The market of injectable drugs for the treatment of mastitis in Ukraine is characterized by the dominance of classical antibiotics, a stable presence of supportive agents, and promising prospects for the development of combined and prolonged-release formulations. The obtained results can be used to optimize veterinary support for dairy farms and to plan the production of new medicinal products.</p>Taras FediukAndriy Mylyanych
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2026-06-052026-06-051(23)10110910.32689/2663-0672-2026-1-12PREDICTION OF DRUG-LIKENESS AND TOXICITY OF A SERIES OF FUNCTIONALLY SUBSTITUTED ANTHRAQUINONE DERIVATIVES
http://journals.maup.com.ua/index.php/psych-health/article/view/5589
<p>Background. Anthraquinone derivatives are promising biologically active compounds with a broad spectrum of pharmacological activities. The use of modern in silico methods for predicting drug-likeness, toxicity, and mechanisms of action enables the efficient selection of promising compounds for further experimental studies and the development of new therapeutic agents. Purpose. This study aimed to predict the drug-likeness and toxicity of functionally substituted anthraquinone derivatives, as well as to evaluate the possible mechanisms of their biological activity using modern in silico approaches. Materials and Methods. The study was performed using computational screening based on the web resources SwissADME, SwissTargetPrediction, and ProTox-II to assess the drug-likeness and toxicity profiles of the investigated compounds. Relevant bioinformatics tools were applied to predict potential mechanisms of biological action. The analysis included evaluation of physicochemical parameters, bioavailability, membrane permeability, and potential toxicological risks. Results. It has been established that functionally substituted anthraquinone derivatives are characterized by satisfactory drug-likeness parameters, in particular compliance with key pharmacokinetic criteria, as well as moderate to low predicted toxicity. The predicted mechanisms of action are consistent with the identified target profiles and indicate a potential influence on GPCR-mediated signaling pathways and metabolic regulatory enzymes. The obtained results substantiate the перспективність of the studied compounds as potential biologically active agents and justify further experimental studies to confirm their mechanisms of action. Conclusions. The obtained results indicate that functionally substituted anthraquinone derivatives are promising biologically active compounds with a favorable drug-likeness and toxicity profile. The present study provides a basis for further structural optimization and experimental validation aimed at the development of new therapeutic agents.</p>Vasyl ShupeniukRoman KhomaTetiana TarasYevhen LuchkevychAndrii LozynskyiSviatoslav Polovkovych
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2026-06-052026-06-051(23)11011610.32689/2663-0672-2026-1-13MODERN APPROACHES TO THE APPLICATION OF DIGITAL TECHNOLOGIES AND ARTIFICIAL INTELLIGENCE IN DENTAL EDUCATION AND PRACTICE (LITERATURE REVIEW)
http://journals.maup.com.ua/index.php/psych-health/article/view/5582
<p>Background. Digital technologies and artificial intelligence are increasingly entering not only the everyday life of every person, but also medicine, in particular dental practice and medical education. Artificial intelligence technologies are developing especially rapidly, which open up new opportunities for training future dentists and facilitate the work of doctors in practice. Artificial intelligence is already used to analyze X-ray images, predict treatment outcomes and create individual dental treatment plans. The introduction of intelligent learning systems and virtual reality into dental education and the use of artificial intelligence in practice is not only a modern and relevant topic, but also a necessary condition for training future specialists in dentistry, capable of working effectively in the conditions of modern digital medicine. The purpose of the work. To analyst the possibilities and prospects of applying artificial intelligence in the training system of dental students, as well as to evaluate their impact on enhancing the effectiveness of clinical practice among dentists within the context of digital transformation in healthcare. Materials and methods. In the course of the study, scientific developments published on the research platforms Google Scholar and PubMed were analyzed. Semantic analysis of sources were used. The methodological basis of the study was a systematic approach. Results and discussions. Analysis of available systematic reviews suggests that the use of artificial intelligence in the education of dental students increases the quality of education, and use in clinical practice improves diagnostic accuracy, contributing to a personalized approach and more effective treatment of patients. Conclusions. The use of artificial intelligence in the work of a dentist helps to improve diagnostics and planning, as it allows for automatic analysis of diagnostic images and the creation of personalized treatment plans. The use of digital protocols and automated technologies allows for the development of personalized treatment plans, which increases their effectiveness. Despite the advantages, the successful application of such technologies requires careful validation of models, adaptation to individual clinical needs, and consideration of ethical and legal aspects.</p>Oleksandr BilynskyiYuliya SlynkoElvira DankoMilan IzayIvan Hanhur
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2026-06-052026-06-051(23)525910.32689/2663-0672-2026-1-6CLINICOPATHOLOGICAL CHARACTERISTICS OF THE EFFECTS OF COMPLETE DENTURES ON THE DENTURE-BEARING MUCOSA (LITERATURE REVIEW)
http://journals.maup.com.ua/index.php/psych-health/article/view/5583
<p>Background. Removable acrylic dentures are regarded as complex irritative agents exerting mechanical, chemical-toxic, sensitizing, and thermo-insulating effects on the mucosa of the denture-bearing area and its receptor apparatus. The intensity and nature of these effects are determined by the physicochemical properties of the denture base materials, the prosthesis’s structural design, the accuracy of its fabrication, and the duration of clinical use. Purpose. To summarize and critically analyze the available literature regarding the effects of complete removable plate dentures on the mucosa of the denture-bearing area. Materials and Methods. An analytical review of 20 scientific sources addressing the effects of complete removable dentures on the mucosa of the denture-bearing tissues was conducted. Results and Discussion. The analysis of literature sources demonstrated that completely removable plate dentures may contribute to the development of inflammatory and dystrophic changes in the mucosa of the prosthetic bed. The main factors contributing to adverse effects include mechanical trauma to tissues, poor oral hygiene, the presence of residual monomer in denture base materials, and prolonged denture wear. It was established that inadequate denture hygiene promotes the accumulation of microflora and contributes to the development of inflammatory reactions of the mucous membrane. Conclusions. Inadequate oral hygiene represents one of the principal etiological and pathogenetic factors contributing to the development of inflammatory processes in the denture-bearing tissues. In addition, residual monomer released from denture base materials is recognized as a potential causative factor in material intolerance and the initiation of inflammatory reactions. Such pathological conditions are generally classified as chemically induced toxic inflammatory lesions and may lead to a spectrum of complications involving the mucosa of the denture-bearing area.</p>Evgen LokotaYuriy LokotaRuslan VovchokMarianna Kayla
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2026-06-052026-06-051(23)606410.32689/2663-0672-2026-1-7EVALUATION OF THE WORK MOTIVATION SYSTEM OF DENTISTS AND APPROACHES FOR ITS IMPROVEMENT
http://journals.maup.com.ua/index.php/psych-health/article/view/5584
<p>Background. Effective personnel management is one of the key factors for the sustainable development of healthcare facilities in the context of the transformation of the healthcare system, increasing competition in the healthcare services market, and growing patient expectations. Staff motivation is considered a fundamental element that ensures the alignment of the team activities with the institution’s values and the patient-centered approach. The issue of work motivation among medical professionals has attracted considerable attention from the global scientific community. International studies indicate that the motivational profile of a dentist evolves: while financial security and prestige often dominate at the stage of career choice, the concept of “dentistry as a lifestyle,” schedule flexibility, and autonomy come to the forefront during professional practice. Researchers in Ukraine also emphasize the need to modernize management approaches through the introduction of economic independence of healthcare facilities and the improvement of technical infrastructure. However, despite a significant number of theoretical developments, the mechanisms for adapting these models to the conditions of modern Ukrainian healthcare facilities with different ownership structures require deeper empirical analysis. Purpose of the study is to assess dentists’ level of satisfaction with the current work motivation system and to substantiate the directions for its improvement based on the results of a questionnaire. Materials and Methods. The study was conducted using sociological and analytical methods. The main method of collecting the primary information was a questionnaire survey, which allowed obtaining a generalized assessment of motivational factors and respondents’ attitude to the current motivational policy of employers. The study material was the results of a questionnaire survey of 33 practicing dentists. Results. The study surveyed 33 practicing dentists. The results showed that although the salary remains the primary incentive for 87.9% of respondents, only 6.1% of respondents are completely satisfied with their current remuneration. The study revealed a critical lack of systematic financial incentives: more than 70% of doctors receive no bonuses or incentives. At the same time, non-material factors were also highly significant, such as opportunities for professional development (63.8%) and team climate (57.6%). Low transparency of the motivational policy was identified as a problem: only 15.2% of participants considered the current system to be fair and transparent. In general, almost half of respondents (48.4%) assessed the existing incentive system negatively. Based on these findings, the authors developed a pyramid model of motivation that integrates a material foundation with intangible, organizational, professional, psychological, and informational components. Conclusions. The questionnaire study confirmed the presence of a significant imbalance between the expectations of dentists and the current management practices. The proposed pyramid model of motivation, which combines all types of incentives and information transparency, is aimed at increasing work efficiency, reducing staff turnover, fostering employee loyalty, and improving the quality of dental services through the high motivation of medical staff.</p>Yuriy RiznykIryna ChukhrayBohdan HromovykSvitlana Riznyk
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2026-06-052026-06-051(23)657310.32689/2663-0672-2026-1-8CLINICALLY AND ANATOMICALLY SUBSTANTIATED USE OF SHORT CYLINDRICAL DENTAL IMPLANTS IN CONDITIONS OF BONE DEFICIENCY
http://journals.maup.com.ua/index.php/psych-health/article/view/5585
<p>Purpose. To evaluate the effectiveness of short cylindrical implants in patients with limited bone volume and to substantiate the surgical protocol based on anatomical and morphometric variability. Materials and methods. A clinical case involving placement of a short cylindrical implant in conditions of severe ridge atrophy following traumatic extraction was analyzed. CBCT data, ridge-splitting technique, and morphometric characteristics of the maxillofacial region described by Yakymenko R.O., Vovk O.Yu., and Onashko Yu.M. were used as reference criteria. Results. Stable functional and morphological outcomes were achieved: high primary stability, adequate bone volume achieved without GBR, stable soft-tissue contours, and absence of marginal bone loss after 6 months of loading. Conclusions. Short cylindrical implants represent an effective alternative to bone augmentation in cases of significant bone deficiency. Incorporating anatomical and morphometric variability into planning allows safe, individualized, and minimally invasive treatment.</p>Oleg SavchukRuslan IakymenkoVasyl ObidniakMykyta LoburArtem Lutsenko
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2026-06-052026-06-051(23)747910.32689/2663-0672-2026-1-9