http://ir.dspu.edu.ua/jspui/handle/123456789/8 2026-07-22T17:23:26Z http://ir.dspu.edu.ua/jspui/handle/123456789/10725 Название: Бар'ери для впровадження нутрітивного сринігну в практику фізичних терапевтів в Україні Авторы: Закаляк, Наталія Романівна; Герасименко, Олександр Сергійович; Рогаля, Юрій Львович; Фігура, Оксана Андрівна; Фещак, Катерина Володимирівна Краткий осмотр (реферат): Анотація. Мета. Дослідження спрямоване на виявлення та аналіз основних перешкод, що заважають інтеграції нутритивного скринінгу та консультування в щоденну практику фізичних терапевтів в Україні, а також оцінку рівня готовності фахівців до впровадження моделі «Реабілітаційної нутриціології». Методи. Застосовано дизайн крос-секційного анонімного опитування (n=108), адаптованого за методологією Томаса та співавт. (2006). Дослідження включало блоки: соціально-професійний профіль, тест знань (19 питань), оцінку власного способу життя терапевта та аналіз частоти впровадження нутритивних втручань. Окремо проведено компаративний аналіз освітнього стандарту 227 (2022) та міжнародних протоколів (APTA, AOTA). Результати. Середній рівень нутритивних знань фахівців є недостатнім (43,43 бала зі 100). Найбільші прогалини виявлено у діагностиці мальнутриції: 79,6% (86/108) респондентів не знають ролі сироваткового альбуміну, 58,6% (63/108) не володіють критеріями клінічно значущої втрати ваги. Головними бар’єрами визначено дефіцит навчального часу (66,9% не вивчали предмет), обмеженість тривалості сеансу та відсутність чітких міжпрофесійних протоколів. Встановлено позитивну кореляцію між особистим здоровим харчуванням терапевта та частотою консультування пацієнтів (r = 0,16). Висновки. Подолання бар’єрів потребує модернізації магістерських програм ОПП 227 через впровадження модулів із нутритивної підтримки та симуляційного навчання. Рекомендовано інтеграцію швидких інструментів (MNA-SF, MUST) у щоденну практику для підвищення ефективності відновлення, особливо при саркопенії та післяінсультній реабілітації. Описание: Сучасна реабілітація відходить від вузької біомеханічної моделі на користь підходу «системної біології», де нутритивний статус пацієнта визнається критичним детермінантом функціонального відновлення. Нутриціологія є біологічним фундаментом, на якому будуються механічні втручання — терапевтичні вправи, навчання ходьбі та нейром'язова реосвіта [1; 2]. Метаболічні потреби для репарації тканин та нейропластичність ЦНС безпосередньо залежать від адекватності енергетичного та білкового субстрату [1; 3]. Епідеміологічні дані вказують на те, що понад 50% пацієнтів, які поступають на реабілітацію, мають ознаки мальнутриції (недостатності харчування). Мальнутриція спостерігається у понад 50% пацієнтів, які поступають на реабілітацію [4; 5; 6]. Вона є незалежним предиктором гірших функціональних результатів, подовження термінів госпіталізації та вищої смертності [3; 4; 7]. Особливо гостро проблема стосується пацієнтів після інсульту, де дефіцит білка посилює саркопенію та сповільнює відновлення рухових функцій [8; 9]. Світові асоціації (World Physiotherapy, APTA, AOTA) офіційно включили нутритивну оцінку до сфери практики фахівців із реабілітації [2; 10; 11]. У Японії концепція «Реабілітаційної нутриціології» стала обов'язковим компонентом підготовки фізичних терапевтів із 2021 року [12; 13]. В Україні оновлений освітній стандарт (ОПП 227) акцентує увагу на зміцненні здоров’я та профілактиці обмежень життєдіяльності [14; 15]. Проте реальне впровадження скринінгу в клінічну практику залишається фрагментарним. Попри декларативне визнання важливості харчування, в Україні відсутній детальний аналіз специфічних бар'єрів (освітніх, юридичних, часових), які заважають фізичним терапевтам виконувати роль «адвокатів здоров’я» [1; 16]. 2026-01-01T00:00:00Z http://ir.dspu.edu.ua/jspui/handle/123456789/10527 Название: TEACHERS’ PROFESSIONAL SKILLS AS THE COMPONENT OF THE QUALITY OF HIGHER EDUCATION AND THE ELEMENT OF STUDENTS’ MOTIVATION Авторы: Chopyk, Chopyk Roman; Nina, Nina Hrybok; Natalya, Natalya Zakalyak; Mykola, Mykola Lukjanchenko Краткий осмотр (реферат): Abstract. The problem of studying the significance of teachers’ professional skills as the component of the quality of higher education and the element of students’ motivation is being analyzed in the article. The purpose of the research is study and analyzes of students’ attitude towards teachers’ professional skills as the component of the quality of higher education. The research has been conducted with the help of theoretical and empirical methods. Connection between the quality of higher education and teachers’ professional skills has been established with the help of dialectical method. The use of comparative method allowed us to implement the raking division of students’ attitude towards teachers’ professional skills. The empirical base of the research consists of the results of the survey of 175 students of Drohobych Ivan Franko State Pedagogical University. The following teachers’ professional skills: the ability to arouse the interest for the subject; clarity, accessibility and comprehensibility of the information layout; the ability to create a teamwork, motivate to achieve goals have been granted the highest ranking according to students’ attitude towards teachers’ professional skills. Such skills as objectivity and transparency of evaluation; goodwill and tactfulness; creative approach to studying; subject competence; erudition and culture of speech are highly evaluated. The following qualities: the culture of a dress code; organizational culture; the ability to act accordingly with moral, ethical and legal standards; the ability to recognize, formulate and solve problems constitute the interim position of the general ranking. Content significance and accessibility of the information which is being taught; skills of informational technologies; the ability to choose forms and methods of teaching which comply with student- oriented approach have been positioned at the lowest point of the general ranking according to the survey. Описание: One of the main conditions of successful being in any modern country is good education. Education is the basis of intellectual, spiritual, physical and cultural development of any personality, his/her successful socialization, economic well being, guarantee of development of society united by common values and culture and the country (Pro osvіtu: Zakon Ukrainy, 2017). Modern education is characterized not only by the level of knowledge, skills and abilities but also by the quality of personal, worldview and civic development of future generations (Kharchenko, 2018). The quality of education is the congruence of study results with the requirements established by the law, relevant educational standards and/or by the educational services agreement (Pro osvіtu: Zakon Ukrainy, 2017). By quality of education, we mean the certain level of knowledge and abilities, mental, physical and moral development that was attained by the graduates of educational establishment according to the pre-arranged aims of studies and education. Nowadays Ukraine undertakes firm steps towards the development of the system of providing quality of education, including higher education. It allows building the trust of society to educational establishments, organs of education management and to guarantee the high level of quality of educational process. An institution, which is responsible for the observance of the quality of higher education – National Agency of Higher Education Quality Guarantee (NAHEQG), has been created. The national agency, in accordance with Charter, annually prepares and publishes a report on the quality of higher education in Ukraine. The reports are sent to Verkhovna Rada of Ukraine, President of Ukraine, Cabinet of Ministers of Ukraine and establishments of higher education for further discussion and proper actions (Postanova Kabinetu Ministriv Ukrainy «Pro utvorenia Natsionalnoho ahentstva iz zabezpechennia yakosti vyshchoi osvity», 2015). The law of Ukraine "About higher education" closely correlates with the European standards and recommendations in relation to the internal and external assurances of quality of higher education. In accordance with the indicated law, higher educational establishments of Ukraine are obliged to have an internal system of providing the quality of higher education and educational activity. The efficiency of this system must be estimated by National Agency of Higher Education Quality Guarantee (Sydorenko, 2016). In Drohobych Ivan Franko State Pedagogical University the system of the internal guarantee of quality of education functions on the basis of «Statute about the system of the internal guarantee of quality of higher education in DSPU» (Polozhennia pro systemu vnutrishnoho zabezpechennia yakosti vyshchoi osvity u DDPU imeni Ivana Franka, 2015). It indicates the availability of multilevel control including students’ control. One of ways of realization of the function of controlling quality of educational activity by students is their participation in realization of internal and external measures of controlling quality of educational activity and quality of higher education, including means of monitoring. The aim of the research is study and analysis of students’ attitude towards teachers’ professional skills as the component of the quality of higher education. 2021-01-01T00:00:00Z http://ir.dspu.edu.ua/jspui/handle/123456789/10526 Название: BIOACTIVE WATER NAFTUSSYA AND OZOKERITE HAVE THE SAME NEURO- ENDOCRINE-IMMUNE EFFECTS IN MALE RATS CAUSED BY ARYL HYDROCARBONS Авторы: Ruzhylo, Ruzhylo, S.V.; Popovych, Popovych, A.I.; Zakalyak, Zakalyak, N.R.; Chopyk, Chopyk, R.V.; Fihura, Fihura, O.A.; Bilas, Bilas, V.R.; Badiuk, Badiuk, N.S.; Gozhenko, Gozhenko, A.I.; Popovych, Popovych, I.L.; Zukow, Zukow, W. Краткий осмотр (реферат): Background. It is known that biological activity of curative water Naftussya (N) spa Truskavets’ (Ukraine) caused by its organic substances, genetically connected with Oil and Ozokerite (O) from Boryslav’s layer, located near from Truskavets’. Because probable aryl hydrocarbon receptor (AhR) agonists are present in both N and O, and AhR-expressing macrophages are localized in lymphoid tissue associated with both the gut (GALT) and the skin (SALT), we hypothesized that both oral use of N, and application to the skin O can have similar immunotropic effects. The study is devoted to testing this hypothesis. Material and Methods. Experiment was performed on 50 healthy Wistar male rats. Animals of the first group remained intact, using tap water. Instead, the other rats received the same tap water and N through the tube for 6 days. Another group received together with N three applications of O, and the last - only O. The day after the completion of the drinking/application course we recorded the parameters of the neuro-endocrine-immune complex. Results. Discriminant analysis revealed 23 parameters (5 of the thymus, 3 of the spleen, 6 of blood, 7 endocrine and 2 of HRV), the set of which intact, control and experimental rats differ significantly from each other. Calculation of centroids separately for groups treated with N, O, or both balneofactors showed no differences at all. Conclusion. The modulating effect on 23 parameters of the neuro-endocrine-immune complex N and O, as well as their combination is almost equivalent which is probably due to the binding of aryl hydrocarbons to AhR of macrophages of GALT and SALT. Описание: It is known that biological activity of curative water Naftussya spa Truskavets’ (Ukraine) caused by its organic substances, genetically connected with Oil (Naphta in Greek) and Ozokerite from Boryslav’s layer, located near (5-7 km) from Truskavets’. Some effects of Naftussya water reproduced by obtained from it organic substances. In biotechnological experiment have been shown that organic substances produced during cultivation sowed from Naftussya water hydrocarbon oxidizing microbes in medium contained water-bearing dirt as well as Oil or Ozokerite [1-4]. In clinical observations we have shown that course drinking of stable water solution of the Ozokerite imitates favorable effects of bioactive Naftussya water on parameters of immune and autonomous nervous systems at volunteers with their dysfunction [5]. Although the aryl hydrocarbon receptor (AhR) was initially recognized as the receptor mediating the pathologic effects of dioxins and other pollutants [6], the activation of AhR by endogenous (bilirubin and biliverdin [7]) and environmental (polycyclic aromatic hydrocarbons, polyphenols, indoles, flavonoids) factors has important physiologic effects, including the regulation of the immune response [8-10]. AhR translocates into the nucleus upon binding of various small molecules into the pocket of its single-ligand binding domain. AhR binding to both xenobiotic and endogenous ligands results in highly cell-specific transcriptome changes and in changes in cellular functions [7]. Both adaptive and innate immune cells require AhR signaling at critical checkpoints. AhR signaling is considered a promising drug and preventive target, particularly for cancer, inflammatory, and autoimmune diseases [11]. 2021-01-01T00:00:00Z http://ir.dspu.edu.ua/jspui/handle/123456789/10525 Название: Association between competencies of biopsychosocial approach and job satisfaction of rehabilitation professionals in Ukraine. Авторы: Aija, Aija Klavina; Kwok, Kwok Ng; Olena, Olena Lazarieva; Marina, Marina Mruga; Kateryna, Kateryna Tymruk‑Skoropad; Serhii, Serhii Rokutov; Oleh, Oleh Bazylchuk; Nataliia, Nataliia Zakaliak; Lorenzo, Lorenzo Billiet; Lubov, Lubov Tsizh; Dariya, Dariya Popovych; Kateryna, Kateryna Myndziv; Olha, Olha Yezhova Краткий осмотр (реферат): Background: The Biopsychosocial (BPS) model is recognized and widely accepted in the field of health care, particularly in rehabilitation. However, in clinical practice the applicability of the BPS model is a challenge for many professionals. Method: This study aimed to explore the factors that impact the perception of rehabilitation professionals about the BPS model in Ukraine. In addition, the job satisfaction assessment was done to measure whether rehabilitation specialists in Ukraine fulfil their professional roles according to their expectations and values. Participants were 346 rehabilitation specialists from Ukraine who completed the Bio-Psycho-Social Scale (BPS) for Use in Healthcare and the Global Job Satisfaction Scale (GJSS). The ANOVA was used to investigate the outcome differences between the two scales. Results: The highest proportion of responders in this study represented state health services. The BPS subscale outcomes on “assessment and reporting” and “professional knowledge and skills” were significantly higher for specialists from a private sector. The global job satisfaction scale outcomes did not differ between responders from the private and state health sector. The perception of professionals networks was associated with greater job satisfaction. Conclusions: The findings suggest that conception of the BPS approach in rehabilitation system of Ukraine varies across the private and state settings. The professional network plays important role in job satisfaction of rehabilitation professionals in Ukraine. Future research focusing on education strategies to effectively train professionals to apply biopsychosocial approach to practice is of critical importance to prepare rehabilitation specialists in Ukraine. Описание: The International Classification of Functioning, Disability and Health (ICF) was launched by the World Health Organization [1], as a biopsychosocial model. It is a holistic approach that can assist health professionals on clinical reasoning, problem solving and goal setting. However, students and young professionals can find the ICF difficult to understand, particularly in how multiple biological, psychological, and social factors are associated with a persons’ health condition. Furthermore, in combination with other subjective factors, for example, their values, beliefs, cultural context, fears, worries, and hopes, the process of adopting the ICF can be challenging [2]. Linked with the use of the ICF, over the last decades there has been a shift towards a biopsychosocial (BPS) paradigm in health care and has resulted in the introduced concepts such as client-centered-practice, inclusion, shared decision making, coaching and self-management [3]. This has led to a switch from cureoriented towards care-oriented practices. Yet, the implementation of the BPS model in rehabilitation has been slow, partly due to physiotherapists report lack of training and understanding of interventions according to the BPS in areas such as, musculoskeletal health problems [4], low back pain [5, 6], and traumatology [7]. Also, in occupational therapy, the introduction of the BPS model in rehabilitation has embraced a more integrated and holistic approach to practice [8, 9]. Moreover, the Rehabilitation Competency Framework (RCF), developed by theWHO expert Technical Working Group [10] provides a broad thematic organization for the competency, activity, knowledge and skill statements of the rehabilitation workforce across the five domains: (1) practice, (2) research, (3) management and leadership, (4) learning and development, and (5) professionalism. The RCF is intended to facilitate the development of context-specific competency frameworks, curriculum development, and competency-based workforce evaluation for rehabilitation [11]. 2022-01-01T00:00:00Z