Department of Propedeutics of Internal Medicine No. 2 and Nursing Care Print

ADDRESS: 13, Nezalezhnosti ave., Kharkiv, 61058 (Communal non-commercial enterprise of Kharkiv Regional Council "Regional Clinical Hospital").

Tel. + 38 (057) 705-02-09

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CHIEF OF THE DEPARTMENT

Professor Ospanova Tetyana S. — D.M.Sc., MD, PhD, Chairwomen of the Ethics and Bioethics Committee



STAFF OF THE DEPARTMENT

Professors: Honoured Scientist and Technician of Ukraine, Academic of the Ukrainian Academy of Sciences, D.M.Sc., Semidotska Zh.D. (supervisor for attitude development); D.M.Sc., Bezditko T.V.; D.M.Sc. Yeryomenko G.V. (member of the Commission for research projects of the Ministry of Health of Ukraine).
Associate professors: Ph.D., Chernyakova I.O.; Ph.D., Khimich T.Yu. (supervisor of academic activity); Ph.D., Avdeyeva O.V. (supervisor of clinical activity); Ph.D., Krasovska K.O.; Ph.D., Bolokadze Ye.O.; Ph.D., Veremienko O.V.; Ph.D., Tryfonova N.S. (Secretary of the Ethics and Bioethics Committee), Ph.D., Pionova O.M. (supervisor of scientific activity).


Ospanova Tetyana S.

Assistants of professor: Ph.D., Borzenko A.B.; Ph.D., Sinelnik V.P.; Ph.D., Klapoukh V.A.

Senior Laboratory Assistant: Shcherbyna I.S.; laboratory Assistant: Korniienko K.D.

Post - graduate students: Yelizaveta Manchencko, Iryna Valilshychykova



ACADEMIC WORK


Disciplines:


“Propaedeutics of internal medicine” are taught for 3rd year students of I and III medical faculties, and VII Faculty for International Students of KhNMU Education and Research Institute for Foreign Nationals (5-6 semester), 2nd year students “Dentistry” of The VI Faculty for International Students of KhNMU Education and Research Institute for Foreign Nationals.


"Nursing practice" for 3rd year students of I and III medical faculties, and VII Faculty for International Students of Education and Research Institute for Training of International Citizens of Kharkiv National Medical University.


“Patient Care” for 2nd year students of I and III medical faculties, and VII Faculty for International Students of Education and Research Institute for Training of International Citizens of Kharkiv National Medical University.


“Life safety, bioethics and biosafety bases” for students 1rd year students of I and III medical faculties and “Dentistry” of The VI Faculty for for International Students of Education and Research Institute for Training of International Citizens of Kharkiv National Medical University.


“Medical ethics and deontology” are taught for students "Technologies of medical diagnostics and treatment" (Bachelor's degree). “Nursing” is taught for students "Social work" (Bachelor's degree).


The department provides 4 optional courses “Epistemology and medicine” and “Deontology in medicine”, “Instrumental methods of functional diagnostics”, “Bioethics and biosafety bases” which are given special importance in ensuring the university level of education.


Bachelor-students and master-students "Nursing" of 1 and 2 years of study (full-time and part-time studies) are taught the following subjects: “Clinical Pharmacology with Toxicology”, “Examination and Assessment of Human Health”, “Nursing Theories and Processes”, “Nursing in Gerontology and Geriatrics”, “Palliative and Hospice Care”, “Clinical Nursing in Internal Medicine”, “Primary health care (practice)”, “Clinical practice”, “Pre-Diploma practice”.


The department provides 3 optional courses for Bachelor-students "Nursing": “Medical theories and process”, “Laboratory bases. Interpretation of examination’s results” and “Instrumental diagnostics bases”, which are given special importance in ensuring the university level of education for "Nursing"


Learning and assessment are provided according to the requirements of the Bologna Declaration using the system ECTS (European Community Course Credit Transfer system).


The staff of the department preserve and develop the best traditions of teaching propaedeutic: the study of diagnostics as a process of cognition the patient and the disease. Students master classical methods of patient examination (questioning, examination, percussion, palpation, auscultation) and get acquainted with the diagnostic capabilities of contemporary medicine under the supervision of experienced professors, associate professor and assistant professor.


Future physicians must learn to identify the symptoms of internal diseases, understanding their pathogenesis, symptoms merge into syndromes, to substantiate a diagnosis.


The lecture course is rich in patient demonstrations, multimedia presentations, original educational videos that were created at the department, imitators of breathing sounds, heart melody, cardiogram, slides. Such demonstrativeness allows you to reveal the entire complexity of the diagnostic process.


A problematic approach to the diagnostic problems solving is used during practical classes and educational and research self-work of students is used as part of individual work.


Practical classes for the students are held at the clinical base of the department: Communal non-commercial enterprise of Kharkiv Regional Council "Regional Clinical Hospital" and Public non-profit organization of Kharkiv Regional Council “The Regional Clinical Specialized Dispensary for Radiation Protection of Citizenry”



AREAS OF RESEARCH


The major areas of department’s scientific activity are studying of predictors of progression of chronic kidney disease (the role of cytokines, disorders of calcium and lipid metabolism, arterial hypertension, proteinuria, tubular dysfunctions, endothelium factors). The role of the kidneys in alteration of the acid-base balance in bronchial asthma and COPD and methods of their correction have been studying. Screening studies have been conducting on the prevalence of secondary kidney damage in diseases of internal organs (cardiovascular, respiratory and endocrine diseases, etc.). Risk factors for formation and progression of alterations in respiratory and kidney function in frame of comorbidity in respiratory disease and the problems of diagnosis and treatment of secondary nephropathies, in particular diabetic, have been studying recently.


The department trains 2 post-graduate students.



CLINICAL ACTIVITY


Clinical work is performed at the clinical bases of the department: Pulmo-Allergy Department with Immunological and Therapeutic Beds and Rehabilitation department of Communal non-commercial enterprise of Kharkiv Regional Council "Regional Clinical Hospital", Public non-profit organization of Kharkiv Regional Council “The Regional Clinical Specialized Dispensary for Radiation Protection of Citizenry” and Public non-profit enterprise of Kharkiv Regional Council "Regional Center Of Palliative Medicine "Hospice"”. Staffs of the department perform consultancy work in Cardiology, Endocrinology and Neurology Department, Head and Neck Surgery Department, Kharkiv Regional Perinatal Center of Communal non-commercial enterprise of Kharkiv Regional Council "Regional Clinical Hospital". Clinics have a sufficient amount of diagnostic capabilities to verify the diagnosis: bronchoscopy, computed tomography, bacteriological, immunological and cytological methods.


Staff of the department are members of a multidisciplinary team for the management of patients with cystic fibrosis, dealing with the pulmonology problems of this cohort of patients (Pulmonology Team Leader – assoc. prof. Avdeyeva O.V.).


A register of adult patients with primary immunodeficiency has been created by assoc. prof. Khimich T.Yu. (Expert in the Department of Health of the Kharkiv Regional State Administration of Allergology and Immunology field), and the program for substitution therapy in this category of patients is being implemented.


Staffs of the department develop molecular allergology in the Kharkiv region and in Ukraine (prof. Bezditko T.V.; assoc. prof. Yeryomenko G.V., assoc. prof. Khimich T.Yu.).


Verification of sarcoidosis with comorbid diseases and development of optimal tactics of treatment of these patients is carried out.



ATTITUDE DEVELOPMENT


An important role for education and attitude development is played by methodical recommendations developed at the department according to the future student specialization. The lectures are held about the moral and hygienic education, the AIDS, drugs abuse and alcoholism. The best Kharkiv opera singers, poets and writers have repeatedly come to students and teachers. We believe that only an extraordinary informal approach to education can make the spiritual world of youth better.



HISTORY OF THE DEPARTMENT


The Department of Propaedeutics of Internal Medicine of the Paediatric and Sanitary Faculties of the Kharkiv Medical Institute (now the Department of Propaedeutics of Internal Medicine №2 KhNMU) was founded in 1938.


Professor Sinelnikov S.M. was the first head of the department until 1959 year. 5 Ph.D. dissertations were defended under his leadership. Areas of research were new methods of research and treatment of various pathologies of internal organs. Sinelnikov S.M. is the author of one monograph and 20 scientific articles.


1960 - 1981 years the department is headed by Professor Shulga Yu.D. Professor Shulga Yu.D. is the founder of the Kharkiv Nephrology School. Studies of immunological homeostasis, water-electrolyte balance, central and renal hemodynamic, pressor and depressor systems in glomerulonephritis, pyelonephritis, arterial hypertension, and new methods of treating these diseases have been widely recognized. Shulga Yu.D. trained 8 doctors and 24 candidates of medical sciences. He is the author of 5 monographs in nephrology and 130 scientific papers.


From 1982 to 2009 years Honoured Scientist and Technician of Ukraine, Academic of the Ukrainian Academy of Sciences, Doctor of Medical Sciences, Professor Semidotska Zh.D., headed of the Department of Propedeutics of Internal Medicine No. 2. Professor Semidotska Zh.D. was one of the first post-graduate students of Professor Shulga Yu.D. Well-known scientist, Professor Semidotska Zh.D. has been heading the Kharkiv school of Nephrology for 28 years. Professor Semidotska Zh.D has trained 2 doctors and 30 candidates of medical sciences, 11 masters, published 370 scientific papers, received 17 patents for inventions and is a co-author of monographs.


Professor, Doctor of Medical Sciences Tatyana Sungashevna Ospanova has been heading the department since July 2009. Professor T.S. Ospanova is the first post-graduate student and the first doctoral student of Professor Zh.D. Semidotska and professor at the department of Propedeutics of Internal Medicine No. 2.since 1997. Prof. T.S. Ospanova is the first at the department to conduct practical classes and lecture in English for foreign students. Prof. T.S. Ospanova is the author of more than 200 scientific papers, a member of the Dissertation Council D 64.600.04 at KhNMU, Ukrainian and Russian Associations of Nephrology, a member of ERA-EDTA (European Renal Dialysis and Transplantation Association), the European Respiratory Society. Prof. Ospanova T.S. participates actively in holding national and international scientific conferences, congresses and symposia with oral presentations. Prof. Ospanova T.S. is the chairman of the commission on ethics and bioethics of KNMU since 2007, which she represents annually at all-Ukrainian and European conferences on Bioethics. Prof. Ospanova T.S. is the guarantor of the educational program in the specialty "Nursing".


EDUCATIONAL WORK

 

The course of propaedeutics of internal medicine is taught to students of the 3rd year of the I and II medical faculties, the 3rd year of the IV medical faculty (Russian-speaking and English-speaking students of the medical faculty for working with foreign students) (5-6 semester), the 2nd year of the dental faculty. In addition, 2nd year students of all medical faculties in the 4th semester are taught the course "Nursing", and 3rd year students of medical faculties - the course "Nursing".

The Department conducts two elective courses "Fundamentals of the theory of knowledge and problems of medical diagnostics" and "Deontology in medicine", which are given special importance in ensuring the University level of education.

Students of all courses of medical faculties study according to the credit-modular system in accordance with the requirements of the Bologna Declaration with obtaining assessments of the level of knowledge on the ECTS scale.

The staff of the Department has drawn up methodological developments in Ukrainian, Russian and English for students and teachers, as well as - independent work of students, tests of control of initial and final knowledge for each lesson. Also, test batteries, situational tasks and a list of practical skills have been developed for the final modular control of knowledge, which occurs at the end of the courses "Nursing" (4 semester), "Propedeutics of Internal Medicine" (6 semester), "Nursing" (6 semester).

In accordance with the requirements of the Bologna Declaration, in parallel with the courses "Nursing" and "Nursing", students undergo relevant practical training.

 

 

 

Students of the Faculty of Dentistry study the propaedeutics of internal medicine for 5 semesters according to the traditional system and the scale of knowledge assessment, with a credit at the end of the course.

Under the conditions of a credit-modular system, the staff of the Department preserves and develops the best traditions of teaching propaedeutics: the study of diagnostics as a process of cognizing the patient and the disease. Under the guidance of experienced teachers, professors and candidates of medical sciences, students master classical research methods (questioning, examination, percussion, palpation, auscultation), get acquainted with the diagnostic capabilities of modern medicine.

Future doctors must learn to identify the symptoms of diseases of internal organs, understand their pathogenesis, combine symptoms into syndromes, and substantiate the diagnosis.

The lecture course is full of patient demonstrations, multimedia presentations, original educational videos created at the department, imitators of breathing sounds, heart melody, cardiogram, slides. Such demonstrativeness allows revealing the entire complexity of the diagnostic process in the harsh conditions of the credit-modular system.

 

Practical trainings are traditionally held at the patient's bedside, in the classroom a problematic approach to solving diagnostic problems is used, educational and research independent work of students is used in the framework of individual work.

The system of demonstrative, open, comprehensive practical classes and lectures, which are conducted by experienced and young teachers, with subsequent discussion at the methodological meetings of the department, contributes to the constant improvement of the level of teaching.

The student scientific club works fruitfully, interestingly and diversely at the Department: students take part in scientific research, plenary sessions, evening rounds of patients.

Annually clinical and anatomical conferences are held together with the club members of the Department of Pathological Anatomy.

The clinical base of the Department is the Regional Clinical Hospital, its Pulmonological, Allergological And Rehabilitation Departments.

DIRECTIONS OF SCIENTIFIC RESEARCH

 

The main direction of the Department's scientific activity is the study of predictors of progression and secondary prevention of chronic kidney disease, the role of cytokines, disorders of calcium and lipid metabolism, homocysteinuria, arterial hypertension, proteinuria, tubular dysfunctions, endothelium factors. Methods for correcting disorders of homeostasis were processed. The role of the kidneys in violations of the acid-base balance in bronchial asthma and COPD, as well as methods of their correction, are being studied. Recently, the problems of diagnosis and treatment of secondary nephropathies, in particular diabetic, have been studied. Screening studies are being conducted on the prevalence of secondary kidney damage in diseases of internal organs (cardiovascular diseases, gastric ulcer and duodenal ulcer, endocrine diseases, etc.).

 

 

The Department is intensively training scientific and pedagogical personnel: while scientific research is carried out by 1 postgraduate student, 1 doctoral student and a doctor-resident.

 

CLINICAL CARE

 

In the allergy unit, modern medical technologies are being introduced into the diagnostic and treatment process. Peak flowmetry and computer spirography are used to monitor the course of bronchial asthma, allergological tests with food, dusty, pollen, household allergens, skin biopsy in patients with vasculitis. In the treatment, modern stepwise approaches are used according to the recommendations of international consensus, topical corticosteroids are used - inhalation, intranasal, ophthalmic, skin; highly selective partial β2-agonists, antihistamines of II-III generations, prolonged calcium antagonists of the III generation, MRI, plasmapheresis, hyposensitization. Started screening studies of bronchial asthma in the regions of the Kharkiv region. It is planned to participate in an international project on the studied concentration of plant dust in the atmosphere of the Kharkiv region.

It is planned to participate in an international project on the studied concentration of plant dust in the atmosphere of the Kharkov region.

An office for the prevention and diagnosis of bronchial asthma was opened in the clinic of the OKB. The Pulmonology Department of the OKB has modern diagnostic and therapeutic capabilities for providing medical care to patients with various pathologies of the respiratory system. The clinic has a sufficient amount of diagnostic capabilities to verify the diagnosis: bronchoscopic methods, computed tomography, bacteriological, immunological and cytological methods. The department carries out differential diagnostics for disseminated processes in the lungs, fever of unknown origin, fungal and secondary lung lesions with various pathologies of internal organs. In the last decade, special attention has been paid to the problems of pneumonia, its etiology, clinic, features and problems of treatment. Together with modern pharmacotherapy, methods such as therapeutic bronchoscopy, intratracheal administration of drugs, as well as all types of physiotherapy, including massage, acupuncture, etc., are used, phytotherapy, oxygen therapy using the 7F-5 oxygen concentrator are used.

 

 

 

 

 

EDUCATIONAL WORK

The staff of the Department attaches great importance to the humanitarian component of the education of students. The best opera singers, Kharkiv poets and writers have repeatedly come to students and teachers. We believe that only an extraordinary informal approach to education can make the spiritual world of youth better.

The Department has scientific and propaganda information on teaching and educational work. The achievements of the Department in scientific, methodological, medical and scientific work are presented in the form of photographs that illuminate the daily routine of the university and all divisions of the Department's work: the Department staff, rounds, work of students with patients, joint work of teachers and students using medical equipment in the lecture hall of the department, departments , scientific and practical conference.

In order to improve physical education in all groups and sponsored rooms, discussions were held on the topics of moral and hygienic education, prevention of AIDS, alcoholism and drug addiction.

 

HISTORY OF THE DEPARTMENT

The Department of Propedeutics of Internal Medicine of the Paediatric and Sanitary Faculties of  Kharkiv Medical Institute (currently the Department of Propedeutics of Internal Medicine No. 2 of the KhNMU) was founded in 1938.

The first head of the department was Professor S.M. Sinelnikov, who headed the Department until 1959. Under his leadership, 5 Ph.D. theses were defended, research and treatment methods new for that time were studied and introduced into practice: electrocardiography, determination of blood flow rate, venous pressure, acetylcholine in the blood. In the treatment of septic endocarditis, penicillin, salazin were used, for heart failure - small doses of strophanthin and mercuzole, cordipin, foliarin, for peptic ulcer disease - tissue therapy, for hypertension - rauwolfia preparations, for anemia - vitamin B12. S. M. Sinelnikov is the author of one monograph and 20 scientific articles.

From 1960 to 1981 the Department is headed by Professor Yu.D. Shulga. Under his leadership, teaching propaedeutics rises to a new level: methodological approaches of programmable algorithmic teaching, programmed control of knowledge, student's independent work are being developed and implemented. Professor Yu.D. Shulga is the founder of the Kharkiv nephrological school. Studies of immunological homeostasis, water-electrolyte balance, central and renal hemodynamics, pressor and depressor systems in glomerulonephritis, pyelonephritis, arterial hypertension, new methods of treating these diseases (beta-blockers, sympatholytics, anticoagulants, cytostatics, corticosteroids, etc.) have been widely recognized. Yu.D. Shulga trained 8 doctors and 24 candidates of medical sciences. He is the author of 5 monographs on nephrology and 130 scientific papers.

 

 

 

Since 1982, the head of the Department of Propedeutics of Internal Medicine No. 2 was Zh.D. Semidotska, who was one of the first graduate students of Professor Yu.D. Lefty, defended her Ph.D. thesis under his guidance and, with his advice, a doctoral dissertation.

 

 

 

The activities of Professor Zh.D. Semidotska, as the head of the Department of propaedeutics, has always been aimed at combining the best domestic traditions with modern pedagogical innovations. Professor Zh.D. Semidotska has been the head of the Kharkiv Nephrology School for 26 years: she has trained 2 doctors and 30 candidates of medical sciences, 11 masters, published 370 scientific papers, received 17 patents for inventions; she is a co-author of monographs.

 

Since July 2009 the acting head of the Department is Doctor of Medical Sciences, Professor T.S. Ospanova. Professor T.S. Ospanova - the first graduate student and the first doctoral student of Professor Zh.D. Semidotska. In 198 she was a postgraduate student of the Department, on the basis of the Department carried out a doctoral dissertation and successfully defended it in 1995. Since 1991 she has been working at the Department as an assistant, associate professor, and since 1997 - a professor at the Department. Prof. T.S. Ospanova was the first at the Department to conduct practical classes and lecture in English for foreign students. since 1999 she was the responsible executor of the scientific work of the department. Prof. T.S. Ospanova is the author of more than 200 scientific papers, a member of the Dissertation Council D 64.600.04 at KhNMU, Ukrainian and Russian Nephrological Associations, a member of ERA-EDTA (European Renal Dialysis and Transplantation Association), the European Respiratory Society. T.S. Ospanova takes an active part in holding regional, republican scientific and practical conferences, speaks at symposia, congresses, including abroad, has the appropriate certificates. since 2007 Prof. T.S.Ospanova is the chairman of the commission on ethics and bioethics of KhNMU, which she represents annually at all-Ukrainian and European conferences on bioethics.