Sciences of Europe No 76 (2021) Vol. 1

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Sciences of Europe # 76, (2021) Therefore, administration of cytoprotective drug Trimetazidine in a comprehensive treatment of patients with BC prevents the development of destructive processes in the nervous tissue. Conclusions. 1. Brain concussion results in the development of hypoxic disorders, changes of the pro- and antioxidant balance, and as a result, appearance of neuron injury marker in the peripheral blood. 2. Administration of Trimetazidine in a comprehensive treatment of patients with brain concussion evidenced a pronounced anti-hypoxic, antioxidant and neuroprotective effects of the drug. Further studies are stipulated by the necessity to investigate the effect of neuroprotective drugs in case of craniocerebral injuries – perspective and pathogenically substantiated direction in treatment. References 1. Бульон В.В., Зарубина И.В., Коваленко А.Л., Алексеева Л.Е., Сапронов Н.С. Церебропротективный эффект цитофлавина при закрытой черепно-мозговой травме //Экспер. и клин. фармак. – 2003. – Т.66, №6. – С.56-58.

21 2. Колб В.Г., Камышников В.С. Справочник по клинической химии. – Минск: Беларусь, 1982.290 с. 3. Королюк М.А., Иванова Л.И., Майорова И.Г. Метод определения активности каталазы //Лаб. дело. – 1998. - №1. – С.16-19. 4. Ланкин В.З., Тихадзе А.К., Жарова Е.А., Беленков Ю.Н. Исследование антиоксидантных свойств цитопротекторного препарата триметазидина //Кардиология. – 2001. - №3. – С. 21-28. 5. Мещишен І.Ф., Григор`єва Н.П. Метод кількісного визначення HS-груп у крові //Буковинський мед. вісник. – 2002. – Т.6, №2. – С.190-192. 6. Мироненко Т.В., Панченко Е.Н. Применение продигиозана в комплексной терапии последствий лёгкой закрытой черепно-мозговой травмы //Лік. справа/Врач. дело. – 1999. - №5. – С.101-105. 7. Современные представления о патогенезе закрытой черепно-мозговой травмы / Под ред. Е.Г. Педаченко. – К.: ТОВ «Задруга», 1996. – 282 с. 8. Травина О.В. Руководство по биохимическим исследованиям. М.: Медгиз, 1955. –256 с.

METHODOLOGY FOR TEACHING NERVOUS DISEASES TO MEDICAL STUDENTS Kryvetska I. Candidate of Medical Sciences, Associate Professor of the Department of Nervous Diseases, Psychiatry and Medical Psychology named after S.M. Savenko, Bukovynian State Medical University, Chernivtsi, Ukraine Kryvetskyi І. Candidate of Medical Sciences, Assistant of the Department of Clinical Anatomy and Operational Surgery, Bukovynian State Medical University, Chernivtsi, Ukraine DOI: 10.24412/3162-2364-2021-76-1-21-25 ABSTRACT The article deals with modern aspects of training a neurologist. The importance of studying basic disciplines in the process of training a neurologist is emphasized. The most frequent mistakes that may arise in practice due to overestimation of the results of paraclinical research methods, underestimation of the role of the treatment that the patient receives for other indications are analyzed. An extremely important component of the learning process is the formation of a clear life position of the doctor. Keywords: ethics in neurology, fundamental neurosciences, system of values, humanistic traditions. The training of a highly educated specialist in various fields of medicine is an extremely important task [1-3]. At the same time, one should not lose sight of the need to form the human qualities of a doctor. Almost every discovery in the field of neuroscience raises ethical questions [4]. In particular, brain death or a chronic vegetative state is a rather difficult ethical problem. Despite the existing criteria for brain death, in some states of the United States, for example, they may conflict with the religious beliefs of the patient's family [4]. It is no less difficult to reveal to the patient and his loved ones the true truth about a potentially incurable or genetically determined disease. There are no universal recipes, but there are recommendations in some cases to provide the patient and his family with this kind of information gradually. Note that ethical problems can arise not only in extreme situations, but also in the everyday work of a doctor [5], the relationship between business and medicine [4].

For example, the concept of “informed consent” was put forward more than 100 years ago as the right of every adult to decide what can be done with his body after death. The aging of the population makes the problems of cardiology, oncology, endocrinology, psychiatry, neurology more and more urgent - not only in the field of narrow specialties, but also their interconnection. Specialists are increasingly faced with multimorbid conditions, when knowledge and skills are required in several formally unrelated disciplines. Examples of such conditions are pain syndromes, fatigue syndrome, shortness of breath, etc. [6]. Patients should be aware of the dangers of drug abuse, side effects of drugs that adversely affect, for example, driving a car [7]. Drug abuse is often associated with chronic pain syndromes (pain in the neck, back, headache), especially in women. The introduction of neuroimaging methods into clinical practice has led to another ethical problem associated with identifying any changes in


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