Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): feasibility study protocol.

Introduction: Family-Focused Adolescent & Lifelong Health Promotion (FLOURISH) project will adapt, implement and evaluate a programme to support adolescent mental health and well-being through strategies, such as strengthening parenting practices, adolescent-caregiver relationships, adolescent and parent socioemotional skills, and social support.

Methods And Analysis: The project will focus on adolescents aged 10-14 years and their caregivers in North Macedonia and Moldova. The countries were selected based on implementation readiness of two organisations and a need for accessible evidence-informed services to help mitigate health risks due to economic, social and political challenges.

FEATURES OF FORMING SELF-EDUCATIONAL COMPETENCE OF FUTURE DOCTORS.

Objective: The aim: To analyse the self-educational competence formation for future doctors in higher education institutions. The process has to be analyzed from the presence of motives regarding the educational activity of the individual to personal need for self-improvement.

Patients And Methods: Materials and methods: The diagnostic stage, which was conducted in 2020-2021, included 300 sixth-year students from three higher educational institutions: I.

Provider attitudes towards a brief behavioral intervention for sexual health in Moldova.

Background: Brief behavioral interventions are seen as an efficient way to improve knowledge, change behavior, and reduce provider stigma regarding sexual health. When grounded in evidence-based behavioral change techniques and delivered using Brief Sexuality-related Communication (BSC) tools, brief behavioral interventions can address client-driven sexual health goals in a single session with their provider. Evidence for the efficacy of brief interventions for creating gains in sexual health comes largely from resource rich settings, and there is a lack of knowledge of how brief interventions can be implemented in the more resource constrained environments of low- and middle-income countries.

The feasibility and acceptability of collaborative learning in improving health worker performance on adolescent health: findings from implementation research in Moldova.

Background: Collaborative learning has been shown to be effective in improving health worker performance, but relatively little is known about the feasibility or acceptability of collaborative learning in youth-friendly health services (YFHS). This paper describes the characteristics, feasibility and acceptability of a collaborative learning approach implemented in YFHS in Moldova as part of a national scaling up process.

Methods: We gathered and analysed data on the number, location, themes, and participants of sessions, as well as benefits and challenges of collaborative learning, using two information sources: 1) formal reports on collaborative learning sessions, and 2) two questionnaires conducted with participants and moderators.

[Application of round hepatic ligaments for the securing of reliable hemostasis and restoration of pylorus in the presence of big penetrating duodenal ulcer complicated by hemorrhage].

Experience of operative treatment of 111 patients, operated on for big penetrating duodenal ulcer, complicated by hemorrhage, was summarized. There was proposed the method of operation performance using round hepatic ligament for tamponade of the ulcer crater and for restoration of pylorus. The advantages of pylorus preserving operations were proved.

[Setting normal levels of benz(a)pyrene in foods].

In the paper, methodological requirements are formulated for validation of permissible levels of benz(a)pyrene (B(a)P) in foodstuffs. A list is submitted of allowable levels of this carcinogen in food products for the population of Ukraine, their specific values being dependent on the accepted tolerance daily done intake and on the structure of the standard food ration. Prevention of B(a)P formation and its elimination from the human habitat together with the use of the modern environmentally appropriate technologies designed to prepare food products will form a basis for stabilization of the permissible dose of the carcinogen, finding its way to the human body as a food component through dietary intake.

[Oncologic hygienic aspects of regulation of benz(a)pyrene in food products].

The paper presents a methodological scheme for regulating the acceptable levels of benz(a)pyrene in the foodstuffs is presented. It also gives a list of the acceptable levels of this carcinogen in the foodstuffs whose specific values depend on its daily dosage and the pattern of a standard diet for the Ukraine's population.

[Hygienic aspects of the study of the synthesis of nitrosamines from their precursors].

The paper presents data on the content of nitrosamines (NA), such an nitrosodimethylamine, nitrosodiethylamine, and their precursors (NO2 and amines) in the ambient air of different functional zones of a city. A high correlation between NA and NO2 in the air was established. NO2 was shown to have the leading role as a nitrosating agent in the model system and air during exogenous synthesis.

[Surgical tactics in perforated stomach and duodenal ulcers].

The results of treatment of 410 patients with a perforated gastric and duodenal ulcer were summarized. A dependence of lethality and type of the operation performed on time elapsing from the moment of perforation, presence of concomitant diseases is shown.

[Radical treatment of penetrating duodenal ulcer].

The results of treatment of 450 patients with duodenal ulcer have been analysed. Of them, in 198 (44%), ulcer penetration into the adjacent organs was revealed. An excellent and good results were noted in 80.

[Experimental study of combined effects of benzo(a)pyrene and ortho-cresol on the body].

Ortho-cresol (o-cresol) produces a modifying influence on the effect produced by benz/a/pyrene (BP) under mice CC57B exposure to the combined peroral administration of the two chemicals. A low-toxic dose of o-cresol (Img) abruptly activates the effect of the same dose of BP (1 mg) according to all parameters (increase of the frequency, coefficient of multiplicity and degree of malignancy of tumours, shortening of the latency period) and somewhat inhibits its activity when administered before or after BP. Simultaneous administration of o-cresol in a ++super-toxic dose (10 mg) and BP in an optimal dose (5 mg) does not change the frequency of tumours, as compared to the control, however, inhibits the progression of induces neoplasms, which is manifest in the decrease of the frequency of malignancy, multiplicity of appearance and lengthening of the time of the onset of their malignization.