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The article represents the results of the survey held among sixth year studying students of the 1st medical faculty of SI «DMA» in order to identify cardiovascular risk factors. Family history of premature cardiovascular diseases (sudden death, arterial hypertension (AH), ischemic heart disease (IHD), stroke), level of physical activity, smoking were analyzed. The degree of nicotine dependence in smokers was determined using the Fagerstrom test. Gender, age, height, weight, body mass index, blood pressure, heart rate were also evaluated. It was found that only 50 (27.3%) students did not have any cardiovascular risk factors. Among those surveyed, 120 (65.6%) family history of premature cardiovascular diseases was observed in 120 (65.6%) students: AH in 100 (51.6%) students, IHD – in 10 (8.33%), combination of AH and IHD – in 35 (29.2%) students. Respondents noted sudden death among relatives in 9 (4.6%) cases, stroke – in 40 (20.6%) cases. Low physical activity (21.3%) and smoking (19.1%) were the main modified risk factors among medical students. Tobacco smoking amounted to 85.7%, the use of electronic «cigarettes» – to 14.3%. Most respondents understand the negative effects of smoking and prefer to quit smoking. A high level of awareness about risk factors for cardiovascular diseases has been established among medical students. Our findings indicate the need for preventive work organization either during the educational process and in everyday life. It’s very important to introduce cigarettes and electronic «cigarettes» use restrictions in public places and to organize educational events to raise the awareness among young people about the risks associated with the use of electronic «cigarettes»

Education modernization in the healthcare of Ukraine has formed new approaches to the training of the young professionals. The article describes the methods of the active teaching in the medical university clinical departments. Traditional lecturing used in teaching has the lowest retention rate; the use of simulation technique education as part of an instruction method may enhance retention and reinforce learning by creating a dynamic educational environment. The aim of the study was to analyze, generalize existing points of view in the education system, which affect the issue of necessity, effectiveness and features of the simulation programs use for medical students in the example of «Standardized patient» methodic. Object and methods. It were held an overview of modern literature on the implementation of simulation method in way of the «Standardized patient» methodic in medical education. Seven databases were used in the search: ERIC, Education Research Complete, Medline, Medline Complete, Academic Search Complete, The Cochrane Library and PubMed in period of 2007-2018. Using key words: standardized patient, students, active teaching method, professional training, medicine. Results and discussion. Students of medical universities often feel lack the experience of interacting with real patients. By mastering realistic scenarios with a standardized patient (SP), they accumulate experience, and teachers gain an opportunity to evaluate how students apply new knowledge in practice. Interaction with SP develops communication and professional skills, enabling students to get their first clinical experience. Using SP, students learn to collect anamnesis from a patient, conduct a physical examination on structured and effective principles, learn to ask questions related to medical, surgical and social anamnesis, make objective examination, estimate additional methods of investigation. SPs also help students of the senior courses to ensure integration of curriculum content in practical activity. There is a possibility apply their theoretical knowledge in practice, using them as tools in achieving a specific goal helping a sick person. This method of simulation training is developed to involve university staff as «standardized patients» for modeling clinical situations of differentiation and assistance in various diseases. The approximate structure and rules for writing a clinical scenario for SP are proposed. Conclusion. SP methodic is one of the effective ways to learn how to manage errors and how to work in accordance with modern algorithms. The advantage of this technique is that the student can really assess the level of his training, identify gaps in knowledge and skills, and make timely attempts to eliminate them. The inclusion of SP methodic in an educational program is a very effective teaching method.

Goal: to study predictors of atrial appendages thrombi organization in persistent non-valvular atrial fibrillation patients. Materials and methods: a total of 133 consecutive patients with non-valvular atrial fibrillation, who underwent transoesophageal echocardiography before electrical cardioversion, were included in the study. Results: in 40 (37,6%) patients thrombus were detected in left atrial appendage and in 26 (65,0%) patients they were organized. In 10 (7,5%) patients thrombus were detected in right atrial appendage and in 7 (70,0%) patients they were organized. In 63 (47,4%) patients thrombi were found in both atrial appendages and in 25 (39,7%) patients they were organized. Hemodynamic and morphological predictors of left atrial appendage thrombus in non-valvular atrial fibrillation patients were not found. Thrombus organization in right atrial appendage was assotiated with increased left atrial and right atrial indexed area and volume in systole and diastole, increased thickness of rear wall of left ventricle. Conclusions: predictors of right atrial appendage thrombi organization in non-valvular atrial fibrillation patients are increased left atrial and right atrial indexed area and volume in systole and diastole, increased thickness of rear wall of left ventricle.