DEPARTMENT OF CLINICAL IMMUNOLOGY, ALLERGOLOGY AND GENERAL PATIENT CARE Clinical bases of the Department are Ternopil University Hospital, Gastroenterological and Hematological Departments Address: Ternopil, Clinichna str. 1 Adress: Kotsyubynsky Str. 3, Ternopil, 46001, Ukraine Tel.: (0352) 43-09-27, 520584 E-mail: nursing@tdmu.edu.te.ua Pic 1. The Head of the Department – Hospodarsky Igor Yaroslavovych M.D. The Department staff: Head of the Department – prof. Hospodarskyy Igor Yaroslavovych Professor Kit O.M. 6 associate professors – Yastremska S.O., Rega N.I., Davydovych N.Ya., Zarudna O.I., Lokai B.A., Usynska O.S. 7 assistant professors – Konovalenko S.O., Maksymova V.V., LepyavkoKrekhovska O.M., Yavorska I.V., Horodetsky V.Ye., Sydorenko O.L., Mazur L.P. 2 laboratory assistants – Shevchuk V.Ya., Rybalka T.Yu. Education In October, 2005 the general patient care Department was founded as a part of the Institute of Nursing to optimize the teaching of general patient care in surgery, therapy and pediatrics. The name of the Department had been changed into Clinical Immunology, Allergology and General Patient Care since December, 2007. The Department is located in the repaired educational building № 7. Pic 2. The Department staff There were created modern computer class, 2 lecture rooms, practical skills lab and educational room. Pic 3. Students work in the computer class Pic 4. Assistant Professor Rega N. I. with students in the practical skills lab Currently the Department of Clinical Immunology, Allergology and General Patient Care provides teaching process by the following curriculums: Associate Degree Nursing (ADN) Program –the 1st and the 2nd year of study. Baccalaureate Nursing (BSN-RN) Program (training of bachelors in nursing by American curriculums) – the 2nd and the 4th year of educational programs (BSN (4y)). General patient care course for sophomores of the Medical Faculty (phantom course). Students of the 5th course of the Medical Faculty (Clinical Immunology Course). Students of the 5th course of the Dentistry Department (Clinical Immunology Course). Doctors-Interns of the Post Graduate Faculty (Clinical Immunology and Allergology Course). MSN (Clinical Nursing). Students of the distant form of education (BSN, MSN). The textbook “Practical Nursing” was edited by rector of TSMU Kovalchuk L. Ya. and published in 2011. This textbook is about the nursing manipulations scheme. Students are taught according to the one day methodic system class. The educational rooms are thematically equipped according to the cycles of discipline. Clinical work The lecturers of the Department are also doctors in the gastroenterological, rheumatological, pulmonological, endocrinological, haematological and surgical units. Professor I. Ya. Hospodarsky is the curator of the gastroenterological unit and Associate Professor B.A. Lokay is the curator of the haematological unit of the Ternopil University Hospital. There are 2 regional medical centers which were created in 2010-2011. The Department and University Hospital staff works there: • Regional Center of Gastroenterology with Haematology (director I. Ya. Hospodarsky). This center includes 35 beds of the gastroenterology unit and office of the clinical gastroenterologist of the polyclinic. • Regional Center of Clinical Immunology and Allergology (director I. Ya. Hospodarsky). This center includes 5 beds of the gastroenterology unit (the highly qualified help is provided to the patients) and 5 beds of the pulmonological unit, office of the clinical immunologist/ allergologist of the policlinic, immunology lab. Pic 5. Proff. Hospodarsky I. Ya. during the clinical round in the gastroenterology unit of Ternopil University Hospital There is a great cooperation with leading research and clinical laboratories of Ukraine, where cytogenetic, molecular genetic researches are carried out as well as immunophenotyping of immunocytes and cells of marrow to verify the diagnosis and increase the quality of medical treatment. The medical staff of the clinic has a great personal experience in polychemiotherapy of oncohematological diseases according to the standards and protocols approved by the Ministry of Health Care of Ukraine. Pic 6. The curator of the unit Lokai B. A. and resident doctors of Haematology Department of the Ternopil University Hospital New diagnostic technologies introduced in the clinic: developed and tested technique of differentiated determination of types of cryoglobulinemia, determination of antigens and genetic material of viruses in cryoprecipitate, introduced the determination of populations and subpopulations of lymphocytes by monoclonal antibodies, computer intragastric pH-metry. The medical staff of the clinic discover the changes of mineral density of bone tissue in patients with chronic leukemia on two-photon densitometer LUNAR DPX-A. New medical technologies are introduced in the clinic: proposed and tested combination of pegylated interferons for chronic viral hepatitis, the usage of intravenous immunoglobulins for viral pneumonia and autoimmune syndromes and diseases. The technology of the immunotherapeutic means application for patients with hepatitis C resistant to antiviral therapy is developed. Intravenous monoclonal antibodies for autoimmune diseases were used for the first time in the Ternopil region. The diagnostic and medical technologies developed by the medical staff of the clinic are protected by patents for inventions. The Institute of Nursing Staff made 5 grant researches under the supervision of prof. Hospodarsky I.Ya. There are 4 international clinical researches in process. The main themes of the scientific researches: Immunopathology of chronic viral hepatitis and other infectious diseases; Immunopathology of the reactive and rheumatoid arthritis and other autoimmunity diseases; Allergosis and bronchial asthma; Chronic obstructive pulmonary disease. The clinic is a training basis for Ukrainian and foreign students of the Medical Faculty, Institute of Nursing interns who are trained in Ternopil State Medical University. Pic 7. Assistant Professor Horodetsky V.Ye. together with foreign students make pleural puncture. Among the prospects of the clinic development are increasing the opportunities for diagnosing diseases using immunophenotyping of peripheral blood cells and bone marrow, cytogenetic and molecular genetic methods of research and creating conditions for high-dose chemotherapy protocols, autoand allotransplantation of bone marrow. It is planned to continue and to improve the cooperation between the leading international immunological, gastrointestinal and hematologic centers with the internship of doctors, to introduce new diagnostics and therapeutic technologies. Research The Department is a joint participant of the following scientific-research themes: • Interuniversity and interdepartmental scientific-research devoted to the epidemic and pandemic influenza and possible complications (supervisor: corresponding member of the NAMS, prof. L. Ya. Kovalchuk); • Interdepartmental scientific-research devoted to the optimization of general inflectional diseases treatment (supervisor: corresponding member of the NAMS, prof. M.A. Andreychun). The department is involved in the publication of the professional magazine for Ukrainian nurses “Nursing”. The Institute of Nursing in TSMU offers all interested specialists to cooperate. In 2007-2011 the Department staff took part in the Ukrainian-Netherland project supported by MATRA project “Support and improvement of the nursing care for older people by Public Community” involving authority, community, Netherlands specialists, press. This project includes the following stages: - care of older people, who needs care; - family medicine with nurses involved; - cooperation between different institutions to provide continual care. Staff of the Department and Institute of Nursing was the coordinator of this project in Ukraine. Pic 8. Official meeting during the MATRA program (Enschede, Netherlands) 2008 Since 2006 the Department staff organizes the nationwide conferences with international participation. The aim of these conferences is to improve Nursing in Ukraine on the contemporary international level. The senior management of the Heath Care System and Medical Educational Institutions of Western Europe and the USA took part in these conferences. Three international conferences “Immunology during the respiratory diseases” are carried out together with the propaedeutics of Internal Medicine Department. The delegations from Poland, Russia, Byelorussia and the USA took part in these forums. The Department staff participates in the International Project BUPASCAN about epidemiology of bronchial asthma (Ukraine-Poland-Byelorussia-Canada 2010-2011).