Recently, there has been growing interest among scientists and clinicians in non-invasive diagnostic methods utilizing saliva as a diagnostic medium. Changes in the levels of specific salivary microelements play a crucial role in dental caries, periodontal disease exacerbations, local immune disorders. Since the status of the immune system at the entry gate is associated with the frequency of acute respiratory infections, our research aimed to explore the relationships between understudied toxic microelement influences in saliva and indicators of local immunity in children with recurrent respiratory infections. Purpose: to investigate the levels of toxic and potentially toxic metals in the saliva of primary school-age children and analyze their correlation with oral cavity local immune markers. The study involved 30 children aged 5-7 years with recurrent respiratory infections (main group) and 10 practically healthy children who experienced episodic acute respiratory infections (control group). The number of acute respiratory infection episodes in the main group was 7.64 (1.02) (M (SD)), while in the control group, it was 1 (0.63). The study was conducted in accordance with the Helsinki Declaration of the World Medical Association regarding the ethical principles for medical research involving human subjects. Saliva samples were measured for levels of toxic metals, including aluminum (Al), lead (Pb), barium (Ba), thallium (Tl), cadmium (Ca), strontium (Sr), bismuth (Bi), and potentially toxic metals, such as silver (Ag), gallium (Ga), and indium (In). Measurements were performed using inductively coupled plasma atomic emission spectroscopy. The levels of secretory IgA and lysozyme, as indicators of local immunity, were measured using a photometer for microplates (HiPo MPP-96) with the help of test systems. Comparative analysis of data on the content of toxic and potentially toxic metals in children from the main Журнал «Перспективи та інновації науки» (Серія «Педагогіка», Серія «Психологія», Серія «Медицина») № 11(29) 2023

Електрокардіографія (ЕКГ) – широко розповсюджений метод діагностики роботи серця в графічному зображенні, який дозволяє якнайшвидше виявити проблему в діяльності серця. В публікації представлено досвід проведення циклу тематичного удосконалення (ТУ) «ЕКГ

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In the modern model of training medical students, the leading role belongs to the formation of standardized skills, which are practiced according to unified algorithms, i.e. -hard skills. The advantage of this approach is the ability to test and control acquired skills and knowledge. However, further training of physicians cannot be rigidly tied to soulless algorithms and requires improved communication skills, especially in family medicine. After all, it is the primary level of medical care based on trusting and long-term relationships with the patient, establishing stable, healthy communication. In preventive medicine, you can often hear about compliance, although in the literal sense it is only a direct implementation of the patient's instructions. In recent years, more and more attention has been paid to the doctor's ability to motivate the patient to make lifestyle changes in order to maintain and strengthen the health of community members. At present, it is impossible to imagine a family doctor who does not use motivational counseling in his daily practice. At this stage, some doctors experience some gaps in their training and want to improve their communication skills (so-called soft skills). Motivational counseling trainings are constantly held at the Department of Family Medicine FPE of Dnipro State Medical University. The article describes the experience of teaching this topic to primary care physicians and confirms the effectiveness of our approach. The four-day intensive training allows you to immediately practice the acquired knowledge in a safe environment among your colleagues and clearly see its effectiveness. The participatory approach helps to attract invaluable experience of participants to solve clinical cases and situational problems. Based on Bloom's taxonomy of educational goals, our training provides a clear pursuit of the goal and Журнал «Перспективи та інновації науки» (Серія «Педагогіка», Серія «Психологія», Серія «Медицина») № 7(12) 2022 56 consistent assimilation of the material to the highest level -the synthesis of new ideas. Thus, we managed to create a quality educational product for the formation of the necessary competencies in the communicative field of "patient-doctor", taking into account ethical and deontological professional principles.