ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 38 of 48
УЖМБС 2018, 3(2): 222–226
Humanitarian issues of medicine and problem of teaching at the higher school

Application of Medical Logic for the Preparation of Diploma Papers on the Specialty "Technologies of Medical Diagnostics and Treatment"

Shevchenko T., Polushkin P., Gladun V., Galchenko D., Govorukha O.

The mastery of logical science by future specialists will make it possible to consciously construct areas of reasoning, to avoid diagnostic errors, to improve the methodology of diagnosis. Due to medical logic, it is possible to implement an algorithm for diagnostic search in which laboratory methods of research occupy one of the crucial roles. Therefore, it is expedient to pay attention to the study of the logic of medical thinking and the preparation of laboratory doctors. The purpose of the study was to conduct expert evaluation and analysis of the use of medical logic in the implementation of diploma work, taking into account the compliance of laboratory tests of pathogenesis of diseases and create a functional model for writing these robots. Materials and methods. An expert evaluation of 23 diploma papers from the special 224 "Technologies of medical diagnostics and treatment" conducted. A ball system for the evaluation of thesis robots developed, taking into account compliance with the laws of logic in accordance with the pathogenesis of diseases. 1 point – lack of use of the laws of logic; 2 points – the use of the law of identity; 3 – a law of sufficient substantiality; 4 – identity and reasonableness; 5 – identity, reasonableness and consistency. Statistical processing performed in the Microsoft Excel spreadsheet editor. Results. In 52.17% (n=12) works, the approach to diagnostics is used from the standpoint of the laws of identity and validity. The laws of the logic of identity, validity and consistency are reflected in 26.08% (n = 6). One law of logic - with sufficient justification – is 21.73% (n = 5). According to the results of the State Examination Commission, 78.26% of works received a maximum score of 90-100, which indicates a rational approach to writing master's works using a functional model. Conclusion: In 52.17% (n = 12) works, an approach to diagnosis from the standpoint of the laws of identity and validity with the comparison of laboratory tests with the initial and final stages of pathogenesis is used. According to the results of the State Examination Commission – 78,26% (p <0,05) of works received a maximum score of 90-100, which can be a proof of a rational approach to writing master's works using the developed and proposed functional model of the use of medical logic in clinical laboratory studies of diseases.

Keywords: laboratory tests, medical logic, pathogenesis

Full text: PDF (Ukr) 196K

  1. Baymatov VN, Meshkov VM. Pathological physiology: textbook. Ed. VN Baimatov. M: INFRA-M, 2017. 411 p. [Russian]
  2. Goodrick E, Reay T. Constellations of institutional logics changes in the professional work of pharmacists. Work and Occupations. 2011; 38 (3): 372–416.
  3. Helgeland H, Flagstad G, Grtta J, Vandvik P, Kristensen H, Markestad T. Diagnosing pediatric functional abdominal pain in children (4-15 years old) according to the rome iii criteria: Results from a norwegian prospective study. Journal of Pediatric Gastroenterology and Nutrition. 2009; 49 (3): 309-15.
  4. Ivin AA. Logic: Textbook. Manual for university students. M: Onyks Publishing LLC: Mir and Education Publishing House, 2008. 336 p. [Russian]
  5. Kitanina KYu, Khadartsev AA, Khromushin OV, Lastovetsky AG. Preparation of data for multifactor analysis in medicine and biology with the help of the algebraic model of constructive logic. Bulletin of New Medical Technologies. 2016. Electronic edition №1: Publication 1-6. [Russian]
  6. Khromushin VA, Kitanina KYu, Lastovetsky AG, Averyanova DA. Tactics of the application of the algebraic model of constructive logic in medicine and biology. Bulletin of New Medical Technologies. 2016; Electronic edition №3: Publication 1-5. [Russian] 21275.
  7. Korterink J, Rutten J, Venmans L, Benninga M, Tabbers M. Pharmacologic treatment in pediatric functional abdominal pain disorders: A systematic review. The Journal of Pediatrics. 2015; 166 (2): 424-31.
  8. Kondratenko NR. Fuzzy logic systems with the use of general type fuzzy sets. Naukovi visti NTUU KPI. 2016; 1: 16–21. [Ukrainian].
  9. Lee NK, Park SK, Kim S. CT evaluation of hypervascular subepithelial masses and mass-like lesions in the gastrointestinal tract with pathologic correlation. ECr Congress. 2010: C-1568.
  10. Makhnev DA, Korzhavchikova NM. The medical information system as a universal tool to improve the efficiency of commercial activities of modern hospital NI Pirogov National Medical and Surgical Center, Moscow, Russia. Medical Herald of the South of Russia. 2017; 8 (2); 75-80. [Russian]
  11. Mikhel DV. Philosophy of Therapeutic Choice: Medical Decision Making in the Context of Social and Cultural Transformations. Izvestija Saratovskogo universiteta. 2016; 774: 155. [Russian]
  12. Min Zhi, Eric L Dean, Jesse Tisen-Tupal, Julia Velan Rami Arnaut. Review of unreasonable prescribing of laboratory tests: Meta-analysis for 15 years. Journal: Laboratory service. 2017; 6 (2): 15-20
  13. Shmerlina IA. "Institutional logic": critical analysis of partitioned contexts. Organization of studies. 2016; 37 (1): 77-97. [Russian] / 0170840615604503
  14. Timermanis EB. Philosophy: a textbook for foreign students from the CIS countries. St Petersburg: Publishing house Polytechnic Un-ta, 2015. Available from: [Russian]
  15. Urina MO. Gastrointestinal stromal tumor of stomach in patient with primary hyperaldosteronism. Clinical endocrinology and endocrine surgery. 2017; 2 (58): 78-81. [Ukrainian]