Inter Collegas

Suboptimal health and cardiovascular risk: Questionnaire-based assessment using SHSQ-25 and SF-36

2025-12-18T21:12:15+02:00

In press

Background. Suboptimal health is considered an intermediate state between complete health and the early manifestations of chronic diseases. Its detection at the preclinical stage is important for the prevention of cardiovascular disorders and other chronic pathologies.

Aim. To systematize and analyze subjective health indicators in apparently healthy individuals and determine their relationship with cardiovascular risk factors using the SHSQ-25 and SF-36 questionnaires.

Materials and Methods. A total of 509 individuals aged 34.31±13.79 years were examined. The SHSQ-25 and SF-36 questionnaires were used to assess suboptimal health status and quality of life. Body mass index, blood pressure, glucose and total cholesterol levels, smoking index, and endothelial function were measured using computer photoplethysmography. Multifactorial discriminant analysis was applied for health status classification, and mathematical models were developed to assess the risk of arterial hypertension. Statistical analysis included descriptive statistics, correlation analysis, and group comparisons based on different levels of risk factors.

Ethics. The study was conducted in accordance with the ethical standards of the World Medical Association's Declaration of Helsinki (1964–2024) and European Community Directive 86/609 on the participation of humans in biomedical research.

Results. In the examined individuals, five health status clusters were identified: optimal health status, suboptimal health with low risk factors, suboptimal health with high risk factors, cardiovascular phenotype of suboptimal health with low risk factors, and cardiovascular phenotype of suboptimal health with high risk factors. Subjective health assessments obtained using the SHSQ-25 showed significant correlations with blood pressure (systolic and diastolic), endothelial function indicators, body mass index, total cholesterol, and glucose levels. High SHS scores were associated with reduced quality of life according to SF-36, particularly in the physical and mental health components, confirming the impact of suboptimal health on daily activity and psychological well-being.

Conclusions. The SHSQ-25 and SF-36 questionnaires are effective primary screening tools for identifying individuals with suboptimal health and increased risk of cardiovascular disorders. Their use in the clinical practice of physical therapists and occupational therapists allows timely identification of at-risk groups and planning of preventive or rehabilitative measures. Health status mathematical modeling improves the accuracy of risk assessment and can be integrated into the physiotherapy program.

Keywords: physical therapy and rehabilitation, subjective health, cardiovascular risk factors, quality of life, chronic disease prevention.

Archived: https://doi.org/10.5281/zenodo.17904917

Traditional public communities in Ukraine (lecture)

2025-12-18T22:43:36+02:00

In press

Background. The study of Ukrainian communities in the 15^th–18^th centuries is relevant for understanding the mechanisms of social self-organization and the formation of Ukrainian identity.

Aim. To analyze the structure, role, and interrelationships of communities to determine their influence on social and cultural processes.

Materials and Methods. Historical-cultural, comparative-historical, and system-structural methods were applied in this study. This investigation was a part of individual research work of authors. The lecture is intended for students of medical faculties.

Research Ethics. The interpretation of historical and cultural phenomena is objective, free from bias engagement. The object of the study comprises historical communities that do not involve the participation of living people; thus, consent for participation is not required.

Results. It was established that the peasant community had performed such functions as collective land ownership, mutual assistance, social support, self-governance, and justice. Guild communities regulated crafts (quality, prices, training). The Cossack community was a unique military-political formation that defended Ukrainian lands, fought for freedom, and possessed developed organs of self-governance. Brotherhoods were the communities formed for defense of Orthodoxy under conditions of confessional pressure. They founded schools, printing houses and fought for the rights of Orthodox population. Youth communities were institutions for the socialization of unmarried youth, ensuring their integration into the rural community. They possessed a regulated structure and self-governance, which governed relationships and facilitated leisure organization. The collective mutual aid was an institution of collective assistance in Ukrainian community, possessing a regulated structure of invitation, and a farewell ritual.

Conclusions. The peasant community regulated the economic life of the village, the system of social protection, and self-governance. Guild communities ensured quality control, the protection of artisans' interests, and corporate solidarity. The Cossack community combined a professional military function with developed self-governance. Brotherhoods were established for the preservation of Orthodox identity and the development of Ukrainian culture and education; they were institutions of civil society and promoted national self-organization. Youth communities were a system of learning that regulated social interaction and maintained the stability of the village. The toloka was a mechanism of social integration, collectivism and responsibility.

Keywords: history of Ukrainian culture, peasant community, guild community, Cossack community, Brotherhood, youth community, toloka.

Requirements for the design of manuscripts of scientific articles of journals of the Kharkiv National Medical University (in force from 2 July 2025)

2025-12-11T00:42:18+02:00