Problems of Social Hygiene, Public Health and History of Medicine

Главный редактор

  • Хабриев Рамил Усманович –  академик РАН, доктор медицинских, доктор фармацевтических наук, профессор.

Учредители журнала

  • ФГБНУ Национальный НИИ Общественного здоровья имени С.А. Семашко
  • ФГБНУ Центральный НИИ организации и информатизации здравоохранения Министерства здравоохранения Российской Федерации

Периодичность

  • С 1993 года.
  • Каждые 2 месяца, 6 номеров в год

Подписные индексы журнала

  • Каталог «Роспечать» — 73302

Индексация

  • Scopus
  • Experta Medica Abstract Journals
  • Index Medicus
  • Index to Dental Literature
  • Chemical Abstracts
  • Current Digest of the Russian Press
  • EBSCOhost
  • International Nursing Index
  • PubMed
  • РИНЦ

Миссия журнала

— состоит в развитии человеческого потенциала российской науки, в объединении усилий различных категорий исследователей, педагогической и научной интеллигенции, в создании и поддержке единого пространства научной коммуникации в областях фундаментальной и прикладной науки по медицине и здравоохранению. В создании условий открытости и доступности новейших достижений науки практическим работникам, студентам, преподавателям и всем, кто занимается развитием российского и зарубежного здравоохранения и медицины. 

Журнал предназначен для ознакомления российской и зарубежной научной и научно-педагогической общественности, а также докторантов, аспирантов, магистрантов, практикующих специалистов и других заинтересованных лиц с новыми научными результатами, имеющими значение в различных областях фундаментальной и прикладной науки.

Цель журнала состоит в популяризации и распространении актуальных и передовых знаний в области развития здравоохранения и медицины широким кругам заинтересованных граждан.

Задачи журнала:

  • совершенствование тематики и содержания журнала, обеспечение единства теории и практики научных исследований, актуальности и значимости публикуемой информации для развития научных и прикладных знаний;
  • обеспечение позитивного имиджа Журнала и российской науки в целом, содействие увеличению обратной связи с авторами и читателями;
  • обеспечение объективности и информативности публикуемых материалов, увеличение авторской и читательской аудитории;
  • повышение оперативности издания научных статей, электронного и полиграфического качества издаваемого Журнала.

Журнал зарегистрирован в Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор) (свидетельство ПИ № ФС 77 - 77004 от 11.10.2019).

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Current Issue

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Vol 29, No 1 (2021)

Articles
The organizational aspects of security support of participants of clinical testing of vaccine “Gam-COVID-Vac”
Naygovzina N.B., Khabriev R.U., Krasheninnikov A.E., Matveev A.V.
Abstract
The COVID-19 pandemic resulted in many aftermaths, economic crisis and extra charging of health care. The development of vaccine against SARS-nCoV-2 agent turned out as the priority task of world and Russian medicine and pharmaceutics. The investigation of efficiency and safety of vaccines can be prolonged for many years that can aggravate the observed crisis. Having regard to the global scope and speed of pandemic spreading, the vaccine “Gam-COVID-Vac” was registered with special procedure by the Decree of the Government of the Russian Federation No. 441 of 03.04.2020 for accelerated access to civic turn-over. To monitor safety of vaccine on the basis of international experience, the decision was made to organize the independent Committee of monitoring data concerning efficacy and safety of vaccines applied to prevent COVID-19. The article presents rationale for necessity to create independent committee and to implement such a practice.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):5-13
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The weekly cycle of mortality among patients with COVID-19
Teppone M.
Abstract
The statistical data on mortality due to COVID-19 has been studied. The weekly cycle of mortality was established. Presumably, the decreased mortality on particular days of the week related to optimized treatment protocols applied on the «favorable days». If the factors reducing mortality on particular days of the week could be identified, their positive effect should be applied to other days of the week to decrease mortality among patients with COVID-19.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):14-24
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The approaches to planning of medical infrastructure and bed stock in medical organizations in conditions of development and spread of coronavirus infection COVID-19
Orlov S.A., Sobolev K.E., Aleksandrova O.Y.
Abstract
The article presents key approaches to methods of assessing and prognosticating the need both for bed stock, considering level of morbidity and epidemiological process in conditions of development and prevalence of coronavirus COVID-19 infection, and as well the regional network of medical organizations of public and municipal health care that should be reoriented to medical care support during pandemic according to 14 evaluation criteria.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):25-31
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The role of supplying population with vitamin D in conditions of COVID-19 pandemic: foreign publications review
Mingazova E.N., Gureev S.A., Sidorov V.V.
Abstract
The overview of scientific information concerning actual characteristics of population's supply with vitamin D and its role in case of risk of development of infectious diseases and COVID-19 is presented. The analysis established that vitamin D deficiency contributes both to higher risk of susceptibility to infectious agent and to negative impact to course and outcome of disease. The significant role of vitamin D in prevention and treatment of viral diseases is established. The international research studies confirm that at infectious diseases and early stages of COVID-19 protective immune response is responsible for elimination of the virus. Therefore, using vitamin D in treatment of COVID-19 is the strategy of immune protection. The authors consider that in case of infectious risks, preventive application of vitamin D is necessary. In case of initial manifestations of COVID-19, it is appropriate to promptly achieve levels of optimal status of micro-nutrient supply.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):32-36
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The lack of confidence to vaccination as information planting
Leskova I.V., Zyazin S.Y.
Abstract
The key requirements to vaccine are its safety and efficiency. Nowadays, when issue of vaccination is extremely acute, certain citizens began voluntarily to refuse important procedure, not becoming thoughtful that they endanger both themselves and other people. The purpose of the study is to specify the arguments and methods of circulation of anti-vaccination propaganda and to find out scientific counterarguments. Actually, there is sufficient data concerning lack of confidence to vaccination and vaccine prevention of infectious diseases. The systematic qualitative review of publications on issues of interest was carried out.It is established that lack of confidence to vaccination is maintained artificially and can be characterized as an information virus. The information throw-ins of fake-news about danger of vaccine and harm of vaccination undermine population trust to health care and vaccine prevention. The problem continues to be actual and controversial. So, every individual is independently to determine one's attitude to vaccination and to take charge of one's own health. Also, a number of facts is presented refuting convictions of anti-vaccinators.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):37-40
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The COVID-19 pandemic as transformation factor of domestic violence
Kulabukhov D.A., Mozgovaya E.I., Volkova O.A., Ananchenkova P.I.
Abstract
The article presents the results of project targeted to identify specifics of transformation of domestic violence while anti-pandemic measures are in force. The sociological survey was organized on the basis of the Crisis center for women in difficult life situations (Belgorod region, Russia). The sampling consisted of 46 women aged from 20 to 45 years endured domestic violence. The primary information was collected using semi-structured interview technique. Also, semi-structured interviews of experts from among sociologists and crisis center personnel were carried out. It is established that COVID-19 pandemic significantly impacted on family relationships. The conditions of forced isolation and anti-pandemic measures observance significantly increase risk of domestic violence.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):41-45
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The medical social technology of health preservation of elderly population in conditions of self-isolation
Yakushin M.A., Vasilieva T.P., Yakushina T.I., Yarotsky S.Y., Polonskaya L.S., Zlatkina N.E.
Abstract
In Moscow (as of January 1, 2020), the number of population made up to 12,678,079, and out of them the elderly population made up to 2.8 million. Up to the end of 2020, the number of the elderly will reach 3.3 million requiring implementation of corresponding preventive measures due to mass prevalence of coronavirus infection. The COVID-19 pandemic demonstrated that despite restructuring of functioning of industry, social security and health care, quarantine and self-isolation occurred to be exactly the effective measures. The self-isolation regimen also revealed aggravation of harmful effects of stress factors, hypodynamia, hypooxygenation and decreasing of immunological resistance. It is especially important to organize leisure activities and to create the most comfortable conditions for isolated living of the elderly as most susceptible to infection. The experience demonstrated that properly chosen set of activities during self-isolation regimen both disciplines and permits to apply surplus of free time to intensify health potential and to consolidate family relationships.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):46-51
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The trends in primary morbidity of adult population of the Russian population during implementation of state programs
Savina A.A., Feiginova S.I., Son I.M., Vaisman D.S.
Abstract
The article presents the results of analysis of indices of primary morbidity of adult population in the Russian Federation during implementation of state programs. The purpose of the study was to study the dynamics of indices of primary morbidity of adult population of Federal districts and subjects of the Russian Federation in 2006-2011 and 2012-2018. The analysis established the subjects of the Russian Federation where the mentioned indices factually remained unchanged or had negative dynamics. Also, the periods of health care reform with positive dynamics of indices of primary morbidity were determined. Besides, reforming process was not always systematic and not all planned tasks were completed that , resulted in significant discrepancies in values of indices of primary morbidity among particular subjects of the Russian Federation. This kind of analysis permits to identify specific directions of improving regional policy in health care.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):52-58
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The comparative characteristic of approaches to monitoring and evaluation of morbidity of psoriasis in the Russian Federation and the countries of the European region
Bagaeva A.M., Nashkhoev M.R., Madyanova V.V., Toskin I.A.
Abstract
The psoriasis is chronic inflammatory dermatitis that is accompanied by severe damage of skin and musculoskeletal system and affects functions of other organs and systems. The epidemiological data concerning prevalence and morbidity of psoriasis all over the world varies significantly. The article presents comparative characteristic of approaches to monitoring and evaluation of psoriasis morbidity in the Russian Federation and in the countries of the European region. The differences were revealed such as absence both of indices to evaluate quality of life of patients with psoriasis and specific population epidemiological studies in national system of monitoring and evaluation of the Russian Federation.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):59-65
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The practice of self-preserving behavior of the citizen of the Russian Federation: the results of the All-Russian sociological study “The demographic self-feeling of Russia”
Rostovskaya T.K., Ivanova A.K., Kniazkova E.A.
Abstract
One of world trends in health care social policy is self-care behavior of population as willingness of every member of society to be personally liable for maintaining one's own health and prolongation of life activity. The value of health is considered as both human, personally significant and social capital, that is a must to achieve high indices of social development and to ensure national state security. The measures of state policy of the Russian Federation are targeted to develop culture of self-care behavior of citizen of the Russian Federation that is reflected in such national projects «Health care» and «Demography» that are implemented until 2024. To assess self-care behavior, it is necessary: to determine the need for longevity and degree of its implementation in various socio-demographic groups; to assess specifics of self-care behavior in context of motives of achieving longevity; to determine feedback in various socio-demographic groups to demographic policy measures to preserve population health and to reduce mortality; to analyze popular practices of self-care behavior. The article presents results of sociological survey on subject of «demographic self-feeling of Russia» carried out by the Institute of Social Political Research of the Russian Academy of Sciences in 2020-2021, in terms of application of various practices of self-care behavior in Russia.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):66-75
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The medical specialists’ evaluation of actual status of ultrasound diagnostic in pediatric practice
Krotov I.A., Konovalov O.E., Terletskaya R.N.
Abstract
The sociological survey of medical specialists is summoned to identify problematic areas of organization nature in functioning of ultrasound service and to elaborate effective measures to eliminate them. The purpose of research: to study opinions of medical specialists concerning state and priority directions of enhancement of ultrasound diagnostics in children. Materials and methods: The survey of 196 medical specialists in ultrasound diagnostics was carried out using questionnaire that included questions on evaluation of functioning of corresponding medical organizations, ultrasound diagnostics included, satisfaction with their work and means of improving ultrasound service. Results. The majority of respondents were satisfied with their activities, functioning of ultrasound diagnostics their medical organizations in whole and in ultrasound diagnostics in particular. The main cause of dissatisfaction was condition of material and technical base. According to respondents, equipping medical organizations with devices of ultrasound diagnostics within the framework of implementation of program of health care modernization made no due contribution into increasing efficiency of functioning of ultrasound diagnostics service. Conclusion. Considering the high level of professional training, the responses of respondents are competent and permit to identify shortcomings, reserves and means of improving their professional activities.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):76-79
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The cost of specialized medical care of children under spinal muscular atrophy in Moscow
Malakhova A.R., Krysanov I.S., Vasilieva T.P., Krasilnikova E.Y., Aleksandrova O.Y., Zinchenko R.A., Kutsev S.I.
Abstract
The spinal muscular atrophy is neuromuscular disease caused by mutations in SMN1 gene. The clinical picture of disease is characterized by progressive muscular weakness and atrophy associated with degeneration of spine, and in severe cases by affection of motor neurons of lower bulbar cells. The spinal muscular atrophy progressing course resulting in disability and infant mortality. Actually, specific treatment is at the stage of clinical trials. However, patients are needed in permanent symptomatic arresting of manifestations and pathogenetic treatment preventing development of disease. The article presents calculations of direct medical costs for treatment in pediatric patients (0-17 years old) in Moscow with the main types of spinal muscular atrophy. It is established that the cost of specialized medical care of children with spinal muscular atrophy per single under age patient in Moscow consisted 7,131,185.84 rubles annually, including primary diagnostic, treatment and rehabilitation and medicinal treatment. In total, according to data for 2020 in Moscow, where number of children patients is 144, the cost of specialized medical care of children with spinal muscular atrophy is estimated as 1,024,580,269.16 rubles. At that, data takes into account only direct medical costs for out-patient and in-patient care of children with spinal muscular atrophy, excluding number of exacerbations of disease. Taking into account average numbers of hospitalizations per year because of illness, the cost of in-patient care of single child amounts to 7,844,304.42 rubles annually and 1,127,018,732.08 rubles for all children with spinal muscular atrophy in Moscow (according data of 2020).
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):80-85
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The evaluation of actual status of stomatological health of adult population in districts with lower level of stomatological care
Zolotarev P.N., Sinitsyna A.V., Kurnakina N.V.
Abstract
The epidemiological stomatological examination is the basis of assessing stomatological status of population and its needs for dental care. The first national epidemiological survey in the Russian Federation was carried out in 1996-1998. The second survey was conducted nine years later and covered 47 subjects of the Russian Federation. At that, the Kirov Oblast was not included in both national epidemiological surveys.The purpose of the study was to assess the state of stomatological health of residents of certain districts of Kirov Oblast. The assessment was based on epidemiological stomatological examination of adult population.It was established that the retired, agricultural workers and residents of rural settlements require increased epidemiological attention. The adult population from the mentioned groups in the Kirov Oblast is provided with ineffective stomatological care.The strategy of organization of stomatological care in the Kirov Oblast is be targeted to development of complex medical social programs of timely detection and treatment of caries, increasing of attention of medical specialists to prevention and treatment of periodontal diseases in population of problematic groups.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):86-89
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The relationship of stomatological health of disabled children with hearing and vision impairment
Fomina A.V., Shovkun N.V.
Abstract
The issue of preventing various diseases in children with disabilities is relevant around the world. The purpose of the study: to investigate the oral health of disabled children with hearing impairments and with visual impairments and to determine problematic issues of their dental care support. The individual face-to-face questionnaire survey was carried out covering parents (legal representatives) of students of special general education school for children with hearing and visual impairments. The analysis of results of preventive examination of students was implemented by stomatologist.Two categories of students were covered by the study: children with hearing impairment (first group) and children with visual impairment (second group), their families included. The first group consisted of 61 families with disabled children (37 boys (60.7%) and 24 girls (39.3%). The second group included 63 families with disabled children (35 boys (55.6%) and 28 girls (44.4%). The comparable structure of compared groups by age was established. The children aged 10-14 years dominated in both groups: 39.3% in the first one and 57.1% in the second one. The comparison of dental status of disabled children with various disorders of the senses was implemented according number of stomatological indices: caries activity, hygiene level, need for consultation by orthodontist. The patients with poor hygiene were significantly more common among children with visual impairment (38.1%) as compared with children with hearing impairment (3.3%). Also. 77.0% of patients with hearing impairments and 79.4% of patients with visual impairments needed advises of orthodontist. The families of 28.8% and 38.1% of patients in corresponding compared groups resorted to fee-for-service dental services. The first group characterized by statistically significantly higher percentage of dissatisfaction with quality of treatment and prevention (59.0% vs. 38.1%). The second most important problem was dissatisfaction with attitude of stomatologist to patients and their parents, which was noted in 16.4% and 28.6% of cases correspondingly. The stomatological health problems are very relevant for disabled children as they often suffer from oral diseases and have difficulties in accessing quality dental care. The prevalence of caries, especially sub- and de-compensated, in disabled children with visual and hearing impairments is significantly higher than in children population as a whole.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):90-95
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The attitude and awareness of students of medical university concerning issues of reproductive health and pregravid training from positions of “4P Medicine”
Aboliyan L.V., Lazareva O.D., Garaeva A.S., Khvostunov O.K.
Abstract
Moscow State Medical University» (Sechenov University) of Minzdrav of Russia, 119991, Moscow, Russia The young generation aged 16-24 years is the main demographic national reserve for coming decades. Hence, the purpose of the study is to investigate attitude of modern youth exemplified by students of medical university to establishing family, marriage and birth of children, and also their awareness about issues of reproductive health and training of couple to birth of healthy progeny considering modern approaches of personalized “4P Medicine”.The survey of medical students was carried out on the basis of sampling of 193 students in November 2019 to February 2020. The survey data was processed using software SPSS 21. The indices of descriptive and analytical statistics were calculated to analyze study results.The low awareness of medical students on issues of pregravid training and modern approaches of personalized «4P Medicine» was established. Despite the fact that significant number of students understand importance of improving their awareness of reproductive health and pregravid training from positions of “4P Medicine”, about quarter of all respondents never pondered about these issues. The majority of respondents lead healthy life-style and understand its importance for their health, including reproductive health. The students have positive attitudes to establishment of family and birth of children.It is necessary to improve awareness of medical students of reproductive health, pregravid training and main principles of personalized “4P Medicine”.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):96-102
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The general and ENT morbidity of students of Medical University
Tsartsidis E.A.
Abstract
The article presents results of studying health of 1050 students of medical University. The prevalence and severity of otorhinolaryngological pathology among students is of priority attention. It was established that with high self-assessment of competence in health issues, only 55.4% of first-year students and 59% of last-year students mentioned importance of maintaining healthy lifestyle. The analysis of students’ morbidity permitted more than half out of them to refer to frequently sick with chill (68.1% and 68.9%respectively). The rhinosinusitis acute conditions were 6.2±0.3 cases in first-year students and 8.6±0.5 cases in graduate students and in 2017 2.8±0.2 and 3.1±0.3 cases respectively.The early start of antibacterial medication intake by respondents because of chill was established. While in one third of all cases this was implemented because of advice of pharmacy employee. It is concluded that it is necessary to develop preventive program concerning otolaryngological pathology that can be implemented on part-time classes.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):103-106
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The physical activity and sport in life of elder generation of Russian cities
Tanatova D.K., Yudina T.N., Korolev I.V.
Abstract
The article is devoted to implementation of state policy of increasing duration of healthy life and active longevity of population through involvement of the elderly into sport and physical activity. The article is based on the results of focus group discussions of respondents aged 60 years and older. The interest and personal involvement of the elderly in sport and physical activity, including corresponding personal motivation and attitude. The particular obstacles to sport activities in specific Russian cities including inconsistencies between municipality administration proposals for exercises and opportunities of participating in area of residence of the elderly. The proposals of the elderly related to to sports [promotion in their residences as component of state policy in increasing duration of active longevity are summarized.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):107-112
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The analysis of dissertations on leadership
Vasilieva E.V., Tregubov V.N.
Abstract
The phenomenon of leadership for long time attracts attention of scientists and practitioners of various specialties, including medicine. Among numerous research publications on this topic, dissertations occupy special place, as both research and public defense are carried out in accordance with officially established rules.To achieve the research goal of studying characteristics of dissertations on leadership implemented in 1995-2019 in various scientific specialties bibliometric analysis, logical and descriptive statistics were applied. The sampling of 305 dissertations on leadership were analyzed in digital databases of scientific libraries.The analysis established that number of dissertations on leadership submitted to dissertation councils changed significantly over the analyzed period. In the structure of dissertations, predominated problems of political leadership (37.4%), formation of leadership qualities in young individuals (19.0%) and management on the basis of leadership potential (12.5%). The women, as compared to men, made up to 27.3% among authors dissertations on leadership. The main reserve of further study of phenomenon of leadership is implementation of dissertations on mentioned research themes in other scientific specialties that provide this area of research, as well as inclusion of theme of leadership in the scientific specialty 14.02.03 - public health and public health.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):113-119
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The implementation of complex of measures targeting support of patient-oriented principle under organization of paid medical services
Grishina N.K., Perepelova O.V., Solovieva N.B.
Abstract
To ensure financial stability of state medical organization in actual conditions requires focused consideration of various aspects of implementation of paid medical services in national health care. The analysis of publications demonstrated that experience of variety of models for providing paid medical care in state medical organizations and new directions of improving efficiency, availability and quality of medical services are mainly considered. The specificity of medical activity is conditioned by consumer-oriented activities because of direct relationship to life and health of patients. The success of medical marketing depends on achievement of loyalty of consumers of medical services. It is particularly important to ensure compliance with principle of patient-oriented organization of paid medical services. The article considers practical implementation of patient-orientated principle in paid medical services in state medical organization. The article presents elaborated and implemented set of scientifically based measures for main directions of medical activity. These measures are targeted to increase satisfaction of patients, to meet their needs and expectations, that contributes into ensuring of patient-oriented principle in paid medical services application.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):120-124
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The normative legal regulation of quality management and medical activities security in conditions of application “regulatory guillotine”
Palevskaya S.A., Badma-Garyaev M.S., Blashentsev M.K.
Abstract
The term “regulatory guillotine” means analysis of all existing normative legal acts in order to understand their compliance with modern requirements. If these regulations meet the requirements, then the rules remain; if not, they must either be canceled and new regulation to be elaborated or corresponding changes must be implemented to current regulation. To resolve this problem, the government of the Russian Federation decided to implement the “regulatory guillotine” procedure. The main task of this procedure is to completely replace the entire array of norms that establish mandatory requirements with new ones by January 1, 2021. This will reduce administrative burden on business and increase level of security for consumers of various services. The same work is applied to the standards regulating management of quality and safety of medical activities. The article analyzes normative legal acts that regulate quality and safety management of medical activities, as well as new normative legal acts that are already accepted but still are not entered into force.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):125-129
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The increasing of role of paramedical personnel under application of remote ultrasound studies
Zubeev P.S., Pereslegina I.A., Levanov V.M., Koroleva Y.A., Pronina E.N., Khripunov M.V.
Abstract
The ultrasound studies are highly informative diagnostic methods. The modern ultrasound devices can be applied as component of mobile telemedicine systems that can significantly increase availability of medical care. However, application of ultrasound scanners requires inclusion of ultrasound diagnostics specialist in the medical team that is not always nor possible or appropriate. In the modern regulatory legal base, transfer of certain functions of ultrasound diagnostics specialist to average medical staff is not provided. The article considers issue of genuine development and testing method of implementation of ultrasound examinations by paramedical personnel under remote control of physician. Two organizational models were tested within the framework of organizational experiment. In the first model, physician monitored progress of examination by telemedicine monitor and, if necessary, directed actions of medical nurse. In the second model, the nurse independently obtained images of patients' organs, and physician according received visual information formulated final conclusion. The organizational experiment included patients with pathology of abdominal cavity, retroperitoneal space and lower limb arteries. Results. On the basis on results of 156 examinations, time-consuming analysis was performed, and effectiveness of developed methods was evaluated. The proposals were proposed to include additions into professional standard of ultrasound diagnostics nurse and to substantiate the need of altering the training programs for paramedical personnel.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):130-134
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The science and innovations within the framework of implementation of cluster approaches in the scientific educational cluster «North Caucasian»
Amlaev K.R., Koychueva S.M.
Abstract
The article presents results of measures of increasing research potential of participants of the scientific and educational medical cluster «North Caucasian». The measures include both organizational measures and measures of meaningful nature, i.e. union of scientific and pedagogical workers in scientific areas and their inclusion into activities of scientific schools. The steps are undertaken within the framework of scientific and educational cluster resulted in an increasing of scope of research work and incomes received from their commercialization. The integration of medical universities and medical institutes and departments of classical universities under the Ministry of Education and Science gives synergistic effect in development of innovative products.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):135-138
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The normative legal regulation of expertise of medical care quality in the Russian Federation
Agamov Z.K., Burtsev A.K., Moskvicheva L.I.
Abstract
In modern conditions, the support of quality of medical care is one of key issues in health care management. Therefore, quality control issues are most important ones. The effective tool for monitoring quality of medical care is the medical care quality expertise. Hence, the legal regulation of this type of activity acquires special relevance. The article considers absence of uniform approaches to medical care quality expertise that does not allow to apply comparative analysis to processes of medical care support in medical organizations of various affiliations and to monitor both medical care quality and prevalence of medical errors to implement strategy of ensuring medical care quality. The identified legal aspects determine the need for further improvement of normative legal regulation of medical care quality expertise, specifying its role in the system of quality control and safety of medical care, unification of corresponding approaches, regardless of type of financing of medical care, departmental or territorial affiliation.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):139-143
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The modern problems of organization of mental stationary substitution out-patient service in Moscow
Ter-Israelian A.Y., Kostiuk G.P.
Abstract
The article considers problematic issues in hospital-replacing out-patient mental care management on the basis of the Psychiatric Hospital № 13 in 2015-2017. The analysis covered structure of mental patients, their age and social status. Also, patients under active dispensary monitoring and compulsory continuous out-patient treatment were analyzed. The new management component - «the out-patient psychiatric module» - is proposed to be introduced into the structure of mental dispensary.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):144-146
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The management of professional personal potential of medical personnel
Volnukhin A.V., Siburina T.A.
Abstract
Nowadays, the key problem in health care management is manpower issue that is manifested as acute shortage and inadequate qualification of medical personnel; working conditions providing no modern standard of living and developing type of personality uninterested in the results and unready to bear responsibility for poor quality of medical care.Purpose of the study is to develop conceptual grounds of improving manpower management in medical organizations based on the study of actual state and specifics of functioning of medical personnel in actual conditions. Material and methods: analytical, historical, statistical, sociological.The main causes of inadequate application of professional and personal capabilities of medical personnel are tough regulation and exceeding formalization of labor, inadequacy of personal funds to satisfy personal requirements in training, increased fatigue at workplace, lack of needed conditions to apply actual knowledge and skills, disinterestedness of administration in ambitious self-starters.The causes of medical personnel dissatisfaction with professional work are closely related to causes of under-exploitation of their professional and personal potential. The main factors diminishing satisfaction of medical personnel with professional labor are low wages at significant workload. The system of organizational measures to optimize application of existing manpower in medical organizations is proposed.The strategic reserve of increasing efficiency of medical organization functioning is realization of need of medical personnel in effective application and development of their professional and personal potential.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):147-152
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The state and possibilities of the Soviet Health Care in 1960-1980s
Zatravkin S.N., Vishlenkova E.A., Chalova V.V.
Abstract
The article presents materials characterizing the state of health care system in the USSR in 1960-1980s. The main attention is paid to the complex of unresolved problems that had negative impact on capacity and quality of population medical care. The conclusions concerning factors weakening state health care system during last decades of the USSR existence are expressed and justified.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):153-160
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The history of development of doctrine of somatotypes: the publications review
Samoilov A.S., Shadrin K.A., Karimova D.Y.
Abstract
The study required o apply various modes of corresponding publications search through such international databases as RussiaScopus, Web of Science, Medline, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RISC, eLIBRARY.RU. Actually, there are not less than one hundred definitions of constitution of individual. For the first time, constitutional differences were mentioned in Ayurveda. The following mentioning about constitutional types is found in the teachings of Hippocrates. The Ancient Greek philosopher Aristotle supplemented the teachings of Hippocrates. In the 18th century the somatic predispositions of the psyche were mentioned for the first time by J.-A. de La Mettrie. However, the systemic study of constitutional characteristics begins only in the 19th century. In the 20th century, the constitutional characters of human began to be associated with such clinical science as psychiatry. In the mid-30s of the 20th century acquires significance the classification of types approved by I. P. Pavlov. After Pavlov's theory, numerous works begin to appear where attempts are made to determine the main somatotypic reactions of individuals (V. B. Shtefko, A. D. Ostrovsky, V. N. Shevkunenko). In 1929, V. N. Shevkunenko, the outstanding Leningrad scientist, developed the classification that was lead as foundation of the theory of W. H. Sheldon (1940, 1942). Approximately in the same time period (1941) the Russian researcher V. V. Bunak develops criterion estimated indices of classification for males. In the end of 20th century classifications by B. Heath and L. Carter, V. P. Chtetsov, R. N. Dorokhov, V. G. Petrukhin, A. V. Kondrashov acquire great reputation. In the 21st century, the methods directed to biologically differential indices lined up with consideration of medical individual indices of body mass and body length are developed. Nowadays, despite of enormous number of methods, the universal criteria for somatotyping are to be developed.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):161-164
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The initial period of functioning of the Medical Faculty of the Imperial University of the Saint Vladimir and teaching of medical police
Vasiliev K.K., Vasiliev Y.K., Zinchuk A.N.
Abstract
The article considers the circumstances of the beginning of teaching medical police at St.Vladimir Imperial University in Kiev that was investigated for the first time. It was established that the medical police were taught as one of academic disciplines at the Department of State Medicine Studies. It found out that the given Department began its activities in 1843 when it was organized and headed by professor Ivan Fedorovich Leonov (1809-1854). The adjunct assistant professor Ch.Ya. von Hübbenet and associate professor A. I. Slobodzinsky worked at this Department in 1847-1850 and in 1851-1856 correspondingly. In 1852, the Charter and Staff of the St. Vladimir University provided setting apart medical jurisprudence from medical police subject and teaching it as an independent faculty discipline. It is demonstrated that hereinafter the given practice didn't become widespread in the Universities of the Russian Empire. In 1853, the Department of State Medicine Studies in Kiev was headed by F. F. Mering (1822-1887).
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):165-172
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The horseman on pale horse: the plague of Ivan the Terrible
Penskoy V.V., Polukhin O.N., Borisov S.N., Dmitrakov R.A.
Abstract
Since the ancient times, epidemics affect the processes proceeding in various spheres of life of human society. Hence, steadfast attention of historians to this biological phenomenon and its investigation. Quite a lot of of research studies is devoted to the first-rate epidemics, for instance, the famous «Black Death» in the middle of XIV century. At the same time, far from all such occurrences were properly interpreted in historical literature. Among little-studied and factually unknown epidemics, the pestilence, the plague, that struck the Russian state in the second half of 60s-early 70s of XVI century, stands out for. The article considers this occurrence, demonstrates its origin, time and geographical limits and also analyzes its consequences.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):173-179
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The medical ethics of Amatus Lusitanus
Sugrobova Y.Y., Kutia S.A., Danilina N.I., Printseva N.Y., Moroz G.A., Sugrobov V.M.
Abstract
The authors of this study discovered in annals of history the “Oath” of the Portuguese physician Amatus Lusitanus (1511-1568) and translated it into Russian for the first time. The mentioned historical document represents a sort of Code of Honor of European physician of XVI century that both took in ethical norms of Hippocrates and determined one's own rules of doctoring.The ethical principles of Amatus are akin Hippocrates’ ones and they are in parallel on seven positions. However, the “Oath” of A. Lusitanus also includes other aspects of medical ethics that are completely organic to the very personality of author and distinguish themselves by courage and novelty for its time. To mention reward of physician for one's labor, difficulties and hardships falling on representatives of medical profession, theme of glorification and exaltation of physician and and medical tolerance. Amatus Lusitanus can be considered as a precursor of initiation of tolerance in European medical ethics that he anticipated with his “Oath”.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):180-184
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