2021: VOL 29, NOS2 (2021) Special Issue 2

Full Issue

PDF(Russian)
Articles
RESEARCH OF SCIENTIFIC INTEREST TO THE CHLOROQUINE USE IN CLINICAL MEDICINE IN THE BASIS OF BIBLIOMETRIC ANALYSIS
Tolkushin A.G., Luchinin E.A., Holownia-Voloskova M.E., Bonkalo T.I.
Abstract
Interest in chloroquine, and its analog with a more favorable safety profile - hydroxychloroquine, in 2020 is certainly associated with the outbreak of a new coronavirus infection, SARS-CoV-2. The high pathogenicity and lack of specific immunity in the population caused the rapid spread of infection with an extraordinary increase in the burden on the health systems of many countries. In such conditions, it was necessary to quickly find and implement effective methods of treatment and prevention. One of the most promising candidates for this role was hydroxychloroquine, as a multi-purpose drug with a well-studied safety profile and a rich history of use. The article describes some historical stages of the study of chloroquine and its derivatives starting from the 19th century and ending in 2020. The experience of its use for the treatment of diseases such as malaria, rheumatoid arthritis, diabetes, bronchial asthma, photosensitivity and skin porphyria was reviewed. Separately, some historical aspects of its use for the treatment of viral and oncological diseases were considered. The bibliometric method used in this scientific work clearly demonstrates the dynamics of the changing interest of the scientific community in chloroquine and its derivatives. Chloroquine and its derivatives can definitely be attributed to «pharmaceutical centenarians» with an intense life that continues.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1247-1250
views
Transformation of Russian healthcare: the role of nurses
Aleksandrova O.A., Nenakhova Y.S., Yarasheva A.V.
Abstract
The trend towards empowering nurses with broader functions and responsibility is global and is driven by the development of medical technology and demographic trends. Therefore, raising the question of changing the role of a nurse in Russian health care is legitimate. However, when implementing innovations in such a sensitive area as health care, it is necessary to take into account the context of the reform. The article presents the results of comprehensive sociological researchers conducted in 2019 and 2020, and concerning: the first - working conditions and the quality of professional training of the Moscow nurses and physicians; the second - their attitude to the idea of expanding the functions of nurses; ideas about the presence of the necessary conditions for this, the response from patients and doctors, the impact on the availability and quality of medical care. The data indicate the ambiguity of the attitude towards the planned innovation. On the one hand, there is an understanding of the need for a certain redistribution of functions and responsibilities between doctors and nurses with an increased role for the latter. On the other hand, the experience of recent years has formed among nurses and physicians negative expectations from innovations of an organizational nature. First of all, a further increase in the load is expected, despite the fact that the current one is perceived by many as excessive, and also that the increase in load and responsibility will not receive adequate material compensation. Other concerns are associated with stereotypes that have formed among doctors and patients, who are used to seeing nurses exclusively in secondary roles, as well as with the inadequacy of their current professional training. The elimination of negative expectations can be facilitated by a system of measures to improve the regulation, organization and remuneration of nurses, improve the quality of professional training of nurses, taking into account their new role, as well as the social prestige of this professional group.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1251-1257
views
Pharmacoeconomic and pharmacogenetic aspects of the implementation of a personalized approach in the treatment of cardiac patients
Gruzdeva A.A., Khokhlov A.L., Ilyin M.V., Oynotkinova O.S.
Abstract
Purpose. To investigate the possibilities of pharmacoeconomic and pharmacogenetic factors monitoring to assess the effectiveness of treatment of a cardiological profile patients as a part of the implementation of a personalized approach.Material and methods. 200 patients with arterial hypertension and CHD were examined. Pharmacotherapy was analyzed. ABC/VEN and DDD analysis, pharmacoeconomic analysis were applied. Genetic analysis of the polymorphism of the genes CYP2D6*4 and CYP2D6*10 encoding the subfamily of the cytochrome isoenzyme Р-450 was carried out. An original monitoring method was used to assess the effect of pharmacoeconomic and pharmacogenetic factors on the performance of cardiac care.Results. When conducting a pharmacoeconomic analysis of cases of cardiac care, it was found that the costs of drug therapy are significant and take over 10% of the total costs. However, its effectiveness is insufficient in 58% of cases in inpatient and 37% in outpatient care. The analysis showed that there is an inverse mean correlation between gene polymorphism and clinical performance of cardiac care (r = -0.62) and a direct strong correlation between polypharmacy in pharmacotherapy, not accounting for interdrug interaction and clinical performance (r = 0.89).
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1258-1263
views
HOSPITAL EMPLOYEES IN THE COVID-19 PANDEMIC: WORKING CONDITIONS, LOYALTY AND EMOTIONAL STATE
Bogdan I.V., Malenkova N.L., Malysheva E.S., Pravednikov A.V., Sirina E.A., Chistyakova D.P.
Abstract
The spread of the new coronavirus infection (COVID-19) required dramatic changes in the healthcare system, the work of medical workers under extreme stress and an increased threat of infection. In order to formulate general recommendations for preventive work with employees in emergency conditions, a study was carried out of the current nature of work, the emotional state of medical workers and staff loyalty.In a multidisciplinary hospital in Moscow (City Clinical Hospital N 52) in the fall of 2020, a survey of hospital employees (595 people) was carried out according to the author's questionnaire with the additional use of the methodology for measuring the burnout syndrome index (MBI) and loyalty index (eNPS).A number of changes in the nature of work of medical workers were revealed, which had a significant impact on their emotional state, such as changes in the usual functionality, place and mode of work. Despite the negative aspects of working conditions, during the pandemic, the employee loyalty index remained quite high (eNPS = 24), doctors were the most loyal, and junior and middle staff were the least loyal. The assessment of the organizational aspects of the work as a whole was also quite high. The close connection between psychoemotional factors and the loyalty of the organization's employees was confirmed. The study made it possible to offer general recommendations for the development of preventive algorithms for working with employees in case of emergency.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1264-1270
views
ASSESSMENT OF PATIENT SATISFACTION WITH THE MEDICAL ORGANIZATION AND ITS SERVICES
Petrova G.D., Aksenova E.I., Chernyshev E.V., Yudina N.N., Klimov A.Y.
Abstract
The relevance of the problem under study is due to the fact that the medical organization must be aware of the target patient: to know who he is, how and why he wants to receive a particular medical service. All the information received and its analysis will allow us to develop a real scheme of mutually beneficial communication, convenient for each of the parties-the medical organization and the patient, which will allow us to reveal the weaknesses in the work and respond to them in a timely manner.The purpose of the study: to form an assessment of the patient's satisfaction with the medical organization and its services, taking into account the interest, feelings, purpose, arguments and thoughts that appear in the patient from the moment of the first contact with the clinic, with the display of the point of contact in graphic form, in order to minimize all possible obstacles in his route to receiving quality medical services and increasing the economic efficiency of the clinic.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1271-1274
views
ORGANIZATION OF EPIDEMIOLOGICAL MONITORING OF TUBERCULOSIS IN THE CITY OF MOSCOW
Belilovsky E.M., Borisov S.E.
Abstract
Ensuring effective epidemiological surveillance of tuberculosis is essential and one of the paramount tasks for any national tuberculosis control program. The article analyzes the organization of the tuberculosis epidemiological monitoring system at the level of the subject, based on the experience of implementing such a system in the city of Moscow in 1996-2020, defines its tasks and principles of its construction. The systems of epidemiological monitoring of tuberculosis, implemented taking into account the developed principles, provide an analysis of the epidemiological situation in the territory, the results of which can be successfully used for making managerial decisions, program-target planning and evaluating the effectiveness of the measures taken.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1275-1280
views
REASONS FOR CITIZENS TO APPLY FOR PAID MEDICAL SERVICES ACCORDING TO SOCIOLOGICAL SURVEYS OF THE POPULATION
Smirnova E.V., Budarin S.S., Volkova O.A., Elbek Y.V.
Abstract
An actual characteristic of the processes taking place in the Russian healthcare, especially during the ongoing transformation of the state healthcare system aimed at building a patient-oriented healthcare model, is the analysis of the reasons why citizens prefer medical care provided for a fee. The purpose of the study is to study the main reasons for the treatment of the population of the city of Moscow for medical services provided for a fee and their comparison with the reasons for applying for paid medical services (PMU) in other regions of the Russian Federation.The main materials of the study were the data of a sociological survey of visitors to the capital's medical organizations about the reasons for the population's application for obtaining PMU, as well as the results of sociological surveys on this topic in other regions of the Russian Federation. As a result, not only the main reasons for applying for medical services on a paid basis were identified, but also regional peculiarities of the prevalence of PMU.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1281-1286
views
QUANTITATIVE AND QUALITATIVE CHARACTERISTICS OF THE POPULATION OF PATIENTS WITH LIVER CIRRHOSIS IN MOSCOW
Kornilova E.B., Zavyalov A.A., Hołownia-Voloskova M.E., Ar’kova E.S., Tolkushin A.G.
Abstract
Introduction. Liver cirrhosis is a major but preventable cause of health loss worldwide. The era of «big data» allows us to evaluate this nosology in a new format.Purpose. Evaluation of the registered population of patients with cirrhosis of the liver of cirrhosis of various etiology in Moscow. Moscow.Materials and methods. Based on the data of the Moscow Department of Healthcare for the drug provision for the period from 2017 to 2019. Тhe population of patients with an established diagnosis of liver (other etiology) was characterized according to ICD-10 code K.74 (K74.0-74.6) according to the International Statistical Classification of Diseases and Related Health Problems of the 10th revision.Results. Over a 4-year period, more than 2 thousand patients with established diagnosis of liver cirrhosis received preferential drug provision in Moscow. The largest part of the population of patients with liver cirrhosis receiving preferential drug provision in Moscow is represented by the patients of age groups 40-59 years old and 60-79 years old, the groups 30-39 years old and 80-99 years old were comparable annually. There was a decrease in the number of patients with liver cirrhosis in the age groups of 30-39 and 18-19 years compared with the base year (2017) by 37% and 57%, respectively. At the same time, in pediatric patients (from the neonatal period to 17 years), there was an intensive increase in patients from 52 to 550% compared to the baseline year (2017).
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1287-1291
views
THE QUALITY INDICATORS TO ASSESS THE PROSTATE CANCER RADIOTHERAPY PERFORMANCE (BRIEF REVIEW)
Andreev D.A., Zavyalov A.A.
Abstract
Introduction. The radiation therapy (RT) plays a tremendous role in the consistent treatment of prostate cancer (PCa). The research ideas underpinning the wide implementation of innovative digitalized continuous (nonstop) dynamic auditing are coming true. Simultaneously, there are increasing challenges in selection of RT quality indicators.Objective: to study the pivotal indicators for RT quality assurance in treatment of PCa and to highlight the breaking through developments securing the delivery of top-quality cancer care in radiation oncology units.Materials and methods. The literature search was performed in the PubMed database and the Google system. The inquiries included such terms as: “quality of care”, “quality assessment criteria”, “indicators”, “prostate cancer” and “radiation therapy”. A logical and semantic approaches were applicated to select the relevant scientific resources.Results. In most relevant studies, the variations of the Delphi technique are used to choose the quality assessment criteria. The targeted research papers describe the development of QIs for assessing the quality of radiation therapy in patients with locally advanced PCa; a hierarchical list of QIs has been generated. The adequate registration of information has huge impact on quality assessment to draw the definitive thorough conclusions.Discussion. The further improvement of Delphi technique may form one of pillars for the development of valuable RT quality measures. Considering the math aspects and the physical nature of RT, it seems being important to include the key opinion leaders in the field of clinical oncoinformatics, radiation informatics, and specialists from technical industries in the expert committees for the selection of RT QIs.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1292-1297
views
Lifestyle factors and medical activity of patients with COVID-19 treated on an outpatient basis using telemedicine technologies
Tyazhelnikov A.A., Kostenko E.V., Pogonin A.V., Kamynina N.N.
Abstract
The aim of the study was to study the factorial conditionality of the state of health and the features of medical activity (MA) of patients with COVID-19 who were treated on an outpatient basis using telemedicine technologies.Material and methods. The study of lifestyle factors (LS) and MA was conducted by an anonymous survey of 7,743 patients with COVID-19. The patients' health was assessed based on the study of the course of the underlying disease and the presence of concomitant diseases, which were detected in 24.3% of COVID-19 patients according to the data of copying information from medical records.Results. It was revealed that the prevalence of tobacco smoking was 33.25 cases per 100 respondents, 45.4% of respondents were overweight, 75.6% of patients had a low level of physical activity, 68.2% and 53.8% of patients had low medical literacy and MA, respectively. It is established that the greatest impact on the health status of the patients interviewed was provided by the bio-social activity (Smoking) (h = 0.702; m = 0.0063; p = 0.0022), physical activity (h = 0.624; m = 0.0026; p < 0.001, health behavior (h = 0.527; m = 0.0030; p < 0.001) and health literacy (h = 0.532; m = 0.0028; p < 0.001).Conclusion. The studied risk factors affecting the health status of COVID-19 patients, most of which are manageable, should be taken into account when forming therapeutic and preventive measures.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1298-1303
views
NEUROLOGICAL COMPLICATIONS OF COVID-19: REVIEW OF LITERATURE AND OWN EXPERIENCE
Prikazchikov S.V., Generalov V.O., Sadykov T.R., Mamedov L.A.
Abstract
According to the literature, the main neurological complications of COVID-19 are hyposmia, hypogeia, headache, dizziness, myalgia, and severe neurological syndromes like encephalopathy, stroke, and coma. The mechanisms of neurological complications of the acute period are direct viral damage, hypoxic damage, and immune damage due to the activation of inflammation, including autoantibodies. After the end of the acute phase of the disease, neurological complications in the form of asthenic syndrome, vascular syndrome, exacerbation of chronic diseases (deterioration of cognitive and communication functions in patients with autism, schizophrenia, exacerbation of autoimmune neurological diseases, aggravation of the condition of patients with tics, increased frequency of epileptic seizures in adults and children, resumption of epileptic seizures in patients who were previously in stable remission, the debut of epileptic seizures). These disorders are based on the following mechanisms: neuroinflammation, activation of pro-inflammatory cytokines (IL-1, -2, -6, -8, -10, -17, -18, CXCL10, CCL2), formation of autoantibodies, increased permeability of the blood-brain barrier, mitochondrial dysfunction, adrenal and thyroid dysfunction, venous dyscirculation. In the treatment of neurological complications after a COVID-19 infection, it is advisable to use anti-inflammatory therapy, mitochondrial therapy (including the technique of intermittent hypoxic-hyperoxic therapy), detoxication, correction of hormonal status (primarily the state of the adrenal glands and thyroid gland), vasoactive therapy, and symptomatic therapy.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1304-1310
views
CHANGING THE FUNCTIONALITY: HOW DO MEDICAL PROFESSIONALS PERCEIVE INNOVATIONS?
Alikperova N.V., Aksenova E.I., Vinogradova K.V.
Abstract
The article is devoted to the study of the issue of changing the functionality of nurses, analyzing the opinions of nurses and doctors themselves on the implementation of such an innovation, assessing the benefits and consequences associated with expanding the functions and increasing the role of nurses in the medical community. The research is based on CHAID-analysis of data from a questionnaire survey conducted in 2020, which revealed the respondents' attitude to the idea of improving the status of nurses and expanding their functions, expectations of the possible reaction of the medical community and patients to this innovation, and the development of so-called «trees» of classifications for various variables.The collected and systematized data on changes in the functionality of nurses can serve as a starting point for the possible expansion of the functions and powers of nurses in the metropolitan health care, as well as increasing the role and status of nurses in the professional environment. The results of the Moscow study presented in the article confirm the conclusions of other scientists and practitioners from the Russian regions, in which a pilot project has already been implemented to change the functionality of nurses.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1311-1317
views
QUALIFICATION ASSESSMENT OF MEDICAL SPECIALISTS IN ASPECT OF DEVELOPMENT OF CONTINUING MEDICAL EDUCATION
Kolennikova O.A., Toksanbaeva M.S.
Abstract
Continuing medical education (CME) is embedded in the structure of the institutes of qualification assessment. These are institutes of accreditation of specialists and their certification for obtaining a qualification category. CME has become an element of accreditation. So far, an absolute minority of specialists have been accredited. Therefore, the study focuses on the analysis of the implementation of CME. The materials of the expert survey of medical personnel were used. It was found that respondents generally have a positive opinion of the CME system. But its organization has significant drawbacks. Their impact on the provision of high-quality medical services to the population and on the social security of doctors in the field of professional development is negative. Specialists bear the main share of responsibility for the choice of programs and forms of training. And their supply and quality do not always meet the needs of doctors. The system of scoring participation in the CME often forces specialists to make a choice in favor of a set of points, but at the expense of real knowledge. It is revealed that the CME is not built into the institute of certification for qualification category, although the level of qualification of specialists certainly depends on it. This is caused by an unjustified decline in the prestige of this institution.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1318-1323
views
FORMATION OF THE NOTION OF «QUALITY OF LIFE», CONCEPTUALISATION AND METHODOLOGICAL ASPECTS (LITERATURE REVIEW)
Pivovarova O.A., Potemkina R.A., Rusanova N.E.
Abstract
Quality of life (QoL) is an important health outcome and represents the primary aim of all medical interventions. The term QoL has been is frequently used in medical and philosophical literature in recent decades and has become an important concept and goal of public health research.Traditionally, biomedical results rather than QoL were the basic endpoints in clinical and public health research.However, recent research is increasingly focusing on the study of QoL in patients and the making use of QoL assessment has increased considerably. The concept of QoL has led to extensive research and has been used by the professional medical community in the treatment of a broad array of diseases.Literature search methods included database searches Scopus, Web of Science, MedLine, the Cochrane Library.Historical trends in the concept of QoL are discussed in this article and issues related to the conceptual and methodological aspects of constructing QoL in the context of health care.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1324-1330
views
THE ASSESSMENT OF THE RESEARCH POTENTIAL OF THE AMBULATORY-POLYCLINICAL INSTITUTIONS OF THE MOSCOW HEALTHCARE SYSTEM
Aksenova E.I., Bezymyanny A.S., Besschetnova O.V., Bogdan I.V., Gulyaev P.V., Kamynina N.N., Kashirina E.A., Starshinin A.V., Tyazhelnikov A.A., Shindryaeva N.N.
Abstract
Scientific research and their inclusion in the health care system is an important part of modern medical science. To study the readiness of primary care physicians as well as administration staff to introduce a research component into the national health care system, “The Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department” conducted an online survey of two groups of respondents - physicians of primary care settings (n = 593) and heads of outpatient clinics in Moscow (n = 168) in 2021.The results of the study show the insufficient involvement of primary care doctors in research activities in their working places: more than half do not consider scientific activities as a priority, motivating it by the lack of conditions, practical skills, age and health status as well as high level of employment, although they do not reject it in the future.Heads of Moscow primary health care settings demonstrate similar answers. According to their opinion, research activities are poorly represented in organizations of this type, and most likely the situation will not be changed in the near future; about half do not have sufficient information about the number of employees engaged in scientific work and are rarely familiar with their topics (often extensive, represented by various fields of medicine); about one third of managers reported participating in research projects of Moscow City Department of Health.The study made it possible to identify barriers that prevent the introduction of research components into the activities of Moscow primary health care organizations, which should be taken into account when making managerial decisions.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1331-1337
views
ELDERLY CARDIAC PATIENTS: SELF-REPORTED HEALTH STATUS
Zemlyanova E.V., Zubko A.V., Sabgayda T.P., Filatova A.G., Dzhitava T.G.
Abstract
Introduction. Thanks to advances in science and medicine, the threshold age of a patient who can undergo open surgery on the valves of the heart or coronary arteries is increasing every year. Elderly patients constitute a special group in this regard.Aim. Determine how elderly cardiac patients assess their health status and highlight the factors influencing it.Materials and methods. The results of a survey of 107 patients who are in the Department of cardiac rehabilitation of the A. N. Bakulev National Medical Research Center for Cardiovascular Surgery in 2020-2021 after surgical or endovascular treatment of cardiac pathology. The survey is carried out by a cardiologist using a questionnaire that allows you to characterize the patient's health status on the basis of self-esteem. Statistical data processing was carried out in Microsoft Office Excel 2003 and Statistica v. 6.0 programs.Results. The majority of respondents (63.6%) assessed their state of health as satisfactory. No correlation was found between the state of health and the level of education. On average, the patients had 3.7 ± 1.8 chronic diseases. Obesity was observed in 29.4% of men and 68.8% of women. The body mass index did not correlate with the self-reported health status of the respondents, but it did correlate with the number of accumulated diseases (r = 0.42, t-statistic = 2.58).Conclusions. Recovery of elderly patients after cardiac surgery is progressing rapidly. In women, the recovery process is slower due to the greater number of associated pathologies. Old age is not a direct contraindication for cardiac surgery. When self-assessing their health status, elderly patients do not associate it with risk factors.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1338-1342
views
ORGANIZATION OF MEDICAL CARE FOR CHILDREN WITH A NEW CORONAVIRUS INFECTION IN PATIENT CONDITIONS ON THE EXAMPLE OF THE CHILDREN'S CITY CLINICAL HOSPITAL NAMED AFTER Z. A. BASHLYAEVA
Osmanov I.M., Mazankova L.N., Samitova E.R., Mironova A.K., Borzakova S.N., Yudina A.E., Dubovets N.F., Ansupova M.A., Nedostoev A.A.
Abstract
The article presents an analysis of the work of the largest children's COVID-19 center in Moscow, organized on the basis of the Children's City Clinical Hospital named after Z. A. Bashlyaeva of the Moscow City Health Department. From March to November 2020 at the COVID-19 Center were hospitalized 2,837 patients with suspected/confirmed diagnosis of COVID-19, in total in 2020 1,876 children with a confirmed diagnosis of COVID-19 were treated, 58 (3%) children were in serious condition in the intensive care unit, of which children 11-18 years old were 25%. At the 2020 neonatal COVID-19 center, 215 newborns were observed with suspected COVID-19 diagnosis. The diagnosis of COVID-19 was confirmed in 18 children, while 8 newborns came from the home of COVID-19.In the Center for rehabilitation, where children aged 0 to 3 years old who were born with very low and extremely low body weight are observed, dispensary observation for children who have undergone COVID-19 is organized. 45 children who were observed fell ill with the new coronavirus infection. There were no deaths among children with COVID-19.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1343-1349
views
STUDY OF THE POSITION TOWARDS HEALTH AND HEALTHY LIFESTYLE OF RAILWAY WORKERS
Zhidkova E.A., Gutor E.M., Vilk M.F., Pankova V.B., Onishchenko G.G., Gurevich K.G.
Abstract
Purpose: determination of the risk factors increasing the probability of development of non-communicable diseases at employees of the railway industry and also value of a condition of conditions for maintaining the healthy lifestyle by employees.Materials and methods. 13,595 people were interviewed (1.5% of the staff). The questionnaire contained 49 questions on the main components of healthy lifestyle, compiled on the basis of the STEPS toolkit.Results. More than 93% of respondents agree that the person himself is responsible for his health, while only 11% of respondents correspond to the full extent of healthy lifestyle. The price factor when choosing products is decisive for 54% of respondents. 80% of the company's employees feed on what they brought from home. Less than half of the company's employees are engaged in physical education, sports, recreational gymnastics; would like to do, but now 40% do not do it. The proportion of persons involved in physical activity is slightly higher among young employees (54% versus 44% among workers aged 36 years and over). More than 2/3 of the survey participants do not smoke (while 30% smoked earlier, but were able to quit). Among women, the proportion of non-smokers is higher (86%) compared to men (64%).Conclusion. Based on the data obtained, it is possible to conclude that the company employees responsible attitude towards their health prevails. At the same time, a number of negative practices are quite widespread. These results point to the need to advance the values and practices of healthy lifestyle.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1350-1357
views
SURGICAL TREATMENT OF ULCERATIVE COLITIS. HISTORY
Knyazev O.V., Shkurko T.V., Vardanyan A.V., Romanov R.I.
Abstract
The article describes the main achievements in the study of ulcerative colitis (UC) - a disease known since ancient times. «Bloody» non-epidemic diarrhea was described by Hippocrates. The first detailed description was made by K. Rokitansky in 1842. In 1875, S. Wilks and W. Mason first studied the pathomorphology of the colon in UC. The term «non-specific ulcerative colitis» was proposed by the Russian surgeon A. S. Kazachenko in 1913 at the 13th Congress of Russian surgeons. The historical excursion presents the main stages and achievements of surgical treatment of UC.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1358-1367
views
PROBLEMS OF MAINTAINING NURSING STAFF PRODUCTIVITY IN CONNECTION WITH AGGRESSIVE PATIENT BEHAVIOR
Ostrovskaya I.V., Allakhverdiyeva F.A., Kamynina N.N.
Abstract
The article is devoted to the results of a study of the problems of nursing staff performance maintenance in connection with aggressive behavior of patients. We studied the opinions of 413 nurses concerning the aggressive behavior of patients in medical organizations of the Central Federal District. The paper reveals the problems of patient aggression and its interaction with nursing staff productivity.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1368-1373
views
LINES OF REPRODUCTIVE BEHAVIOR
Arkhangelskiy V.N., Zayko E.S.
Abstract
The article analyzes the lines of reproductive behavior of the population, which are one of the important indicators of actions to implement reproductive attitudes. The analysis of the lines of reproductive behavior was carried out on the basis of the results of two studies: «Selective observation of reproductive plans of the population» conducted by Rosstat in 2012 and the first wave of the All-Russian study «Demographic well-being of Russia» conducted by IDR FCTAS RAS in 2019-2020. If the 2012 study showed that almost 2/3 of one-child women did not have contraception and did not have abortions before the birth of their first child, then according to the results of the 2019-2020 study. Equally distributed were those who had and those who had not been protected from pregnancy before the first birth. Depending on the lines of reproductive behavior, on average, the values of the time interval between the registration of marriage and the first birth differ, and the time intervals between the first births and the second are noticeably different. The dependence of the lines of reproductive behavior on the importance of the birth and upbringing of children is manifested not so much with the lines of reproductive behavior in relation to children who have already been born, but with their behavior aimed at childbirth or refusal to give birth.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1374-1380
views
BIOLOGICAL TREATMENT OF PSORIASIS IN TIME OF NEW CORONAVIRUS INFECTION COVID-19
Kruglova L.S., Pereverzina N.O., Rudneva N.S., Kamynina N.N., Oynotkinova O.S.
Abstract
Currently, the ongoing pandemic of the novel coronavirus infection is still a major public health problem worldwide. The questions of immunosuppressive therapy of patients with psoriasis and psoriatic arthritis, the possibility of vaccination against the background of the use of genetically engineered drugs remain open. The article is of an overview nature and includes up-to-date information on the feasibility and safety of the use of genetically engineered biological drugs in patients with psoriasis in a pandemic (COVID-19). According to the international recommendations of the National Psoriasis Foundation COVID-19 Task Force expert group, treatment of psoriasis and/or PsA does not significantly alter the risk of SARS-CoV-2 infection and does not lead to worse prognosis of COVID-19. Therefore, patients not infected with SARS-CoV-2 should continue biological or other systemic therapy for psoriasis and/or PsA. According to a registry from 25 countries, hospitalization with SARS-CoV-2 infection was more common in patients receiving nonbiological systemic therapy than in patients receiving BAs. Thus, genetically engineered biological drugs do not appear to cause an increased risk of coronavirus infection and do not determine a more severe course.With regard to vaccination of patients with psoriasis, many issues require further study. According to international agreements, vaccination is not contraindicated in patients with psoriatic disease. However, there is still insufficient data on how the treatment of psoriatic disease affects vaccination. Avoiding COVID-19 or reducing the severity of infection following SARS-CoV-2 vaccination is thought to far outweigh any risk directly related to vaccination complications.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1381-1387
views
IMPACT OF EXTERNAL FACTORS ON THE INCIDENCE OF CHILDREN DURING THE COVID-19 PANDEMIC
Bocharova M.O., Kachkurkina Y.O., Kurakina T.Y., Podchernina A.M.
Abstract
The article provides information that allows you to form an idea of the health status of children of different age groups living in Moscow. The sources of information were data on the population size, federal statistical observation form No. 12 «Information on the number of diseases registered in patients living in the service area of a medical organization» for the period from 2016 to 2020. The morbidity analysis was carried out by age groups 0-4, 5-9, 10-14, 0-14, 15-17 years per 100,000 of the corresponding population.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1388-1394
views
DETERMINING THE LEVEL OF TECHNOLOGICAL READINESS OF DEVELOPMENTS IN MEDICINE BASED ON THE TRL METHODOLOGY
Aksenova E.I., Gorbatov S.Y., Pivovarova O.A.
Abstract
The article discusses an approach to assessing the level of maturity of medical technologies based on the TRL (technology readiness level) methodology. The author presents a tool for planning scientific results and developments in the direction of «medical sciences» with a clear description of the expected results at each level of research and development. The levels of technological maturity of developments in the field of healthcare are described in detail, possible results and reporting forms for each level are presented, their differences are analyzed depending on the planned final product. Also presented are proposals for the distribution of powers between the state and business to finance the process of creating and implementing a new medical technology, depending on its stage of maturity.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1395-1399
views
MOTIVATION OF MEDICAL STAFF DURING THE SPREAD OF THE COVID-19 PANDEMIC
Shkrumyak A.R., Ananchenkova P.I., Safonov K.B.
Abstract

The article is devoted to the consideration of the issues of motivation of medical personnel to work effectively in an extreme situation of a pandemic (COVID-19). The paper presents a sociological analysis of the working conditions of medical workers in the situation of the spread of a new coronavirus infection and the problems faced by medical workers in providing medical care in a pandemic. A content analysis of Russian regulatory documents regulating the requirements for the prevention, diagnosis and treatment of coronavirus was carried out. A survey was conducted by the method of a semi-formalized interview from June 15 to June 30, 2020 among employees of medical organizations. The authors analyzed the results of the study and concluded that medical workers remain the main resource in the fight against a new pandemic, and, unfortunately, one of the most vulnerable groups.

Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1400-1403
views
SELF-ASSESSMENT OF THE SOCIO-ECONOMIC SITUATION OF CITIZENS UNDER THE INFLUENCE OF THE COVID-19 PANDEMIC
Ananchenkova P.I., Aksenova E.I.
Abstract
The article deals with topical issues of changing the socio-economic state of citizens under the influence of the situation with the spread of a new coronavirus infection that swept the entire world at the beginning of this year. Currently, society is asking whether people's attitudes to each other will change, how the economic situation in general and the financial situation of citizens will develop, in particular, in the conditions of active use of remote technologies, the development of Internet resources and the transition to digitalization, which are gaining popularity in conditions of self-isolation and restrictions on mass events. The article uses the results of a survey of the research project «Self-organization and mutual assistance in countering the spread of coronavirus infection», conducted by the center for research of civil society and the non-profit sector of the Higher School of Economics. The responses of respondents regarding the introduction of digitalization, increasing online opportunities, both in terms of work, training, and entertainment and communication, converge and confirm the prospects for development. However, while volunteers are optimistic about digitalization, representatives of the civilian population are more concerned about strengthening the digital control of the state over the lives of citizens.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1404-1407
views
The impact of the COVID-19 pandemic on vocational education in Russia and foreign countries
Safonov K.B., Aksenova E.I., Ananchenkova P.I.
Abstract
The article is devoted to the study of the impact of the COVID-19 pandemic on the sphere of higher education in conditions of limited attendance of educational institutions, the transition to a new format of education and the search for solutions in response to the challenges of the education system in a critical situation. In the context of the outbreak of a new coronavirus infection, the pandemic has had the greatest impact on the field of education (including vocational) on a global scale. However, this area, despite a number of certain problems, has become one one of the few industries that turned out to be prepared to transfer most of their processes online. Currently, national governments, international organizations and research centers are conducting research on the problems of the education system common to most States that arise on the way to the transition to the digital format of education. Study of the impact of the pandemic COVID-19 in the field of higher education was conducted based on the results of a report by the Vladimir Potanin Charitable Foundation, the National Training Foundation and a VTSIOM survey in June 2020.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1408-1411
views
TO THE QUESTION OF IMMUNOPROPHYLAXIS OF PERSONS PARTICIPATING IN THE PROVISION OF MEDICAL CARE IN THE CONDITIONS OF COVID-19
Bogovskaya E.A., Aleksandrova O.Y., Zudin A.B.
Abstract
Immunoprophylaxis is one of the pressing health problems. The safety of those involved in the provision of medical care acquired particular importance during the period of the introduction of the high alert regime. Regulatory norms determine the need for the prevention of infectious processes, including among this group of workers. However, at the moment there are not fully regulated organizational and legal aspects, including the issue of vaccination against coronavirus infection caused by the SARS-CoV-2 virus.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1412-1416
views
PSYCHOLOGICAL HEALTH OF UNIVERSITY STUDENTS DURING COVID-19 PANDEMIC
Besschetnova O.V., Kadutsky P.A., Borisov A.B., Magomadov R.A.
Abstract
At present, there is an understanding of the consequences of the COVID-19 pandemic on all spheres of society, both in our country and abroad.Objective of the research: to study the effect of self-isolation on the mental health of university students in the context of the COVID-19 pandemic; to identify the most vulnerable groups of students and the reasons of anxiety and stress.Materials and methods. The survey involved 872 students (68% - girls, 32% - boys) 1-4 years of bachelor's degree and 1-2 courses of master's degree at the age of 17-23 years old, enrolled in full-time education in three universities in Moscow.Results. The most vulnerable categories of students for mental health disorders, experiencing the highest level of anxiety and stress, are 3rd-4th year undergraduate and 1th year graduate students with an average level of academic performance. In this regard, the question arises about the need to develop and introduce programs into the educational process of universities to identify and provide psychological assistance and support to students who are acutely experiencing the consequences of the pandemic to maintain their psychological health.
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1417-1422
views
PSYCHOLOGICAL CARE FOR SCHOOL-AGE PATIENTS WITH CORONAVIRUS INFECTION IN THE HOSPITAL
Sviridova T.V., Fisenko A.P., Lazurenko S.B., Drobysheva M.M.
Abstract
For the first time in pediatric practice, the psychological state of 100 children (7-17 years old) with COVID-19 in the state of hospitalization was studied on the basis of the Scientific Medical Research Center of Children's Health of the Russian Ministry of Health Care and the directions of psychological and pedagogical assistance were determined. Analysis of medical and psychological-pedagogical documentation, conversation, observation, screening diagnostics were conducted. It was established that according to the totality of physical and psychological factors (the main psychological difficulty) patients can be grouped into the following groups: children in a severe physical state, with unstable manifestations of mental activity (n = 4; 4%); children in a predominantly moderately severe state with significant distress related to the disease (n = 48; 48%); children in a satisfactory physical state, with mild and mostly situational difficulties in adapting to the situation of hospitalization (n = 46; 46%); children in a satisfactory physical state, in a relatively stable positive psychological state (n = 2; 2%). Consideration of the severity of their physical and psychological condition and their basic psychological difficulties allows differentiated psychological aid to be rendered to children and teenagers in special conditions of the «red zone».
Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(S2):1423-1428
views

Mailing Address

Address: 105064, Vorontsovo Pole, 12, Moscow

Email: ttcheglova@gmail.com

Phone: +7 (495) 916-29-60

Principal Contact

Tatyana Sheglova
Head of the editorial office
National research Institute of public health named after N. A. Semashko

105064, Vorontsovo Pole st., 12, Moscow


Phone: +7 (495) 916-29-60
Email: redactor@journal-nriph.ru

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies