Pacific Medical Journal最新文献_第4页

Ultrasound diagnostics in solving situational problems in the discipline of clinical pathophysiology 超声诊断解决临床病理生理学学科中的情景问题

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-97-100

A. B. Makarov, V. N. Tsygan, A. V. Lemeshchenko, M. V. Rezvantsev, T. A. Krivolutskaya, T. A. Bammatov

{"title":"Ultrasound diagnostics in solving situational problems in the discipline of clinical pathophysiology","authors":"A. B. Makarov, V. N. Tsygan, A. V. Lemeshchenko, M. V. Rezvantsev, T. A. Krivolutskaya, T. A. Bammatov","doi":"10.34215/1609-1175-2023-4-97-100","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-97-100","url":null,"abstract":"Aim. Тo train future specialists to eﬀectively apply the methods of pathophysiological research (ultrasound diagnostics) in solving situational problems within the course of clinical pathophysiology.Materials and methods. The 2nd and 3rd year students were trained to use stationary and portable ultrasound machines Phillips CX50 and Chison Sonotouch 80. The students were trained to master ultrasound B and M modes, Doppler ultrasonography, as well as elastography of the most common diseases of the endocrine, digestive, and urinary systems. At the ﬁrst stage, students worked in tandem with the lecture, observing the process of sensor manipulation. At the second stage, each student conducted a study on his or her fellow student.Results. When conducting ultrasound scanning of the hepatoduodenal zone and kidneys, 65% and 55% of students, respectively, failed to obtain an optimal image and to measure anatomical structures during the assigned time interval. Echocardioscopy was established to be the most diﬃcult method to master when solving situational problems within the topic of “Impaired Systemic Circulation”. This task was successfully performed only by 20% of the students. The optimal student-lecturer ratio was established to be 6:1.Conclusion. The use of new ultrasound technologies in the training process is important for forming students’ professional competencies and increasing their motivation.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Training program for primary care physicians in medical rehabilitation at the Pacifi c Medical University 太平洋医科大学医疗康复初级保健医生培训计划

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-93-96

T. N. Kuzmina, G. V. Kuznetsova, L. Y. Petrova

{"title":"Training program for primary care physicians in medical rehabilitation at the Pacifi c Medical University","authors":"T. N. Kuzmina, G. V. Kuznetsova, L. Y. Petrova","doi":"10.34215/1609-1175-2023-4-93-96","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-93-96","url":null,"abstract":"This article describes the experience of training primary care physicians in the ﬁeld of medical rehabilitation. The existing procedure for the arrangement of medical rehabilitation prescribes its rules and order of implementation in medical primary health care organizations both in outpatient and day patient settings. The Paciﬁc State Medical University (PSMU) runs training programs for primary care physicians within the 31.05.01 educational program “General Medicine”, direction “02 Healthcare”. In accordance with the curriculum, a training program “Medical Rehabilitation” that includes both lectures and training sessions was developed. This program is aimed at forming the necessary competencies of future primary care physicians in implementing and monitoring the eﬀectiveness of the patient’s medical rehabilitation. Training is carried out at the facilities of the PSMU Institute of Clinical Neurology and Rehabilitation Medicine by specialists having experience in medical rehabilitation and having completed the program “Modern aspects of specialist training in the ﬁeld of physical and rehabilitation medicine”.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health dynamics of children and adolescents in the Far Eastern federal district in 2013–2020 2013-2020 年远东联邦区儿童和青少年的健康动态

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-72-76

O. Gritsina, A. Yatsenko, L. V. Trankovskaya, Yu. V. Maistrovskaya, D. A. Ermakova, S. D. Shestakova

{"title":"Health dynamics of children and adolescents in the Far Eastern federal district in 2013–2020","authors":"O. Gritsina, A. Yatsenko, L. V. Trankovskaya, Yu. V. Maistrovskaya, D. A. Ermakova, S. D. Shestakova","doi":"10.34215/1609-1175-2023-4-72-76","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-72-76","url":null,"abstract":"Aim. To identify trends in the primary morbidity of children and adolescents in the Far Eastern Federal District.Materials and methods. A retrospective analytical study of the dynamics of primary morbidity in children and adolescents by disease class was conducted.Results. Among the children population, a very high and high stability of the decrease in morbidity rates was established (R = -0.714– (-1.0)) for all classes of diseases. Among the adolescent population, a weak stability in the decrease in morbidity rates was characteristic of VII Diseases of the eye and adnexa (R = -0.262) and X Respiratory diseases (R = -0.262); a moderate stability of IV Diseases of the endocrine system, nutritional disorders, and metabolic disorders (R = -0.333); a moderate stability of IX Diseases of the circulatory system (R = -0.623); and a high stability among all other classes (R= -0.738 – (-0.928)). In the older age group, weak resistance to growth dynamics was determined in classes III Diseases of the blood, hematopoietic organs, and certain disorders involving the immune mechanism (R = 0.024) and VIII Diseases of the ear and mastoid process (R = 0.095).Conclusion. The data obtained forms a basis for further research into regional risk factors that contribute to poor health of the population. The ﬁndings can also be used to predict the health status of younger generations.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of pediatric and adolescent rehabilitation in the department of rehabilitation of the regional children’s oncohematological center, Vladivostok 符拉迪沃斯托克地区儿童肿瘤中心康复部的儿童和青少年康复经验

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-89-92

G. V. Kuznetsova, L. M. Minkina, T. N. Kuzmina, I. A. Obukhova, A. V. Voskresenskaya, E. V. Prosekova

引用次数: 0

Comparative analysis of air disinfection methods for prevention of bacterial and viral infections 预防细菌和病毒感染的空气消毒方法比较分析

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-82-85

O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega

{"title":"Comparative analysis of air disinfection methods for prevention of bacterial and viral infections","authors":"O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega","doi":"10.34215/1609-1175-2023-4-82-85","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-82-85","url":null,"abstract":"Aim. To compare the eﬀectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is signiﬁcantly more eﬀective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more eﬀective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined application of exercise therapy and reflexotherapy for ischemic stroke patients in the acute period 缺血性脑卒中患者急性期运动疗法和反射疗法的联合应用

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-64-68

E. V. Pavlushchenko, L. Y. Petrova, L. I. Kisel, L. A. Klersfeld

{"title":"Combined application of exercise therapy and reflexotherapy for ischemic stroke patients in the acute period","authors":"E. V. Pavlushchenko, L. Y. Petrova, L. I. Kisel, L. A. Klersfeld","doi":"10.34215/1609-1175-2023-4-64-68","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-64-68","url":null,"abstract":"Aim. Search for new eﬀective methods of physical rehabilitation for patients with ischemic stroke.Materials and methods. In total, 60 ischemic stroke patients aged from 51 to 80 years in the acute period were included in the rehabilitation program. All patients showed motor and speech disorders, problems with self-care and mobility, and reduced quality of life indicators. The program of early rehabilitation included the combination of reﬂexotherapy (RT) and diﬀerentiated choice of exercise therapy (ET).Results. The comparative analysis of the results of three therapeutic programs for rehabilitation of patients with acute cerebral circulation disorders (ACCD) in the acute period showed the high eﬃcacy of a combined use of RT and ET with a diﬀerentiated approach to method selection.Conclusions. The combined application of neurorehabilitation methods for ischemic stroke patients has conﬁrmed its high eﬃcacy. The developed rehabilitation programs may improve the quality of life of patients after acute cerebral circulation disorders and increase their independence in everyday life.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Аnalysis of clinical cases of diabetic retinopathy progression in pregnant women with type 1 diabetes 1型糖尿病孕妇糖尿病视网膜病变进展的临床病例分析

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-69-71

N. Pomytkina

{"title":"Аnalysis of clinical cases of diabetic retinopathy progression in pregnant women with type 1 diabetes","authors":"N. Pomytkina","doi":"10.34215/1609-1175-2023-4-69-71","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-69-71","url":null,"abstract":"This paper presents clinical cases of diabetic retinopathy (DR) progression in pregnant women with type 1 diabetes. In preproliferative DR, the formation of focal macular edema in both eyes with nonperfusion areas of perimacular localization was observed. Both eyes were subjected to laser coagulation of the retina. After one month, a regression of macular edema in the left eye and hemorrhagic phenomena in both eyes was established with the emergence of new nonperfusion zones. DR progression during pregnancy and in the postpartum period is determined by a number of factors, including diabetes mellitus compensation, retinopathy stabilization, and the presence of concomitant pathologies. In the aggressive course of proliferative DR, local traction retinal detachment and partial hemophthalmos of the left eye were revealed. In this case, three stages of panretinal laser coagulation of both eyes and endovitreal intervention with silicone tamponade on the left eye were performed. At 28 weeks of gestation, progression of retinal neovascularization was observed in the right eye, extensive areas of nonperfusion in the posterior pole. The areas of laser coagulation of the retina were compacted in the right eye.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative analysis of air disinfection methods for prevention of bacterial and viral infections 预防细菌和病毒感染的空气消毒方法比较分析

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-82-85

O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega

{"title":"Comparative analysis of air disinfection methods for prevention of bacterial and viral infections","authors":"O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega","doi":"10.34215/1609-1175-2023-4-82-85","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-82-85","url":null,"abstract":"Aim. To compare the eﬀectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is signiﬁcantly more eﬀective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more eﬀective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"21 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Software application for predicting the efficacy of rehabilitation treatment in patients with discirculatory encephalopathy 预测盘状脑病患者康复治疗疗效的应用软件

Pacific Medical Journal Pub Date : 2024-02-02 DOI: 10.34215/1609-1175-2023-4-86-88

E. V. Moroz, O. V. Perelomova, V. V. Knyshоva

{"title":"Software application for predicting the efficacy of rehabilitation treatment in patients with discirculatory encephalopathy","authors":"E. V. Moroz, O. V. Perelomova, V. V. Knyshоva","doi":"10.34215/1609-1175-2023-4-86-88","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-86-88","url":null,"abstract":"Aim. To develop a software application for determining the rehabilitation potential and predicting the eﬃcacy of rehabilitation treatment in elderly and senile patients with stage III discirculatory encephalopathy (DE).Methods. A database of 185 patients with stage III DE was used. The indicators were assessed in dynamics, i.e., prior to the rehabilitation treatment and following three and six months from the onset of treatment course. The software application was developed using the Visual Basic for Applications (VBA) programming language built into Microsoft Excel 2010.Results. The developed application comprises several ﬁrst-order subroutines to assess the patient’s neurological status, memory, attention, functional activity in everyday life, as well as second-order subroutines to calculate the rehabilitation potential and predict the treatment eﬃcacy. At the ﬁrst stage, personal data and characteristics of neurological disorders, cognitive functions, scale of instrumental activities in daily living (IADL) are entered. At the second stage, the indicator of rehabilitation potential is automatically calculated and its qualitative assessment is provided. On the basis of prediction of the eﬃcacy of the three complexes, further rehabilitation tactics for a particular patient is determined.Conclusions. The developed software application is useful for automating and optimizing the work of rehabilitation neurologists.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Carbon monoxide and carboxyhemoglobin contents in exhaled air and blood pressure levels with diff erent nicotine delivery pathways 不同尼古丁给药途径下呼气中的一氧化碳和碳氧血红蛋白含量以及血压水平

Pacific Medical Journal Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-26-31

V. A. Nevzorova, E. A. Stolarova, L. G. Priseko, A. A. Achmetova

{"title":"Carbon monoxide and carboxyhemoglobin contents in exhaled air and blood pressure levels with diff erent nicotine delivery pathways","authors":"V. A. Nevzorova, E. A. Stolarova, L. G. Priseko, A. A. Achmetova","doi":"10.34215/1609-1175-2023-4-26-31","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-26-31","url":null,"abstract":"Aim. To assess the content of CO and COHb in exhaled air and the level of blood pressure (BP) in the working-age population of Yuzhno-Sakhalinsk when using various means of nicotine delivery.Materials and methods. The study participants (n = 503) were surveyed using a questionnaire. The BP and oxygen saturation parameters were assessed. The content of CO and COHb content in exhaled air was measured using a smokerlyzer. Statistical processing was performed using nonparametric methods.Results. The study group was dominated by males (58.3%). A high incidence of smoking was observed among females, with up to 42% in the general group and 48.8% in the group of consumers of alternative nicotine delivery systems (ANDS). A correlation between the content of CO and COHb and the smoking experience of more than 10 years was established, regardless of the means of nicotine delivery. Arterial hypertension was registered among 39.8% of the surveyed participants, with a higher frequency in cigarette smokers (28.8%, p = 0.02). This was associated with a greater proportion of individuals (62%) with a long smoking experience of more than 10 years (p = 0.003). A weak direct correlation was established between an increase in blood pressure and the content of CO and COHb (p < 0.001).Conclusion. The share of females as active consumers of tobacco products has grown, particularly in the form of ANDS. Among smokers, the average high level of CO and COHb prevails, which correlates with the smoking experience of more than 10 years and does not depend on the means of nicotine delivery. A direct relationship between the intensity of smoking and the risk of hypertension was established.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0