Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''最新文献

{"title":"[The interaction of digital devices utilization and behavior indicators of youth health].","authors":"I V Zhuravleva","doi":"10.32687/0869-866X-2024-32-5-904-911","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-904-911","url":null,"abstract":"<p><p>Nowadays, such digital devices as laptop, tablet, computer, smartphone are an important component of life in all age categories of population that differently affect their health. The article presents analysis of problems of digital behavior of children and youth as related to health. The materials of sociological survey were used to consider mutual effect of recommendations on safe use of digital devices and behavior indicators of health of students. The purpose of the study is to analyze significance of digital behavior for health based on materials of normative legal documents, results of various studies exemplified by students using digital devices in context of various components of self-preservation behavior. The normative legal documents regarding digital educational environment and research materials (including the study \"Digital transformation in the life of students\" carried out by Russian Society of Sociologists in 2023 in 29 cities of Russia (N=8,734) were analyzed. The study was focused on importance of formation of communication human culture of communication with various types digital devices and advisability to begin this work from children age. The difficulties existing in this area are noted. Among students, almost half of respondents don't follow basic recommendations concerning working with digital devices important for health prevention. The rest of hygiene recommendations are ignored by up to 87% of respondents. The presence of students' attitudes to healthy lifestyle, physical activity and increased self-estimation of health positively affect those who apply recommendations on communication with digital devices. The role of family and pedagogues as subjects in formation of hygienic culture of using digital devices is currently significant, but yet insufficient. The increasing of culture of communication with digital devices among youth and more active orientation on positive health indicators can input into health amelioration.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"904-911"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629680","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}

{"title":"[The legal status of off-label preparations and legal aspects of their application in The Russian Federation].","authors":"R Z Simonyan, A S Karapetyan, E A Brechka","doi":"10.32687/0869-866X-2024-32-5-892-896","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-892-896","url":null,"abstract":"<p><p>For many years, the medications \"outside of instruction\" (the so-called \"off-label\" ones) had no single-valued legal status in the Russian Federation and other countries that entailed number of problems. Most of them had to do with schemes and tactics of treatment of patient, impossibility of proper medical care support, legal responsibility of physician for applying medications outside of attached instruction. The important move in resolving mentioned problem became adoption of the Federal Law \"On entering changes in the Federal Law \"On Fundamentals of Health Care of Citizen in The Russian Federation\" that became first step on the path leading to acquisition by \"off-label\" its legal status. The analysis of relevant normative legal acts, the Criminal code of the Russian Federation was carried out. The basic conclusions related to application of medications in medical institutions in Russia, to physician strategy in cases requiring application of of medications \"outside of instruction\" were formulated. In case of applying medications \"outside of instruction\" without informed voluntary agreement of patient, without utmost necessity, single-handed instead of decision of medical commission or in situations which could be managed without this kind of medications i.e. under unfounded risk the physician can be prosecuted since treatment with off-label medications is considered as insecure according to legislative base currently in force.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"892-896"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629693","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}

{"title":"[The actual issues of mandatory labeling of certain types of medical items].","authors":"V V Tonkonog","doi":"10.32687/0869-866X-2024-32-5-918-923","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-918-923","url":null,"abstract":"<p><p>Mandatory labeling of medical items plays key role in establishing uniform standards and requirements for all market participants. This promotes increasing of protection of consumer rights, excluding possibility of buying unreliable or counterfeit products. The normative documents regulating labeling of medical items set important requirements to manufacturers, importers and retailers. The unique identifiers, information about origin and other data provided for inclusion in labeling ensure product identification and control of its quality. The article considers normative legal base regulating procedure of mandatory labeling of certain types of medical items from their production and putting into use up to moment of their sale and withdrawal from market turnover. Besides, mechanism of state regulation of procedure of labeling of medical items targeted to increasing of traceability of products, reducing spread of counterfeit goods, ensuring patient safety and improving quality of medical services in general is considered.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"918-923"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629650","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}

{"title":"[The effect of value orientations of physicians on satisfaction of patients with medical care quality in conditions of uncertainty].","authors":"K N Tsaranov, D I Markov, O A Komolova, M A Nauruzova, A N Plutnitsky, A G Tarbastaev","doi":"10.32687/0869-866X-2024-32-5-969-978","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-969-978","url":null,"abstract":"<p><p>The COVID-19 coronavirus pandemic significantly impacted processes of medical care support and medical personnel and managers. The article presents analysis of results of three-year (2019-2022) studying level of loyalty of legal representatives of patients of one of Moscow children polyclinics. The study covered both legal representatives of patients (more than 190,000 assessments collected over entire observation period) and randomly selected district pediatricians (n=31). It is established that value-intentional consistency of district pediatricians (ratio between individual priorities of medical specialist and his ideas about proper behavior e.g. general medical or corporate values and norms), i.e. degree of interpersonal conflict, significantly affects loyalty of patients to them during uncertainty phase that covered first months of coronavirus pandemic. The physicians with moderate level of consistency between individual priorities and normative ideals demonstrated higher rates of loyalty on part of patients as compared with specialists who had value-intentional inconsistency. It is concluded that in order to increase and maintain this indicator, regular monitoring of social psychological status of medical workers, their material and non-material support and stimulation, development of mentoring system in medical organization and training of medical managers to use social psychological tools for building favorable corporate climate and culture of relations between employees of medical organization and patients are necessary.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"969-978"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629668","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}

{"title":"[The image of non-commercial organizations in information field in Russia in 2019].","authors":"I V Sharkova, E V Mareeva, S Baymeshova","doi":"10.32687/0869-866X-2024-32-5-897-903","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-897-903","url":null,"abstract":"<p><p>The article presents results of primary researches of information field of non-profit medical organizations in Russia, carried out from January 01 to December 31 2019 in Yandex search engine and Medialogia media database. The analysis of results of the study with measurements of beginning and end of 2019 was carried out. The results are one of parts of a panel study of image of medical non-profit organizations in Russia and can be used in future by interested structures with purpose of its adjustment.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"897-903"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629677","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}

{"title":"[The personnel support of the long-turn care system in the Russian Federation].","authors":"A L Safonov, Yu V Dolzenkova, D V Nekipelova, H V Sheozhev","doi":"10.32687/0869-866X-2024-32-5-1006-1012","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-1006-1012","url":null,"abstract":"<p><p>In Russia, over the past few years, long-term care system is developing as pilot project. Its main goal is to maintain habitual lifestyle of citizens of retirement age and the disabled who have functional impairments and who need help in household chores, sanitary hygienic procedures performance, medications intake, medical procedures execution and and physician prescriptions following in general. According to approved standard model of long-term care main sources of long-term care services are social security system, health care system, relatives and friends of service addressees. However, full-fledged and systemic implementation of program requires not only definition of these components, but also establishment of mechanism of interaction between them. For this, in most cases, elimination of normative inconsistencies impeding care and consideration of interests of elder citizens and the disabled is required. At the same time, it is necessary to foresee personnel staffing for long-term care, since this area is labor-intensive and is based on people interaction, model of person-to-person care. The problems with personnel staffing in medical and social sphere were present earlier, prior to development of long-term care system and without their elimination it is impossible to implement program in accordance with approved road-map. The training of medical specialists to working with older people, training of junior medical personnel to perform sanitary hygienic and medical procedures, provision with social and medical personnel rural areas are among tasks to be implemented. The article presents evaluation of compliance of components of long-term care system with program tasks, including medical personnel staffing and compliance of standards in force with interests of citizens.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"1006-1012"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629714","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}

{"title":"[The characteristic of medical personnel resources in the state health care system of the Region].","authors":"Yu O Efimikova, Yu V Evstafeva, O V Khodakova","doi":"10.32687/0869-866X-2024-32-5-998-1005","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-998-1005","url":null,"abstract":"<p><p>The indicator of provision with medical personnel under primary health care support significantly varies in Subjects of the Russian Federation. This indicator is affected by such territorial characteristics as long distance of territory, poor transport accessibility, low population density, migration processes. The purpose of the study is to analyze indicators of medical personnel resources in state health care system of the Transbaikal Krai. The sources of information were data from forms of Federal statistical monitoring № 30 \"Information on the medical organization\" of the Krai medical organizations in 2018-2022. The span diagram was made for levels of provision with physicians over 5 year period in regions of the Krai. The cluster analysis was applied to classify municipalities according to level and dynamics of indicators of provision with physicians. It is established that indicators of provision of district therapists and district pediatricians in the Transbaikal Krai remain below similar ones in the Far Eastern Federal Okrug and the Russian Federation. The making of span diagram demonstrated significant difference in indicators of provision with mentioned specialists in municipalities of the Krai over 5 year period that testifies instability of medical personnel situation in districts of the Krai. The maximal indicators of provision in certain regions are conditioned by higher wages and location of medical organizations in the Krai center. The shortage in medical personnel of primary health care is marked in the Krai. In order to implement tasks of overcoming medical personnel shortage, disproportions in structure of medical personnel, uneven territorial distribution of medical specialists in the Krai it is necessary to improve mechanisms of human resources planning.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"998-1005"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629652","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}

{"title":"[The activities on increasing level of physical activity: The international experience].","authors":"K R Amlaev","doi":"10.32687/0869-866X-2024-32-5-994-997","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-994-997","url":null,"abstract":"<p><p>The article presents analysis of measures targeted to increasing level of physical activity implemented in various countries. The state programs of prevention of hypodynamia are to be implemented at individual, group and population levels. The efficiency of such state programs in different countries are analyzed. The relationship between level of physical activity and quality and availability of such elements of urban environment as public transport, availability of bicycle paths, proximity of parks and stadiums to places of residence are considered. The further study of this problem is necessary, especially in the long term perspective.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"994-997"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629648","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}

{"title":"[The development of approaches to medical rehabilitation under after-troubles of acute disorders of cerebral blood circulation using International Classification of Functioning].","authors":"S V Shlyk, S S Memetov, V V Kim, L P Mamkhyagova, I L Solonets","doi":"10.32687/0869-866X-2024-32-5-953-958","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-953-958","url":null,"abstract":"<p><p>The article presents social hygienic characteristics of contingent of persons admitted to second stage of rehabilitation in specialized rehabilitation department after ischemic stroke at early recovery period. The attention is focused on necessity of multidisciplinary approach to rehabilitation measures, taking into account the International Classification of Functioning that permits to achieve more significant results in implementation of rehabilitation measures, to reduce the number of possible complications of this disease in later period, as well as to accelerate process of returning of studied category of patients to full-fledged life.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"953-958"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629654","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}

{"title":"[The problematic aspects of medical care support of fishermen in geographical segments of the Northern Sea Way].","authors":"T N Timchenko","doi":"10.32687/0869-866X-2024-32-5-959-964","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-5-959-964","url":null,"abstract":"<p><p>The problems of occupational injuries and morbidity are one of actual directions of scientific actually. According to the International Labor Organization, accidents, cardiovascular, infectious and cancer diseases are of original cause ones. Besides, sectorial characteristics of professional activity affect level of morbidity and mortality. The article reveals difficulties of medical care support of fishermen when performing professional functions in fisheries in regions of the Northern Sea Way in view of critical shortage of medical personnel and lacking of adequate medical equipment. The practical recommendations to resolve mentioned problems are proposed.</p>","PeriodicalId":35946,"journal":{"name":"Problemy sotsial''noi gigieny i istoriia meditsiny / NII sotsial''noi gigieny, ekonomiki i upravleniia zdravookhraneniem im. N.A. Semashko RAMN, AO ''Assotsiatsiia ''Meditsinskaia literatura''","volume":"32 5","pages":"959-964"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629721","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}