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 actual directions of digital development of health care system].","authors":"M Z Abesalashvili, M F Alieva, B M Pshizova","doi":"10.32687/0869-866X-2025-33-2-171-175","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-171-175","url":null,"abstract":"<p><p>The article presents results of analysis of current trends, challenges and prospects of health care digitization. The key directions of digital transformation are considered: telemedicine, implementation of e-medical records, application of AI, Big Data analysis, patient remote monitoring. The statistical data confirming growth of digitization of health care at the international and national levels, including national experience of Russia, are presented. The special attention is paid to challenges of digitization, including cybersecurity issues, insufficient digital literacy of medical personnel and complexity of normative legal regulation. In conclusion, importance of integrated approach, of interaction of the state, medical institutions and IT companies for effective implementation of digital technologies is emphasized. It is concluded that digitization of health care is both a challenge and a unique opportunity to modernize medicine.</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":"33 2","pages":"1590"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032242","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 study of implementation of digital technologies on sphere of labor protection and its impact on personnel of enterprises of marine industry].","authors":"K V Konfino","doi":"10.32687/0869-866X-2025-33-2-188-193","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-188-193","url":null,"abstract":"<p><p>The innovative technologies are becoming widespread in all spheres of human life, including labor protection. The AI, modern systems of monitoring and data analysis permit to develop devices with functions to determine physical conditions of workers, to track and to prevent emergency situations and to minimize occupational traumatism. The mentioned advantages of such devices are very important in working conditions at maritime industry enterprises where risk of traumatism is increased and physician providing timely qualified care is absent on shipboard. In such conditions it is more rational to prevent risks of traumatism. The list of such devices is quite wide: from sensors analyzing external environment to intelligent helmets and boots. With all visible advantages of implementation of innovations into labor protection, the issues of their application in order to control production efficiency of employees continue to be mixed ones. Thus, data from different studies, as well as original survey of ship crew members fixed negative attitude of personnel to such devices reasoning stress condition and increased anxiety level. Hence, it is necessary to develop a number of recommendations permitting to implement innovations into labor protection within the framework of maritime industry and to consider psychological state of workers in order to prevent development of diseases caused by high levels of stress.</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":"33 2","pages":"1593"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032476","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 ethical dilemmas of methodology of extra-corporal fertilization in the context of medicalization of reproduction: The review].","authors":"N A Akimova, E N Medvedeva, O Y Sevostyanova, E A Andriyanova","doi":"10.32687/0869-866X-2025-33-2-211-218","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-211-218","url":null,"abstract":"<p><p>The modern biomedical science grants to humankind significant choice regarding reproductive function. In view of development of biomedical technologies man becomes a producer of one's own human nature that especially is manifested in area of genetic engineering and auxiliary reproductive technologies.The article problematizes ethical social discourse on medicalization of human reproduction. The main ethical dilemmas occurring at application of procedure of and systematizes the ethical dilemmas that arise during the procedure of extra-corporal fertilization are considered. The occurring medicalization of feminine reproductive health is consequence of understanding of social life as legitimization of care of body on the part of medicine.The researchers note dominance of biomedical approach to human reproduction. The important aspects of medicalization of female corporeality include such achievements of modern medicine as artificial insemination, extra-corporal fertilization, surrogate maternity, abortion. The main ethical dilemmas occurring during extra-corporal fertilization are related to application of technologies that suppose destruction of part of embryos. The conclusion is made about relationship between possibilities of modern bio-medicine and actualization of ethical problems in this area. The necessity of assessment from point of view both of regulative mechanisms of legislation and ethical expertise is established.</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":"33 2","pages":"1597"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049883","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 changes of climate and role health care sector in struggle with their aftermaths].","authors":"K R Amlaev, H T Dakhkilgova, M A Atoyeva, G A Kabilova","doi":"10.32687/0869-866X-2025-33-2-205-210","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-205-210","url":null,"abstract":"<p><p>The climate change is the most important problem of our time, significantly impacting population health. The article considers international experience of solving problem of consequences of climate change on planet. The importance of reduction of greenhouse emissions, transition to ecologically clean sources of energy, improvement of agriculture management and improvement of waste recycling is explained. The strategies of adaptation to climate change are discussed. The particular attention is paid to importance of the intervention of health care professionals in solving problems related to climate change.</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":"33 2","pages":"1596"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042154","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 social humanitarian and economical aspects of process of digitization of medicine in the Russian Federation].","authors":"N A Garazha, I G Rzun, M S Strizhak, N V Koroleva, I N Voblaya","doi":"10.32687/0869-866X-2025-33-2-176-181","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-176-181","url":null,"abstract":"<p><p>The relevance of humanitarian analysis of digitization of medicine is conditioned by the fact that digitization track is a general component of transformation of entire health care system, including relationships between subjects of medicine, changes in content of professional competencies of physician. The necessity of discussion and multilateral reflection of digitization processes unites developers, physicians, management staff of industry, representatives of social and humanitarian sciences.</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":"33 2","pages":"1591"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051479","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 impact of digital addiction on social health of the youth].","authors":"B М Zalivanskiy, E V Samokhvalova, E M Moreeva","doi":"10.32687/0869-866X-2025-33-2-182-187","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-182-187","url":null,"abstract":"<p><p>The article considers systematized threats to social health of the youth occurring as a result of their dependence from using digital devices and immersion into Internet space. The social health is defined as determined by internal and external factors state of readiness, opportunities and needs of the youth to implement social activities through building communications in society. One of threats undermining social health of representatives of this demographic group is digital addiction, resulting from immersion of the addict in digital environment using various digital devices. Such addiction can cause significant harm to both physical and social psychological health, starting from very young age that is confirmed by results of original empirical study. The most destructive consequence of this type of addiction is degradation of social and cognitive skills in young people, leading to problems with education, socialization, psychological affects, up to complete rejection of existing social norms and values. Such individuals are at most vulnerable to political manipulations in conditions of existing civilizational contradictions. They are, in course of information war, the first ones to be involved in processes destructive for state security. In this regard, it seems reasonable henceforth to profoundly investigate relationship between digital addiction and process of destruction of traditional values in rising generation and to substantiate technology of social immunization a tool to form and develop in the modern youth spiritual moral support, knowledge, skills and abilities to consciously resist destructive impact of digital environment.</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":"33 2","pages":"1592"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022548","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":"[On the impact of general practitioner satisfaction with one's own work upon quality of interaction with patients under medical care provision].","authors":"A B Zudin, M A Kuznetsova, T P Vasilieva, O A Gruzdeva, K Y Kuznetsova, M D Mikhail","doi":"10.32687/0869-866X-2025-33-2-149-155","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-149-155","url":null,"abstract":"<p><p>Within the framework of research project on studying job satisfaction among general practitioners in Moscow medical organizations, studies have been expanded to analyze the Job Satisfaction factor across 7 components characterizing job satisfaction of physicians. The new data was obtained concerning impact of different levels of the indicator on quality of interaction with patients.The purpose of the study was to develop methodological techniques of studying factors of satisfaction with the work by general practitioners determining quality of interaction with patients and their satisfaction with provided medical care.The method of parallel survey of primary care physicians of Moscow medical organizations (n=340) and patients (n=394) who visited physician at least once in previous 12 months was applied for one-time assessment of their opinion. The sociological survey was applied using validated Russian version of international psycho-social questionnaire COPSOQ III (Long version), adapted for health workers, and standardized international questionnaire EUROPEP to assess patient satisfaction with provided medical care (in 20222023). The non-parametric Kraskel-Wallis test was used to compare the groups (level of statistical significance p0.05).The results of the study confirmed the reliable correlation of low quality interaction with patients on the part of the physician (p0.0001) in comparison groups of job satisfaction by levels Low Normal, Low High and in the groups Normal High. The compared indicators had statistically significant differences (p=0.0001).It is demonstrated that satisfaction of general practitioners with their work is an influence factor for quality of interaction and patient satisfaction with medical care provided, determining important component in achieving patient satisfaction and improving quality of medical care in patient-oriented model of health care.</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":"33 2","pages":"1587"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038387","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 mortality of adult population from after-troubles of cerebrovascular diseases in the Russian Federation: the territorial differences].","authors":"V I Starodubov, D S Vaisman, E N Enina, V S Stupak","doi":"10.32687/0869-866X-2025-33-2-156-162","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-2-156-162","url":null,"abstract":"<p><p>The purpose of the study is to investigate trends in adult population mortality from consequences of cerebrovascular diseases (CVD) as primary cause of death in the Subjects of the Russian Federation and the Federal Okrugs (FO) before and during the COVID-19 pandemic.The data from statistical collections The Demographic Yearbook of Russia and The Medical and Demographic Indicators of the Russian Federation for 20192022 was involved into analysis. The statistical and analytical methods were applied. The indicators of the dynamic range were calculated.In the Russian Federation, in 20192022 was noted tendency of decreasing mortality of adult population from aftermaths of cerebrovascular diseases from 30.8 to 23.5 per 100 thousand of corresponding population (the rate of decline 23.7%). The same trend was observed in seven Federal Okrugs (decrease of 20.0% on average), with exception of the North Caucasus Federal Okrug (the growth rate was 8.9%).In the year of the pandemic onset (2020) in the Russian Federation, mortality from consequences of CVD increased by 1,9%. The North Caucasian, Volga, Urals, Siberian, Far Eastern Federal Okrugs demonstrated average increase in mortality up to 12.6%. The Central, North-Western and Southern Federal Okrugs registered average decrease up to 11.9%.The highest mortality of adult population from CVD aftermaths in 2022 was observed in the Amur Oblast (125.3 per 100,000 of the corresponding population) and the Ivanovo Oblast (119.8 per 100,000 of the corresponding population). The lowest value was established in the Republic of Ingushetia (1.7 per 100,000 of corresponding population) and in the Astrakhan Oblast (4.1 per 100,000 of corresponding population).The results of the study demonstrated that before and during the COVID-19 pandemic (20192022) there were territorial differences in the mortality of adult population from CVD aftermaths that may become a prerequisite in further search for decreasing mortality from controllable causes.During the pandemics, decrease of mortality of adult population from CVD was noted only in three Federal Okrugs out of eight (Central, North-Western and Southern).The differences in regions of the Russian Federation can be associated with different approaches in choosing initial cause of death. This fact is to be considered while auditing quality of medical care provision in the Subjects of the Russian Federation and in formation of educational programs for medical personnel involved in drawing up mortality certificates.</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":"33 2","pages":"1588"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015490","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 management of patient blood in medical organizations of obstetrics and gynecological profile].","authors":"R R Turaeva, R G Turaev, E N Mingazova, E B Zhiburt","doi":"10.32687/0869-866X-2025-33-1-98-104","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-1-98-104","url":null,"abstract":"<p><p>The purpose of the study was to analyze experience of patient blood management in obstetric and gynecological medical organizations, to assess compliance of Russian clinical guidelines of obstetric and gynecological bleeding with actual level of science and practice. The methodology applied provided search for Russian and English words \"patient blood management\", \"gynecology\", \"obstetrics\", \"bleeding\", \"anemia\" in electronic libraries of Russia (eLibrary.ru) and the USA (pubmed.ncbi.nlm.nih.gov). The search resulted in 19 studies and 2 documents in form of clinical guidelines. It was established that patient blood management in gynecology and obstetrics is complex problem requiring both policy solution at national and regional scale. The formation of following set measures is required: physician mentality with \"anemic alertness\", measures preventing and adjusting anemia and coagulopathies, technologies of \"sparing\" surgery, means of preventing and stopping bleeding, blood donorship, production of selective and safe blood components, evidence-based transfusion therapy, improvement of clinical guidelines, elaboration of normative base.</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":"33 1","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411007","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 natality sensitivity to stimulating measures of financial character].","authors":"N A Guz, A M Strelnikov","doi":"10.32687/0869-866X-2025-33-1-90-97","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-1-90-97","url":null,"abstract":"<p><p>In Russia, a number of financial instruments of state policy, including maternity (family) capital, are targeted to overcome negative demographic situation. The purpose of the study is to determine efficiency of this instrument and to assess degree of its effect on birth rate. The data with open access were used. The differentiation of birth rate was analyzed on the basis of data from the Unified Interdepartmental Information Statistical System. The analysis of cause-and-effect relationship between improvement of state program of maternity capital (2007-2024) and possibility of its transformation into real tool of demographic policy was carried out. The progressive dynamics of changing of conditions of granting maternity capital in accordance with national goals and social economic conditions is revealed. The limitations of implementing this financial tool and prospective conditions of increasing attractiveness of maternity capital as measure of state financial support are highlighted.</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":"33 1","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411022","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}