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 problems of legal regulation of per-conception diagnostics (per-conception screening) in the Russian Federation].","authors":"M V Nekoteneva, D V Ponomareva, S A Livshits, D V Veprinskiy","doi":"10.32687/0869-866X-2024-32-6-1330-1335","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1330-1335","url":null,"abstract":"<p><p>The article considers issues of legal regulation of preconception diagnostics (preconception screening) targeted to studying carriage of monogenic diseases and facilitating implementation by potential parents their informed choice. It is emphasized that currently in the Russian Federation there is no comprehensive legal regulation of preconception screening. The existing legal regulation is fragmented. The development of relevant legal regulation requires to take into account targeted nature of preconception screening that is to be clearly distinguished from so-called opportunistic screening i.e. examination for no apparent reasons, indications or purpose. Besides, future normative regulation is to provide accessibility of this type of examination for patients, including its cost reduction.</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 6","pages":"1330-1335"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792517","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 value foundations of social immunity in conditions of expanding Russian space: A demographic aspect].","authors":"P A Volkova","doi":"10.32687/0869-866X-2024-32-6-1306-1313","DOIUrl":"10.32687/0869-866X-2024-32-6-1306-1313","url":null,"abstract":"<p><p>The article considers value determinants of social immunity of subjects in conditions of expanding Russian space. The issue is raised concerning formation in children and youths of social immunity and improvement of social immunity in representatives of middle-age and elderly population as barrier to harmful invasion of alien foreign cultural elements into life of Russians). It is determined that they negatively affect social and psychological components of human health and are manifested in occurrence of new diagnoses and exacerbation of chronic ones. The current situation is complicated by intensification of attempts to negatively impact by foreign entities on Russians, including residents of the Donetsk People's Republic, Lugansk People's Republic, Zaporozhye Oblast, Kharkov Oblast and Kherson Oblast as well as migrants temporarily staying in other regions of Russia. It is indicated that for residents of the territories mentioned above as well as migrants temporarily located in other regions of Russia, an important direction of functioning of state authorities is to increase accessibility for population high-quality health care services, daily living comfort, infrastructure development, housing support in regions. It is concluded that in current conditions, key value basis of population social immunity is one's health.</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 6","pages":"1306-1313"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792477","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 morbidity in children population of various age groups against the background of COVID-19 pandemic and new challenges in organization of medical care].","authors":"M A Ivanova, N I Penkina, V I Starodubov, M K Iskhakova","doi":"10.32687/0869-866X-2024-32-6-1213-1219","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1213-1219","url":null,"abstract":"<p><p>In children population, infectious diseases propagate rather rapidly and they have their own peculiarities in course. The COVID-19 coronavirus infection was no exception in it and created new challenges in organization of medical care and prevention of its spread. The purpose of the study was to investigate dynamics of general and primary morbidity in children aged 0-14 and 15-17 years and characteristics of organization of medical care in conditions of the COVID-19 pandemic. The analytical and statistical methods, including descriptive statistics, were applied. The software MS Excel 2007 and Statistica 10 were applied to process data. It was established that in 2017-2022 total children morbidity aged 0-14 years decreased up to 18.0%, primary morbidity up to 19.3%, in children aged 15-17 years up to 3.8% and 4.2% respectively. Despite implemented anti-epidemic measures morbidity of COVID-19 in children increased annually. The medical care of children was provided according to the Procedure of provision of medical care by profile \"Pediatrics\" but due to COVID-19 propagation, adjustments were applied. This affected state medical organizations re-profiled for medical care of patients with confirmed COVID-19 corona-virus infection. Despite increasing of general and primary children morbidity against the background of the COVID-19 pandemic during study period indicators decreased. At that, respiratory diseases increased that determined decision-making in management of medical care organization of patients.</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 6","pages":"1213-1219"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792490","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 online literacy of Russian citizen in issues of health information: psychometric characteristics of Russian version of eHEALS].","authors":"A A Maksimenko, A A Zolotareva","doi":"10.32687/0869-866X-2024-32-6-1314-1320","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1314-1320","url":null,"abstract":"<p><p>Nowadays, online environment is the main source of health information. The purpose of the study was twofold and supposed, firstly, adaptation of Russian version of the eHealth Literacy Scale (eHEALS), and secondly, analysis of relationship between eHEALS scores and indications of critical thinking and phenomena of cyber environment (doom-scrolling, cyberchondria and social networks dependence) among Russians. The sampling consisted of 1,025 respondents. Besides eHEALS, such questionnaires as Doomscrolling Scale, Cyberchondria Scale, Bergen Social Media Addiction Scale and Thinking Style Questionnaire were applied. The results of data factorization revealed one-factor structure of questionnaire. The high values of Cronbach α-coefficient (α = 0.929) and MacDonald's ω-coefficient (ω = 0.930) confirmed inner consistency of adapted scale. The total indicator according eHEALS was positively correlated with general health index, indicators of doomscrolling, cyberchondria, social networks dependence and analytical thinking style. The negative correlation was established indicators of synthetic and idealistic thinking styles. The online literacy in health information issues was related to female gender, but had no dependencies with age of respondents. The residents of Moscow and other megalopolises had higher indicators of online literacy in matters of health information as compared with residents of Oblast and district centers. The psychometric analysis of Russian version of the eHEALS confirmed its psychometric validity.</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 6","pages":"1314-1320"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792497","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 glaucoma quality of life assessment.","authors":"G K Omorova, K N Bolbachan, O A Bolbachan, D D Ibraimova, A D Ibraimova","doi":"10.32687/0869-866X-2024-32-6-1281-1285","DOIUrl":"10.32687/0869-866X-2024-32-6-1281-1285","url":null,"abstract":"<p><p>In the next 15 years, expected increase in incidence of glaucoma is predicted. The glaucoma results in changes of quality of life of patients deteriorating in parallel with progression of stage of disease. The presence of many concomitant diseases in patients has significant impact on survival, exacerbations. hospitalizations and quality of life of patients. The impact of glaucoma on implementation of everyday human activities determines relevance of studying issues of quality of life. The physical state of health level of males is lower than that of females. The vision of both eyes is higher in males than in females. The overall assessment of vision in case of glaucoma causes pronounced decrease in visual function both in males and females. The most patients with glaucoma suffer with decrease in performance and restriction of work. The irritation occurs especially in males and females have uncomfortable relationships due to eye pain and less housework due to vision problems. The overall assessment of vision in case of glaucoma causes violation of visual perception. The social and psychological components affecting quality of life are violated that affects both mental and physical health.</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 6","pages":"1281-1285"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792521","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 USSR food crisis in XX century: the middle of 1950s - the first half of 1960s].","authors":"R S Serebryany","doi":"10.32687/0869-866X-2024-32-6-1407-1412","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1407-1412","url":null,"abstract":"<p><p>The article is devoted to nutrition of population in the USSR during governing of N. S. Khrushchev in 1955-1964. It is demonstrated that despite continuation by new regime implementation of administrative command strategy of managing national economy, radical changes in principles, tactics and methods of decision-making led to diametrically opposite, negative results in population food supply carried out earlier in the country by the former Stalinist leadership. Numerous complaints of people about inability to feed the family are presented. The low purchasing possibility of population with simultaneous shortage of products in stores has been proved. It is established that food crisis of the middle of 1950s - early 1960s resulted from imbalance between supply and demand in field of food delivery. The government's ill-conceived measures on opening up virgin lands, elimination of machine tractor stations that were basis of agro-industrial complex, contradictory actions limiting plots of land of peasants, passion for planting corn, increase of agricultural and income taxes from villagers, etc. All this caused problems in nutrition of population. The possibility of falsified data in documents prepared for government on food issues, even classified as secret, is claimed, due to lies prevailing in country and conjuncture atmosphere. The negative assessment of Khrushchev's reforms by population, nostalgia for Stalin's times with constant price cuts and salary increases are indicated. The norms of products needed for balanced diet and real situation with annual consumption per capita in the 1960s are calculated. It is emphasized that in the USSR emergence of workers protests occurred due to increase of state food prices and low wages. The culmination of these processes became shooting by troops in Novocherkassk, Rostov Oblast, of peaceful demonstration suppressed by direct order of Head of state in June 1962. The multiple differences, concealed by the authorities, in prices for basic foodstuffs of Soviet citizens and population in capitalist countries, in favor of the latter. The conclusion ids made that utopia and lies, economic voluntarism were cornerstones of paradigm prevailing in the Khrushchev era, that resulted in food crisis and the half-starved existence of majority of inhabitants of the USSR.</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 6","pages":"1407-1412"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792562","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 comparative analysis of correspondence of normative and factual number of stomatologists considering private medical organizations].","authors":"G M Gaydarov, S V Makarov, A A Liflyander-Pacherskikh","doi":"10.32687/0869-866X-2024-32-6-1370-1375","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1370-1375","url":null,"abstract":"<p><p>The article presents analysis of normative and factual number of stomatologists in the Irkutsk Oblast. The comparison was carried out in relation to stomatologists employed in state medical organizations as well as taking into account private sector in stomatological service that is conditioned by high proportion of specialists employed in it. In the Irkutsk Oblast, significant discrepancy between factual number of stomatologists and staffing standards is established if apply exclusively state sector of stomatological service for comparison (39.9%). However, the total number of physicians in state and private medical organizations corresponds to standards to much greater extent (79.1%). Also significant dispersion of indicator of compliance of factual number of stomatologists with staffing standards between municipalities of the Irkutsk Oblast, excessive concentration of specialists in regional center, exceeding value recommended by standards by 2.3 times for stomatologists in general practice and stomatological therapists was revealed. Based on the study results, the number of proposals formulated to improve staffing standards of recommended number of stomatologists.</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 6","pages":"1370-1375"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792313","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 in-patient substituting technologies in maxillofacial surgery: characteristics of organization and ways of further development].","authors":"V A Belchenko, I V Chantyr, K D Zavgorodnev","doi":"10.32687/0869-866X-2024-32-6-1273-1280","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1273-1280","url":null,"abstract":"<p><p>The social economic crisis and international sanctions significantly affected health care system that requires implementation of new organizational approaches with medical, social and economic benefits. Currently, up to 80% of budgetary funds for health care are spent on in-patient care, although 20-50% of patients could be effectively treated in less expensive short-stay hospitals. The purpose of the study is to assess efficiency of specialized care in maxillofacial surgery in conditions of short-stay hospitals. In maxillofacial surgery, implementation of in-patient substitution technologies is justified that ensure availability of minimally invasive surgeries and reduction of treatment time. The analysis of data of 2,022 patients hospitalized in the Maxillofacial Hospital for War Veterans of the Moscow Health Department from January 1 to December 31 2023 demonstrated that 1,518 patients (65.37%) were treated in the 24-hour in-patient department and 504 patients (34.63%) in the short-stay in-patient department. Among them, 738 males (36.3%) and 1,284 females (63.7%), average age of patients was 42.5 ± 17.82 years. In the 24-hour in-patient department, females accounted for 62.85% and males 37.15%. In short-stay in-patient department, females accounted for 65.48%, males for 34.52%. The average stay in 24-hour hospital was 5.6 bed days and in short-stay hospital - 6-8 hours. The economic efficiency of short-stay hospitals was demonstrated in significant savings of medications and services. The level of patient satisfaction is higher in short-stay hospital (8.4 points versus 8.1 points in 24-hour hospital). The development of short-stay hospitals in maxillofacial surgery contributes into improving of quality and accessibility of medical care, modernizing medical infrastructure and optimizing budget expenditures.</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 6","pages":"1273-1280"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792400","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 management processes of regional projects to determining algorithms of prototyping: A review].","authors":"A V Akhokhova, M A Bizheva, I Kh Almova, A M Kardangusheva, M V Tlupova, M Kh Tlakadugova, F M Shogenova, Z G Gabaraeva, A S-Kh Baidaeva, T R Kumykov","doi":"10.32687/0869-866X-2024-32-6-1286-1295","DOIUrl":"10.32687/0869-866X-2024-32-6-1286-1295","url":null,"abstract":"<p><p>In the context of modern competition, project management approach can ensure higher speed and quality of achieving strategic objectives set for health care industry at minimal cost and risk. Due to the need to implement regional projects with higher speed and quality, the problems of algorithmization of project management processes becomes relevant. The complex multi-level system of project implementation in health care industry, instability of external environment and variety of needs of stakeholders requires finding algorithm to implement management processes. The purpose of the study was to find prototype model for managing processes of medical organization project, built on formalized data of functional components of project and algorithms obtained during stage-by-stage modeling of the system. In the process of development of operation of the system its elements and presentation of data were iteratively refined and in accordance with data algorithms were synchronously refined too. To build prototype model of management processes in regional medical organization for subsequent digitization it is necessary to formalize variables, to determine in accordance with size of the range of values that variable can take for subsequent effective algorithmization of management processes. The stages of project management processes were correlated with classification characteristics of models to establish stages of their construction and modeling of working model of prototype project. To establish optimal prototype of project management processes its immediate integration with project environment of medical organization is required using machine learning methods. The study results confirmed necessity to proceed search for project management tools increasing efficiency of operational activities of medical organizations implementing regional projects in health care industry.</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 6","pages":"1286-1295"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792538","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 morbidity of university students in conditions of modern educational process and impact of environmental factors: A publications review].","authors":"R A Vanyaykin, M M Petrova, D S Kaskaeva, E A Pronina, N Yu Shimohina","doi":"10.32687/0869-866X-2024-32-6-1259-1266","DOIUrl":"https://doi.org/10.32687/0869-866X-2024-32-6-1259-1266","url":null,"abstract":"<p><p>The students morbidity becomes more and more serious problem due to increasing demands of modern educational process. There is a need to more carefully monitor implementation of medical care of students, to carry out regular preventive examinations, to provide students with appropriate psychological assistance to create environment conducive to learning. To resolve problem of student morbidity is important both for maintaining health of young population and for their favorable academic advancement. The article consider effect of such environmental factors as stress, lack of sleep, poor nutrition, low physical activity contributing into increase of students morbidity in conditions of modern educational process.The Russian and foreign publications were analyzed to identify the most significant ones to be included into review.</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 6","pages":"1259-1266"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792494","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}