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 NATIONAL MEDICAL RESEARCH CENTERS AS PARTICIPANTS OF IMPLEMENTATION OF SCIENTIFIC PLATFORMS OF MEDICAL SCIENCE].","authors":"K Y Tarkhov, V V Tonkonog","doi":"10.32687/0869-866X-2025-33-6-1344-1352","DOIUrl":"10.32687/0869-866X-2025-33-6-1344-1352","url":null,"abstract":"<p><p>The article analyzes 14 scientific platforms fixed by the Strategy for the Development of Medical Science in the Russian Federation up to 2025. The role of national medical research centers (NMRC) subordinate to the Ministry of Health of the Russian Federation in their implementation is also considered. The analysis of the quantitative distribution permitted to identify leaders both among participants of NMRC and among scientific platforms themselves, as well as to assess contribution of NMRC into their implementation. The results of the study provide an opportunity for preliminary qualitative assessment of degree of interdisciplinary in implementation of one or another scientific platform. The relationship is established between national priorities determined by scientific platforms and world trends in the field of medicine and health care, corresponding to subject areas of foreign international databases of scientific citation. To identify priority thematic directions of scientific research, scientometric analysis of publications for 2021-2023 by 58 subject categories of Web of Science in the field of medicine and health care for the world and the Russian Federation with calculation of Russias contribution into world publication landscape. The implementation of scientific platforms involves NMRC, which have both thematic profile and topics of research carrying out within the framework of state tasks ordered by the Ministry of Health of Russia, corresponds to content of scientific platforms themselves.</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 6","pages":"1344-1352"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811470","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}
K R Amlaev, H T Dakhkilgova, N R Zakirova, B A Alimov
{"title":"[THE FACTORS AFFECTING MENTAL HEALTH OF MIGRANTS AND WAYS OF ITS AMELIORATION].","authors":"K R Amlaev, H T Dakhkilgova, N R Zakirova, B A Alimov","doi":"10.32687/0869-866X-2025-33-6-1420-1426","DOIUrl":"10.32687/0869-866X-2025-33-6-1420-1426","url":null,"abstract":"<p><p>The article considers international experience of studying mental health of migrants. The actuality of this problem is conditioned by massive migration flow that occurred because of large number of military conflicts and desire of people to ensure better life for themselves and their descendants. The article describes the most common mental disorders among migrants, factors affecting their mental health and barriers they encounter on their way to good mental state. The impact of coronavirus infection pandemic on mental health of migrants is considered. The review indicates measures targeted to improve mental status of displaced persons, including application of participatory approach and implementation of concept of positive mental health. To maintain adequate mental health of migrants, holistic and interdisciplinary approach is required that considers ethnic and cultural characteristics of community of displaced persons.</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 6","pages":"1420-1426"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811500","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 ETHICS OF BIOMEDICAL RESEARCH IN CONDITIONS OF DEVELOPMENT OF AI TECHNOLOGIES].","authors":"E V Bryzgalina, A B Zudin","doi":"10.32687/0869-866X-2025-33-6-1317-1323","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1317-1323","url":null,"abstract":"<p><p>Nowadays, AI technologies are an integral part of modern science. The processes of broad implementation of AI technologies into research activities became a challenge to ethical foundations of science functioning as social institution, capable not only to change established characteristics of research processes, but also to cause risks of wide propagation of academic fraud. The AI tools have a number of advantages determining scales increase and expansion of areas of their application in processes of receiving and presenting scientific results. The article outlines directions of AI application in research activities. The various positions regarding capabilities of AI technologies at different stages of scientific search. The key ethical risks and areas of ethical reflection on AI tools of scientific research in the field of bio-medicine are emphasized. The formats of putting and solving problems of ethics of science on external and internal contour, including consideration of specifics of biomedical research involving humans are analyzed. The tasks of reflection on processes of research transformation under AI influence and development of guidelines of proper application of AI technologies are substantiated. The tasks of maintaining quality of scientific research and compliance with established ethical standards of science are 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":"33 6","pages":"1317-1323"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811588","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 DELIVERY OF MEDICAL CARE BY ORGANIZATIONS OF THE MINOBRNAUKA OF RUSSIA: THE DEPARTMENTAL SPECIFICS AND SIGNIFICANCE FOR HEALTH CARE SYSTEM OF RUSSIA].","authors":"M Y Kotlovskiy, L D Gurtskoy, S V Russkikh","doi":"10.32687/0869-866X-2025-33-6-1353-1359","DOIUrl":"10.32687/0869-866X-2025-33-6-1353-1359","url":null,"abstract":"<p><p>The departmental medical organizations (university clinics, Federal research clinical centers) are important for medical care of population, but their spatial and profile distribution is poorly examined. To integrate them into regional health care systems comprehensive analysis is required. Materials and methods. The frequency and robust statistical analysis of distribution of head offices of the Minobrnauka of Russia providing medical care according Federal Okrugs, organizational legal forms and profile categories was carried out on the basis of data from the Federal forms of statistical observation and the register of licenses. The analysis revealed significant territorial and profile disparity in the departmental network. The typical Federal Okrug had median of ≈5.5 organizations at median of licensed objects of ≈27 (≈3 per organization) that corresponds to scenario of \"spot\" principal players. The budgetary institutions (≈84.8%) with median of ≈4 prevailed as against ≈1 for autonomous ones. The medians by levels of care were: I≈2, II≈1, III≈1 with wide IQR for level III that confirmed concentration of high-tech medical care. The therapeutic, surgical and laboratory diagnostic profiles dominated. The network of medical organizations of the Minobrnauka of Russia consists of \"spot\" centers with concentration of high-tech medical care in particular Federal Okrugs. Their integration with Regions, load monitoring and development of primary medical care is needed.</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 6","pages":"1353-1359"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811523","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 ANALYSIS OF MEDICAL DEMOGRAPHIC INDICATORS AND MENACES OF LOSSES OF HUMAN POTENTIAL IN RURAL AREAS].","authors":"A A Kalininskaya, O Y Alexandrova, S I Shlyafer","doi":"10.32687/0869-866X-2025-33-6-1324-1330","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1324-1330","url":null,"abstract":"<p><p>Among challenges and menaces related to losses of human potential in rural areas, it is necessary to note decreasing of population and its aging, higher percentage of migration of residents from rural areas, higher mortality of rural population than urban one, decreasing of natality in rural areas. The life expectancy of rural population is lower than of urban population. The lower indicators are noted in rural males who live no longer than 67 years. The lower rates of new-onset and general morbidity were established in rural population that is related to poor exposure of diseases, inadequate dispensarization and preventive activities in rural areas. These predicaments are conditioned by limited medical care accessibility in rural settlements and remoteness from medical organizations. The comparison of general morbidity of rural population in the Russian Federation before the COVID-19 and during the pandemic determined increasing of general morbidity in 2023 up to 3.3% for certain classes of diseases that require patient rehabilitation, increasing of dispensary work and activation of prevention activities. The challenges to health care system and losses of human potential are be taken into account under elaboration of Federal and municipal programs in rural health care programs in conditions of counteracting risks of menaces to rural population health, as well as for development and making management decisions at the Federal, regional and municipal levels.</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 6","pages":"1324-1330"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811528","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 HEALTH OF THE ELDERLY PERSONS AS FACTOR OF GLOBAL STABILITY: INTERNATIONAL PROGRAMS AND INITIATIVES].","authors":"D S Amonova, P I Ananchenkova","doi":"10.32687/0869-866X-2025-33-6-1399-1406","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1399-1406","url":null,"abstract":"<p><p>The article considers studies of health of elderly population as major element of global stability in conditions of impetuous demographic aging covering countries of the Global North and developing countries. It is noted that by 2050, the share of the elderly will exceed 20% of world population that requires reconsideration both national and international strategies in health care, social care, economics and political sustainability. The health of the elderly is considered both in medical terms and in broad social political context as resource maintaining fiscal resilience, decreasing epidemiological risks, strengthening solidarity of generations and forming inclusive societies. The article analyzes leading international initiatives, including the WHO program \"The Decade of Healthy Aging\", the UNDP and the UNFPA projects, regional strategies of the EU, ASEAN and other organizations. The key structural barriers are identified preventing implementation of such programs i.e. global inequality in access to medical services, poor inter-sectoral coordination, institutional gaps and insufficient digital inclusion of the elderly. The necessity of institutional development towards global age governance, including establishment of specialized UN body, development of international legal statements on the rights of the elderly and formation of global monitoring system. it is emphasizes that health of the elderly is to be considered as central axis of political and humanitarian agenda of the XXI century, shaping trajectory of sustainable development of global society.</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 6","pages":"1399-1406"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811573","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 Problems of People-Ware of World Health Care in 1995-2024: Appraisals and Recommendations].","authors":"R A Khalfin, A K Demin, A A Yuldoshev","doi":"10.32687/0869-866X-2025-33-6-1446-1454","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1446-1454","url":null,"abstract":"<p><p>In 1995-2024, development of health people-ware as the most important resource of health care systems, actively discussed by world community under the WHO leadership. Since 2004, global health people-ware situation is characterized as being in crisis. The significant shortage of personnel is intensifying, first of all in countries with mean and low income. The situation is worsening because of uneven staff distribution, losses due to internal and international migration, shortcomings in staff training and management. About 70% of workers in health care and social care are women who badly need step-up of professional status. Since 2010, movement towards universal health care services coverage started. Since 2011, under leadership of the Russian Federation, struggle with noncommunicable diseases is advanced. The UN \"Agenda for Sustainable Development for the period up to 2030\" became main guiding document since 2015. The COVID-19 pandemic confirmed key role of health care workers in ensuring population needs in health, as well as global, regional and national security. Since 2023, it is proposed to adapt health people-ware to the post-pandemic situation.</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 6","pages":"1446-1454"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811422","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 All Union Scientific Research Institute of Penicillin 1947 1952 The Extracted Page of History Report II The First Production Strains for Industrial Manufacturing of Penicillin in the USSR].","authors":"E V Sherstneva","doi":"10.32687/0869-866X-2025-33-6-1479-1483","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1479-1483","url":null,"abstract":"<p><p>The article on basis of materials from state archives for the first time reconstructs circumstances of obtaining in the All Union Research Institute for Penicillin and Other Antibiotics or the All Union Research Institute for Penicillin VNIIP first producers for industrial production of penicillin at national enterprises The factors affecting course of breeding work and achieved results are 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":"33 6","pages":"1479-1483"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811497","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 Characteristics of Medical Personnel Training for Working in Rural Health Care System].","authors":"E A Pevtsova","doi":"10.32687/0869-866X-2025-33-6-1455-1459","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1455-1459","url":null,"abstract":"<p><p>The article considers organizational, pedagogical and substantive characteristics of training of medical personnel for rural health care system considering demographic, infrastructural and personnel imbalances. It is demonstrated, on the basis of international and Russian statistics, that shortage of medical personnel in rural areas is determined not only by general level of provision of physicians and paramedical personnel, but also by spatial inequality, labor conditions and limited accessibility of educational and professional trajectories. The evidence-based approaches to rural health care practice are summarized: targeted recruitment and distributed clinical training, simulation training, telementoring, inter-professional models and retention practices. The necessity of integrated ecosystem \"education-clinic-community\" based on regional requests and telemedicine infrastructure is grounded.</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 6","pages":"1455-1459"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811536","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}
M Y Surmach, O A Yazepchyk, R E Tarabrin, S V Pavlov, N V Prisyazhnaya
{"title":"[THE FACTORS OF LIFE-STYLE OF BELARUSSIAN ADOLESCENTS ASSOCIATED WITH PHYSICAL ACTIVITY IN THE ASPECT OF SOCIAL ECONOMICAL CHARACTERISTICS OF FAMILY].","authors":"M Y Surmach, O A Yazepchyk, R E Tarabrin, S V Pavlov, N V Prisyazhnaya","doi":"10.32687/0869-866X-2025-33-6-1432-1438","DOIUrl":"https://doi.org/10.32687/0869-866X-2025-33-6-1432-1438","url":null,"abstract":"<p><p>In order to characterize motor activity of Belarusian adolescents considering duration of individual components of the daily regime, to reveal nature of influence of social economic characteristics of families in which adolescents are brought up on parameters of their physical activity, material was analyzed taken from original database compiled on the basis of survey of 1254 adolescents aged 15-18 years (the sampling quoting Republican). It is established that motor activity of Belarusian adolescents has no gender differences and no differences conditioned by place of residence and is characterized as insufficient one. The every tenth teenager is outdoors for less than one hour per day, and 56.05% of girls and 50.31% of boys (p=0.042) are outdoors for less than two hours per day. Almost 2/3 of respondents spend three or more hours daily at the computer, telephone, regardless of gender and place of residence. The level of physical activity of adolescents is associated with duration of their interaction with gadgets. The higher risk of insufficient motor activity in combination with prolonged use of digital devices, regardless of gender and place of residence, is demonstrated by adolescents who spend less time for homework preparation. The relationship between adolescent lifestyle and family characteristics is confirmed. The risk related to avoiding health-preserving modes of spending free time is higher in case of lower self-assessment of financial situation of their family, and by some components in adolescents from incomplete families. The education of parents is significant factor. For commitment to healthy motor activity of modern Belarusian teenager it is necessary to form self-organization skills, and motivation against the background of positive emotional psychological reinforcement from the family.</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 6","pages":"1432-1438"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811571","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}