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":"[Specificity of negative emotional automanifestations of health workers as a prerequisite for professional deformations (burnout)].","authors":"T I Bonkalo, O B Polyakova","doi":"10.32687/0869-866X-2025-33-s2-988-993","DOIUrl":"10.32687/0869-866X-2025-33-s2-988-993","url":null,"abstract":"<p><p>The average degree of accumulation of charges of emotional-energetic nature of self-direction was determined in healthcare workers (8.75), which is characterized by: an above-average indicator of the tendency to reproduce experiences of an unreacted plan (7.58), an average degree of tendency of a personality type to a mood of a reduced vector (7.02) and a tendency to reactions of a disorganizing emotional nature (7.16), a below-average level of emotional excitability of an uncontrollable aspect (4.25) and a tendency to behavior of an affective nature (3.97); the following were established: a high relationship between the tendency to reproduce experiences of an unreacted plan and the accumulation of charges of an emotional-energetic nature of self-direction (0.829), the tendency of a personality type to a mood of a reduced vector (0.765) and to reactions of a disorganizing emotional nature (0.793); a noticeable connection between the accumulation of charges of an emotional-energetic nature of auto-direction and the tendency of a personality type to a mood of a reduced vector (0.624).</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 0","pages":"988-993"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483157","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":"[Integration of medical and non-medical universities in the training of personnel in innovative educational programs].","authors":"V V Tonkonog","doi":"10.32687/0869-866X-2025-33-s2-1115-1120","DOIUrl":"10.32687/0869-866X-2025-33-s2-1115-1120","url":null,"abstract":"<p><p>The article examines the theoretical and practical foundations and models of integration of medical and non-medical universities in the context of training personnel in innovative educational programs. The article analyzes the institutional formats of cooperation, interdisciplinary approaches, resource and organizational effects of combining the efforts of universities of various profiles. It is shown that effective integration ensures the formation of new professional competencies at the intersection of medicine, biotechnology, occupational health and social sciences. The key principles of the organization of integrative programs and the directions of development of network models of higher education in healthcare 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":"33 0","pages":"1115-1120"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482880","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":"[Standardized Operating Procedure «Model of Short-Term Motivational Intervention During Preventive Medical Examinations of Students for Early Detection of Narcotic Drugs and Psychotropic Substances Use»].","authors":"A V Masyakin, A S Sazonova, A O Alekseyenko, E G Demenko, V V Arshinova, V M Kuraeva","doi":"10.32687/0869-866X-2025-33-s2-994-998","DOIUrl":"10.32687/0869-866X-2025-33-s2-994-998","url":null,"abstract":"<p><strong>Introduction: </strong>The use of psychoactive substances (PAS) remains one of the key factors contributing to the development of non-communicable diseases and posing a threat to the national security of the Russian Federation. Preventive measures remain the most effective in minimizing negative impacts on public health, as supported by scientific research and enshrined in the *State Anti-Drug Policy Strategy of the Russian Federation until 2030* (Presidential Decree No. 733 of 23.11.2020).</p><p><strong>Objective: </strong>To assess the effectiveness of implementing the standardized operational procedure (SOP) «Model of Short-Term Motivational Intervention During Preventive Medical Examinations of Students for Early Detection of Illicit Use of Narcotic Drugs and Psychotropic Substances».</p><p><strong>Materials and methods: </strong>The study materials included: original research on preventive medical examinations; methodological guidelines on short-term motivational intervention developed by the authors; data from the study «Improving Measures for Preventing Addictive Behavior Among Adolescents and Youth in the Russian Federation»; results of a randomized controlled trial comparing the SOP and traditional examination approaches. The findings were analyzed using parametric and non-parametric statistical methods.</p><p><strong>Conclusion: </strong>The SOP, integrated into a preventive informational conversation between a psychiatrist-narcologist and a student, improves screening quality and enhances the detection of risk factors for non-medical PAS use, while also strengthening motivation, personal responsibility for health, and commitment to a healthy lifestyle.</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 0","pages":"994-998"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483186","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":"[CRITERIAS FOR ASSESSING THE QUALITY OF MEDICAL SERVICES PROVIDED BY MULTIDISCIPLINARY TEAMS IN THE COUNTRIES OF THE WORLD (LITERATURE REVIEW)].","authors":"A S Timofeeva, N N Kamynina","doi":"10.32687/0869-866X-2025-33-s2-1044-1050","DOIUrl":"10.32687/0869-866X-2025-33-s2-1044-1050","url":null,"abstract":"<p><p>The article presents an analysis of international experience in assessing the quality of medical care provided to the population through multidisciplinary teams. The main tools for assessing the quality of medical care at the primary level of health care are considered. As tools were considered models of self-evaluation of professional activity of multidisciplinary teams, the level of satisfaction of patients with the medical services provided to them, criteria included in programs for monitoring the work of team specialists. The article reflects the results of the use of quality assessment tools in primary health care organizations in a number of countries: Great Britain, Spain, Canada, China, etc. The results of foreign studies underline the importance of a multidisciplinary approach in health care that affects various aspects of quality of medical care. Assessing criteria such as patient survival, access to care, safety of health services, compliance with recommendations and patient satisfaction allows key factors to be identified, improving the delivery of health care to the public through multidisciplinary teams.</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 0","pages":"1044-1050"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483259","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":"[Mathematical Tools for Prioritizing Health Technologies: Focus on Implementing Multicriteria Decision Analysis Models].","authors":"D A Andreev","doi":"10.32687/0869-866X-2025-33-s2-1005-1010","DOIUrl":"10.32687/0869-866X-2025-33-s2-1005-1010","url":null,"abstract":"<p><p>MCDA (Multicriteria Decision Analysis methods) allow for a comprehensive assessment of healthcare technologies based on diverse criteria. The study analyzes the main MCDA methods and the specifics of their application for prioritizing medical technologies. The materials are obtained from the PubMed database and the Google system. A generalized MCDA algorithm is presented, and frequently used models are highlighted: the weighted sum method (WSM), the theory of multicriteria utility (MAUT), and the analytical hierarchical process (AHP). The MCDA support software tools are considered. Special attention is paid to promising hybrid methods (AHP-TOPSIS) and models for dealing with uncertainties (fuzzy AHP and TOPSIS). Effective implementation of MCDA requires the development of medical informatics, but the key role belongs to the human factor - experts who determine the analysis strategy, the quality of the source data and the interpretation of the results. Automated systems and artificial intelligence need mandatory monitoring and validation by specialists when used for management decisions in healthcare.</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 0","pages":"1005-1010"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482811","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":"[Media and digital technologies: harm or benefit in the fight against childhood obesity? (literature review)].","authors":"I V Gribkova","doi":"10.32687/0869-866X-2025-33-s2-964-969","DOIUrl":"10.32687/0869-866X-2025-33-s2-964-969","url":null,"abstract":"<p><p>Childhood obesity is one of the most important public health problems, as it is associated with the development of concomitant diseases and deterioration of social, emotional and mental health. The high prevalence of overweight among children worldwide requires the development of effective prevention and treatment methods. Traditional approaches based on personal contact with specialists have limited availability. Digitalization, on the one hand, exacerbates the problem due to physical inactivity and easy access to unhealthy food, and on the other hand, opens up new opportunities due to childrens receptivity to digital technologies. The purpose of this work is to systematize modern data on the impact of media and digital technologies on body mass index in children and adolescents. An analysis of PubMed/MEDLINE publications over the past five years has revealed the main digital risk factors: advertisements for harmful products, lack of movement in front of screens, eating while watching, and the psychological impact of content. At the same time, mobile apps and gaming programs have proven effective in combating obesity. Comprehensive approaches combining digital tools with face-to-face visits to doctors are particularly promising.</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 0","pages":"964-969"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482954","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":"[MODEL OF MOTIVATION FOR PROFESSIONAL DEVELOPMENT OF SPECIALISTS INVOLVED IN PROVIDING PRIMARY HEALTH CARE].","authors":"A V Smyshlyaev","doi":"10.32687/0869-866X-2025-33-s2-1051-1056","DOIUrl":"10.32687/0869-866X-2025-33-s2-1051-1056","url":null,"abstract":"<p><p>The article presents a qualitative study of existing tools and models of motivation for professional development of specialists involved in the provision of primary health care in the global USA Canada Great Britain China and domestic practice. For more than a quarter of a century the countries of the Organization for Economic Cooperation and Development have been actively implementing motivational tools to develop the professionalization of primary health care specialists. Many countries have already formed full fledged motivational models at the state level which allows us to consider this phenomenon as an object of scientific research. The motivation model is a necessary element of all modern health care systems. For sustainable development it must be effective. The global trend is continuous education additional payments for qualifications and burnout prevention. Models of different countries have both common features and national differences. The global trend is continuous education additional payments for qualifications and burnout prevention. At the same time North American models have a pronounced decentralized nature. European countries gravitate towards centralization but strive to introduce valid performance indicators. Asian models are characterized by the presence of ultra strict state regulation with market mechanisms and digital assessment tools. The modern Russian model combines formal centralization with weak material incentives for professional development.</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 0","pages":"1051-1056"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483105","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":"[Peculiarities of the dynamics of the number of people with disabilities in Russia (2021-2024): analysis of key trends in younger and older age groups].","authors":"O S Oynotkinova, A A Timoshevsky, P S Turchin","doi":"10.32687/0869-866X-2025-33-s2-1093-1097","DOIUrl":"10.32687/0869-866X-2025-33-s2-1093-1097","url":null,"abstract":"<p><p>The article analyzes the peculiarities of the dynamics in the number of people with disabilities in Russia between 2021 and 2024, focusing on younger (children) and older (101 years and older) age groups. The study aims to identify key trends and factors influencing changes in the number of people with disabilities in these groups. The methodology is based on statistical analysis of data from the Unified Interdepartmental Information and Statistical System (EMISS) and expert interviews. It is shown that the total number of people with disabilities demonstrates non-linear dynamics, with a sharp decrease in 2022 followed by subsequent growth. The number of children with disabilities remains stable or increases, which is associated with improved diagnostics, expansion of disability criteria, and a number of socio-economic factors. The anomalous growth in the number of people with disabilities over the age of 101 in 2024 is explained by demographic aging, improvements in the accounting system, and the possible consequences of the COVID-19 pandemic. The results have practical significance for adjusting government programs and improving the disability accounting system. The study contributes to the understanding of demographic and social processes related to disability and identifies directions for further research.</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 0","pages":"1093-1097"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483168","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":"[Features of the relationship between psychological defense and emotional burnout of nurses].","authors":"T I Bonkalo","doi":"10.32687/0869-866X-2025-33-s2-1020-1025","DOIUrl":"10.32687/0869-866X-2025-33-s2-1020-1025","url":null,"abstract":"<p><p>The aim of the study was to identify the features of the relationship between psychological defense mechanisms and emotional burnout in nurses with different lengths of professional experience. The study involved 570 nurses working in inpatient departments of city clinical hospitals. Two form methods were used: the method of V. V. Boyko «Emotional Burnout» and the method of «Lifestyle Index» by L. I. Wasserman. It was revealed that nurses in stressful and crisis situations often use the mechanisms of denial intellectualization and reactive education. In the group of nurses without signs of emotional burnout syndrome which made up 50 of the total research sample a balance of all psychological defense mechanisms and the absence of their relationships with the symptoms of the phases of emotional burnout were found. In the group of nurses at the stage of developing emotional burnout positive relationships were found between the indicators of the severity of its symptoms and such destructive psychological defenses as repression and regression and negative ones - reactive formation. Nurses with pronounced signs of emotional burnout are characterized by a decrease in the frequency of using all psychological defense mechanisms their imbalance and the presence of negative relationships with the symptoms of emotional burnout. It is concluded that when organizing preventive measures it is necessary to take into account the fact of the temporary positive impact of psychological defense mechanisms on the psychoemotional states of nurses and their subsequent destructive influence manifested in the emergence and development of emotional burnout syndrome.</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 0","pages":"1020-1025"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483359","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":"[Thematic priorities in oncology: analytical overview of publication trends and vectors of translational growth].","authors":"A A Alshevskaya, E I Aksenova, R Y Khasanov","doi":"10.32687/0869-866X-2025-33-s2-1069-1074","DOIUrl":"10.32687/0869-866X-2025-33-s2-1069-1074","url":null,"abstract":"<p><p>Amid the rapid expansion of biomedical publications and the increasing complexity of the oncology research landscape, there is a growing need for a systematic analysis of thematic priorities that define global and national trajectories of scientific advancement. Oncology, as a field at the forefront of interdisciplinary innovation, spans domains from immune and cellular technologies to molecular imaging and epigenetic targets. Identifying frontier research areas that combine high scientific intensity, sustained international relevance, and translational potential is becoming a key tool for science policy and strategic planning. This study aims to map the most prominent oncology-related topics that emerged between 2021 and 2025, using data from the SciVal platform. A content-bibliometric analysis was conducted on the twenty leading thematic clusters in global oncology, followed by a comparative assessment of their representation in the Russian publication landscape. Metrics analyzed included publication output, field-weighted citation impact (FWCI), engagement dynamics, and institutional distribution. The results indicate that Russian research is contributing to several key topics, exhibiting high citation performance in niche areas such as exosomes, CAR-T therapy, radiomics, and immunotherapy for non-small cell lung cancer. However, many globally significant topics remain underrepresented in the Russian agenda, reflecting structural and human resource gaps in areas such as epigenetics, microbiome studies, precision immunomodulation, and regulated cell death mechanisms. These findings highlight both thematic gaps and institutional growth zones that require targeted support. Identifying advanced research areas positioned at the interface of scientific innovation and clinical applicability may inform the modernization of research infrastructure, the prioritization of national grant programs, and the integration of Russian research centers into global scientific consortia.</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 0","pages":"1069-1074"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483179","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}