Glavvrač (Chief Medical Officer)最新文献

{"title":"Features of the course and treatment of respirator y diseases in senior age","authors":"Yu. I. Korshikova","doi":"10.33920/med-03-2310-03","DOIUrl":"https://doi.org/10.33920/med-03-2310-03","url":null,"abstract":"The article presents a generalization of the available information on the course of respiratory diseases in senior age, based on literary data and many years of personal experience of doctor Yuliya Ivanovna Korshikova, PhD Candidate in Medicine, in treating patients by means of herbal medicine.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135976162","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":"Sarcopenia and osteoarthritis of the hip joint","authors":"E. R. Yakupova, T. B. Minasov, R. A. Saubanov, A. A. Akhmeldinova, R. F. Khairutdinov, A. O. Ginoyan","doi":"10.33920/med-03-2310-02","DOIUrl":"https://doi.org/10.33920/med-03-2310-02","url":null,"abstract":"Sarcopenia is a pathology characterized by a decrease in the mass and strength of muscle tissue in most cases in older people. Osteoarthritis is also a common disease in elderly patients and is characterized by irreversible destructive and dystrophic damage to the joints. Decompensated stages of osteoarthritis of the hip joint often require surgical treatment. It has been noted that the majority of patients requiring total hip replacement for osteoarthritis also suffer from sarcopenia. Considering the clinical and biomechanical role of the muscular system together with the musculoskeletal system, sarcopenia can affect the recovery process of patients after surgery and the success of the operation itself. However, scientific research on the influence of sarcopenia on the results of total hip arthroplasty is insufficient. This article presents the results of a study of the negative impact of sarcopenia in patients who underwent total hip replacement. The study identified sarcopenia as an important risk factor that orthopedic traumatologists should consider when surgically treating patients with stages 3–4 osteoar thritis.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"19 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135976164","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":"Methodology for research and data analysis to develop an intelligent drug search system","authors":"Т. О. Shakhovskiy, N. Yu. Vyatkina","doi":"10.33920/med-03-2310-01","DOIUrl":"https://doi.org/10.33920/med-03-2310-01","url":null,"abstract":"The work presents the author-developed tools for conducting medical and sociological research in the field of modern services for searching and purchasing medicines using the capabilities of the Internet. The methodology for conducting sociological research is described, and the authors’ questionnaire for surveying users is presented. The toolkit allows studying various consumer experiences of purchasing medicines in order to predict the creation of Internet services in the pharmacy segment of the pharmaceutical market.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"20 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135976161","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":"Studying consumer experience of purchasing medicines at the present stage","authors":"Т. О. Shakhovskiy, N. Yu. Vyatkina","doi":"10.33920/med-03-2309-03","DOIUrl":"https://doi.org/10.33920/med-03-2309-03","url":null,"abstract":"Modern services for searching and purchasing medicines have a variety of capabilities that make the Internet service convenient to use [1, 2]. It is noted that during the pandemic, consumers of online pharmacies began to use the drug delivery service more often, which prompted the active development of this area. In the post-pandemic period, the upward trend in the use of online pharmacies has continued, however, a significant proportion of consumers still prefer pickup from a conventional point of sale when ordering via digital technologies. The authors' research describes various consumer experiences of purchasing medicines in order to predict the creation of Internet services in the pharmacy segment of the pharmaceutical market.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136378940","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":"Methodology for research and data analysis for the development of a system for administering the website of a regional private medical organization","authors":"I. E. Utkin, N. Yu. Vyatkina","doi":"10.33920/med-03-2309-02","DOIUrl":"https://doi.org/10.33920/med-03-2309-02","url":null,"abstract":"The paper presents the methodology of a study conducted in order to investigate regional features of the creation and operation of a website of a private medical organization with the implementation of an administration system, using the case of the company OOO «El-med» (Vologda).","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136378941","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":"Pharmacoeconomic aspects of using the drug complex of beta-iron (III) oxyhydroxide, sucrose, and starch for the correction of hyperphosphatemia in patients with chronic kidney disease receiving renal replacement therapy","authors":"S. V. Nedogoda, A. S. Salasyuk, I. N. Barykina, V. O. Lutova, E. A. Popova","doi":"10.33920/med-03-2309-01","DOIUrl":"https://doi.org/10.33920/med-03-2309-01","url":null,"abstract":"Purpose. To evaluate the clinical and economic efficacy of the drug complex of beta-iron (III) oxyhydroxide, sucrose, and starch (Velphoro) in comparison with sevelamer in patients with stage 5 chronic kidney disease (CKD) receiving phosphate binding therapy during renal replacement therapy (RRT) in the conditions of the healthcare system of the Russian Federation. Materials and methods. An analytical decision-making model, which allows estimating the costs of managing patients with stage 5 CKD receiving phosphate binding therapy along with RRT, was built in MS Excel. The model included the costs of phosphate binding therapy with beta-iron (III) oxyhydroxide-sucrose-starch complex or sevelamer, as well as the cost and incidence of non-RRT hospitalizations in patients with CKD. The frequency of hospitalizations was determined according to a retrospective analysis of the data from End Stage Renal Disease Seamless Care Organizations (ESCOs), USA (2016-2018). The potential economic impact of using comparison strategies was calculated in 19,617 estimated patients with stage 5 CKD receiving RRT and phosphate binders. Results. The use of beta-iron (III) oxyhydroxide, sucrose, and starch complex in comparison with sevelamer is associated with a reduction in costs by 10,222 rubles or by 7.4 % on average per patient, which allows fully reimbursing the costs of more expensive drug therapy (the difference in costs minus the cost of drug therapy is 896 rubles in favor of the beta-iron (III) oxyhydroxide, sucrose, and starch complex), and reducing the number of hospitalizations in the target population by more than 6,000 cases. When used in the target cohort of patients, savings will amount to 200.5 million rubles (17.6 million rubles minus the difference in the cost of drug therapy). Conclusion. The use of beta-iron (III) oxyhydroxide, sucrose, and starch complex in patients with CKD during the RRT is clinically and economically feasible, as it allows reducing the number of hospitalizations and is characterized by fewer pills taken daily, reducing the overall costs of patient treatment.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136378939","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":"Computer vision syndrome","authors":"A.S. Nemov, N.Yu. Vyatkina","doi":"10.33920/med-03-2306-05","DOIUrl":"https://doi.org/10.33920/med-03-2306-05","url":null,"abstract":"Technological advances in computing and Internet access enable workers to process more information and be more productive. It also means that workers are spending more time on electronic devices with visual displays such as computers, laptops, smartphones, tablets, e-readers, and even watches that contribute to eye strain. The same applies to children, as they spend many hours each day using electronic devices with digital displays to complete school assignments, play video games, and communicate in the Internet [4]. With the increasing use of these electronic devices, computer vision syndrome is becoming a major public health problem.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135503028","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":"Off-label drug use in pediatrics. Literature review","authors":"D. I. Badertdinova, A. A. Zvegintseva, M. L. Maksimov","doi":"10.33920/med-03-2305-01","DOIUrl":"https://doi.org/10.33920/med-03-2305-01","url":null,"abstract":"At present, due to the accumulated developments in pharmacology and pharmacotherapy, there is a huge variety of drugs for the effective treatment and prevention of many common diseases. This makes it possible to control and manage many pathological conditions. However, each drug should be comprehensively studied, as well as its systemic action, side effects, toxicity, effect when interacting with other drugs, and especially when it accumulates in the body, must be taken into account. There are groups of patients in which clinical trials of drugs are difficult and limited. These are pregnant women, children, and newborns, especially premature ones. A serious deterrent is both severe economic restrictions and ethical issues, such as the protection of the rights of minors and the negative attitude of society towards clinical trials as «experiments on people».","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135951214","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":"Tools for statistical analysis of sociological data","authors":"T. A. Nasyrov, N. Yu. Vyatkina","doi":"10.33920/med-03-2305-05","DOIUrl":"https://doi.org/10.33920/med-03-2305-05","url":null,"abstract":"The emergence and development of information technology has affected all spheres of human activity, introducing innovations that allow a different look at the usual problems and their solutions. Sociology is no exception. At the moment, there are many novel tools that open up new opportunities for sociologists to collect, structure, and process data. Their appearance has a positive effect on the speed and quality of research, achieving the greatest results thanks to innovative statistical methods, new computer science, and original theories from certain fields of knowledge.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135951185","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":"Statutory regulation of keeping medical records in the healthcare of the Russian Federation","authors":"P. S. Goel, N. Yu. Vyatkina","doi":"10.33920/med-03-2305-03","DOIUrl":"https://doi.org/10.33920/med-03-2305-03","url":null,"abstract":"In the conditions of rapid digitalization in the healthcare system, legal regulation of the transition to electronic medical document management at the state level is an important mechanism. However, an analysis of the current legislation revealed the need to regulate the organization of the proper storage of archival medical documents. Moreover, in the context of the development of a medical information system (MIS), it is essential to realize that its effective functioning and successful integration into medical activities require not only technical solutions, but also an appropriate legislative and regulatory framework. In addition to the MIS creation and implementation, it is necessary to pay due attention to the improvement of legal and regulatory documents that govern the procedure for working with documents in a mixed workflow. Thus, the transitional stage from paper carriers to electronic documents will inevitably become the reason for the emergence of new legal acts in the field of ensuring long-term preservation and timely deletion of data by means of a medical information system used in a medical organization.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135951192","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}