Current journal
- Title:
- Issues of clinical and fundamental medicine
- Number:
- 3
- Year:
- 2024
- Date publication on the site:
- 2024-09-20 14:21:26
- Full journal in PDF:
-
Content all 7
MAIN REASONS OF CALLS FOR AN EMERGENCY AMBULANCE MADE BY THE ELDERLY PATIENTS
Authors: Viktor Borisovich Saleev; Natalya Nikolaevna Plotnikova;
Section: The original article
The article discusses problems of the elderly patients. At present there is a worldwide increase in the absolute number and the proportion of the elderly population. Particular issues, both socially and medically, arise when the elderly people living alone. This research shows “high” and “extremely high” numbers of calls for an emergency medical ambulance, which do not necessarily correlate with the severity of their health condition. Numbers of calls for an emergency ambulance made by this age group is ten-folds higher than in all other age groups. This leads to higher costs to the economy and requires appropriate correction of social programs.
REPRODUCTIVE ATTITUDES OF STUDENTS
Authors: Demidenko Galina Mikhailovna; Tamara Gennadievna Denisova; Laura Sergeevna Okhotnikova; Anatoly Evgenievich Sidorov;
Section: The original article
The goal is to explore the structure of reproductive fears of student youth to determine the necessary government support for student families.
Materials and methods of research. The study was conducted among students of 1–6 courses of the Faculty of Medicine of the I. N. Ulyanov CHSU. The collection of primary information was carried out by anonymous questioning of 205 girls aged 18 to 24 years. The questionnaire was developed using the interactive Google Forms tool and consisted of 17 questions. The questionnaire was distributed and respondents were invited to participate in the survey via the Internet. Statistical data processing was carried out using licensed programs Microsoft Excel 2010, as well as SPSS 16 (StaSoft Inc.).
Results. According to the survey results, the main reproductive fears are: the inability to combine with studies due to heavy workload (76.1 %), including students who replied that the next common reason is financial instability of students (67.3 %), 64.4 % of respondents believe that they should build a career first, since in their opinion, a child — this is a big responsibility, 53.7 % decided that they are also psychologically and socially immature for the role of parents, 40 % noted inappropriate housing conditions, 25.9 % are afraid of not being able to cope with the role of a mother without the help of parents, 21.5 % of the reasons include what is happening in the world at the moment, 6.8 % of students also have problems with health. According to students, the benefits contributing to an increase in the birth rate are: 79.5 % — additional financial assistance to students with children, additional regular state financial support for students with children (monthly) — 75.1 %, the opportunity to buy an apartment (house) on a preferential mortgage — 69.3 %, the transition to a budget form of education — 68.3 %, student maternity capital — 66.3 %, preferential placement in a nursery, kindergarten — 58 %, organization of child care groups in universities — 33.7 %, a separate room in dormitories — 21 %.
Conclusions. Among the students of the medical faculty, the most common fears were: the inability to combine motherhood with studies, financial problems, the desire to build a career first to ensure a high quality of life for a child and inadequate housing conditions. And, taking into account the results of the survey, we came to the conclusion that, first of all, expectant mothers need additional regular financial support, the opportunity to purchase housing on preferential terms, as well as the opportunity to study on a budget form of education. The identified reproductive attitudes of the student youth can be taken into account when the governing bodies develop measures to support young families and stimulate fertility and, in the future, form a more sensitive fertility policy to the real needs of people.
A CLINICAL CASE OF MYDRIASIS DURING THE USE OF THE DRUG «OPHTHALMOFERON» IN ACUTE VIRAL CONJUNCTIVITIS
Authors: Elena Aleksandrovna Solenova; Irina Vyacheslavovna Vasilieva; Svetlana Viktorovna Nikitina; Vadim Veniaminovich Stepanov; Svetlana Mikhailovna Zhuchkova ; Svetlana Ivanovna Pavlova;
Section: A clinical case
The article presents a case of mydriasis in a patient with viral conjunctivitis. The presented case allows us to attribute this manifestation to the regimen of use of the drug «Ophthalmoferon», which is not described in the instructions for medical use. The cause of mydriasis could be the anticholinergic effect of diphenhydramine, which is part of this drug. This work makes it possible to increase the alertness of practicing physicians and their activity in providing spontaneous signals about undesirable anticholinergic reactions as factors restraining the level of intraocular pressure, the ability of patients to work and the ability to drive vehicles.
EPIDEMIOLOGY OF CIRCULATORY DISEASES IN THE RUSSIAN FEDERATION FOR THE PERIOD FROM 2010 TO 2022
Authors: Dinara Srurovna Dairova; Tanzilya Khafizovna Amirova; Gleb Yurievich Struchko; Ilya Vladimirovich Petrov; Firuza Salavatovna Petrova;
Section: Literature review
In Russia, cardiovascular pathology ranks first in the structure of morbidity and mortality, and pathologies of the circulatory system are the cause of primary disability in patients in 30 % of cases. The steady increase in diseases of the circulatory system is caused mainly by diseases characterized by high blood pressure (mainly arterial hy-pertension), coronary heart disease (mainly angina pectoris and acute myocardial infarction) and cerebrovascular diseases (usually stroke). The listed diseases also occupy a leading position in the structure of causes of mortality from cardiovascular diseases. Losses in the Russian economy from the consequences of cardiovascular diseases in conditions of limited healthcare funding reach 3,2 % of the gross domestic product.
СОВРЕМЕННЫЙ ВЗГЛЯД НА ЭНДОМЕТРИОЗ И МЕТОДЫ ДИАГНОСТИКИ
Authors: Tamara Gennadievna Denisova; Elena Nikolaevna Shamitova; Aysel Akhmetovna Badem; Elena Nikolaevna Gruzinova; Elena Alekseevna Denisova;
Section: The original article
Endometriosis, one of the pressing problems of our time, is a chronic disease of the female reproductive system. According to statistics, the incidence of endometriosis varies from 12 to 50 % among women of reproductive age. In the structure of gynecological diseases, endometriosis ranks third after inflammatory diseases of the female genital area and uterine fibroids. For the diagnosis of endometriosis, the gold standard is laparoscopic examination followed by histological confirmation after biopsy. At the moment, the approach to diagnosing endometriosis is being revised, and the search for non-invasive markers for earlier diagnosis of this disease is important. Treatment of endometriosis is aimed at reducing the associated symptoms and includes the use of pharmacological therapy with non-steroidal anti-inflammatory drugs, progestins, oral contraceptives and gonadotropin-releasing hormone agonists, as well as surgical removal of endometrial implants and affected tissue. The etiology of this disease has not yet been fully elucidated, which stimulates clinicians to further research in search of a solution to this problem.
HISTORY OF THE DEVELOPMENT OF PEDIATRIC SERVICE IN THE REPUBLIC OF MARI EL
Authors: Irina Valerievna Vinogradova; Tamara Gennadievna Denisova; Natalya Leonidovna Starikova; Anastasia Aleksandrovna Vasilyeva; Ekaterina Yuryevna Zangerova;
Section: History of medicine
The article presents the history of the development of pediatric service in the Republic of Mari El. The creation of pediatric service in our region occurred more than 100 years ago. In February 1912, Faddey Martynovich Kontsky became a district doctor of the Tsarevokokshaysky district of the Kazan province, in 1920 the first children's outpatient clinic was organized, and in 1921 the children's city hospital was founded. For the first time, a 10-bed post for nursing premature babies was opened on the basis of the city children's hospital in 1969, which reduced child mortality, and in 1978, a 30-bed department of the 2nd stage of nursing premature babies and a 30-bed neonatal pathology department were opened on the basis of this hospital, which have been successfully functioning to this day. At the dawn of the development of the pediatric service in the region, there were outstanding pediatricians — their names have not been forgotten. In the city of Yoshkar-Ola, many specialized children's institutions have been built today, namely the children's city hospital, the children's republican hospital, the children's dental clinic, and there is also a specialized children's home, where highly qualified specialists work.
HISTORY OF THE DEVELOPMENT OF THE BLOOD SERVICE IN THE REPUBLIC OF MARI EL (ON THE 60TH ANNIVERSARY OF THE ESTABLISHMENT OF THE REPUBLICAN BLOOD TRANSFUSION STATION)
Authors:
Section: Anniversary article
An overview of the development of the blood service in the Republic of Mari El from the moment of the first blood transfusion to the present day is presented. The aim of the study was to analyze the development of the regional blood service in the context of the general develop ANNIVERSARY ARTICLE ment of medical science and society. Materials and methods. The study involved the use of historical, analytical and statistical methods. The research material included statistical indicators of the activities of blood service institutions of the Mari ASSR and the Mari El Republic, presented in the form of industry statistical reporting, local regulations, and office work of the regional blood service institutions. Results. The development of the blood service in the Mari El Republic was consistent with the development of this branch of medicine in the country. Four stages can be distinguished in the history of the development of the regional blood service: 1932–1947 — introduction of scientifically based application of the blood transfusion method into clinical practice; 1947–1988 — successful development of the regional blood service, widespread application of the blood transfusion method in practice; 1988–2008 — the period the main objective of which for the regional blood service was to meet the needs of medical organizations for blood components, despite economic, social and organizational problems. 2008 — present — development of the blood service aimed at providing medical organizations of the republic with high-quality and safe components, formation of the donor contingent, focused on the real needs of the medical network with the aim of careful attitude to both material and human resources. Conclusion. Successful functioning and development of the blood service is impossible without state support and a positive attitude in society towards donation. The basis for the stable operation of any blood service institution is a sufficient number of healthy donors.