Сибирское медицинское обозрение. 2019. № 1 View full textКоличество просмотров : 6016
Belova E.V., Kapustina T.A., Markina A.N.
LABORATORY DIAGNOSTICS OF RESPIRATORY CHLAMYDIA
Belova EV, Kapustina TA, Markina AN, Parilova OV. Laboratory diagnostics of respiratory chlamydia. Siberian Medical Review. 2019;(1):5-16 .. DOI 10.20333/2500136-2019-1-5-16
Belova Elena V. Cand.Med.Sci.; Scientific Research Institute of Medical Problems of the North; firstname.lastname@example.org
Kapustina Tatiana A. Dr.Med.Sci.; Scientific Research Institute of Medical Problems of the North; ТАК34@yandex.ru
Markina Angela N. Cand.Med.Sci.; Scientific Research Institute of Medical Problems of the North; Angel.email@example.com
The article highlights modern approaches to laboratory verification of chlamydial infection in the mucous membrane of the upper respiratory tract in patients with acute and chronic nose and throat diseases. A brief description, application field, advantages and disadvantages of bacterioscopic, immunological, molecular-biological and cultural methods for the diagnosis of chlamydia are given. The authors present the views of leading scientists, as well as their opinion on the possibility of diagnosing chlamydial infection of the upper respiratory tract using each of these methods, besides, they present a developed and approved set of diagnostic examinations and methods for taking clinical material for diseases of nose, paranasal sinuses and pharynx
Keywords: chlamydial infection, respiratory chlamydia, laboratory diagnostics, direct and indirect identification of chlamydia, sensitivity and specificity of methods, material sampling
Avilov G.M., Kobyakova O.S., Deev I.A., Kulikov E.S., Pimenov I.D., Fayzulina N.M., Starovoytova E.A., Zyrianov S.V., Shitov V.A., Abramov V.K., Balaganskaya M.A., Zagromova T.A.
PREVALENCE OF RISK FACTORS OF CHRONIC NON-INFECTIOUS DISEASES IN FIRST-YEAR STUDENTS OF TOMSK TOWN
Kobyakova OS, Deev IA, Kulikov ES, Fayzulina NM, Pimenov ID, Starovoytova ES, Zyrianov SV, Shitov VA, Abramov VK, Balaganskaya MA, Zagromova TA. Prevalence of risk factors of chronic non-infectious diseases in first-year students of Tomsk town. Siberian Medical Review. 2019;(1):17-24.. DOI 10.20333/2500136-2019-1-17-24
Avilov Gennady Mikhaylovich Associate Professor, Department of Social Psychology and Psychosocial Technologies, Institute of Socio-Psychological; Kemerovo State University; 6, Krasnaya Street, Kemerovo, 650000; phone:+7 (3842) 581290; E-mail: firstname.lastname@example.org
Kobyakova Olga S. ; Siberian State Medical University; email@example.com
Deev Ivan A. ; Siberian State Medical University; firstname.lastname@example.org
Kulikov Evgeny S. ; Siberian State Medical University; email@example.com
Pimenov Igor D. ; Siberian State Medical University; firstname.lastname@example.org
Fayzulina Nailya M Assistant; Siberian State Medical University; email@example.com
Starovoytova Elena A Cand. Med. Sci., Associate Professor; Siberian State Medical University; firstname.lastname@example.org
Zyrianov Stepan V student; Siberian State Medical University; email@example.com
Shitov Vladimir A student; Siberian State Medical University; firstname.lastname@example.org
Abramov Vitalii K student; Siberian State Medical University; email@example.com
Balaganskaya Marina A Cand. Med. Sci., Associate Professor; Siberian State Medical University; firstname.lastname@example.org
Zagromova Tatiana A Cand. Med. Sci., Associate Professor; Siberian State Medical University; email@example.com
The aim of the research is to establish the prevalence of major risk factors (RF) for chronic non-infectious diseases (NID) among first-year students in the town of Tomsk. Material and methods. 978 first-year students were examined, their average age varied 18.6 ± 1.1. The behavioral parameters (smoking, drinking, poor nutrition, low physical activity) and metabolic (hypercholesterolemia, hyperglycemia, arterial hypertension, overweight / obesity) were evaluated for RF of NID. Results. The prevalence of behavioral RF, such as alcohol abuse and poor nutrition, among first-year students in Tomsk is comparable to national indicators. In comparison with other regions of the Russian Federation, smoking is more common, among first-year students of Tomsk without any gender differences, while low physical activity is less common. It was revealed that the prevalence of behavioral RF among studying youth significantly exceeds the general population indicators. It was also established that metabolic RF among first-year students of Tomsk remain at a lower level compared to general population, while their prevalence does not significantly differ from national indicators. The most common metabolic RF among the examined individuals is overweight, while arterial hypertension, hypercholesterolemia and hyperglycemia are less frequent. Along with high prevalence of RF of NID, first-year students have a low level of preventive knowledge. Conclusion. It is necessary to create and implement a regional primary prevention program for the first-year students of Tomsk, primarily aimed at prevention of alcohol and tobacco use, as well as of poor nutrition and physical inactivity
Keywords: first-year students, non-infectious diseases, behavioral risk factors, metabolic risk factors, prevalence, primary prevention.
Tetenev F.F., Porovsky Y.V., Matkovskaya T.V., Ageeva T.S., Bodrova T.N., Chernogoruk G.E., Karzilov A.I., Mesko P.E., Nevdakh A.E.
30 YEARS AFTER THE ACCIDENT AT THE CHERNOBYL STATION: THE RESULTS OF CLINICAL OBSERVATION FOR THE EMERGENCY WORKERS
Tetenev FF, Porovskiy YV, Matkovskaya TV, Ageeva TS, Bodrova TN, Chernogoruk GE, Karzilov AI, Mesko PE, Nevdakh AE. 30 years after the accident at the Chernobyl station: the results of clinical observation for the emergency workers. Siberian Medical Review. 2019;(1):25-33.. DOI 10.20333/2500136-2019-1-25-33
Tetenev Fedor Fedorovich ; ; firstname.lastname@example.org
Porovsky Yaroslav Vitalievich M.D., Famulus of the department of propaedeutics of internal diseases; Siberian State Medical University; email@example.com
Matkovskaya Tamara V Dr.Med.Sci., Professor; Siberian State Medical University; firstname.lastname@example.org
Ageeva Tatyana S Dr.Med.Sci., Professor; Siberian State Medical University; email@example.com
Bodrova Tamara N Dr.Med.Sci., Professor; Siberian State Medical University; firstname.lastname@example.org
Chernogoruk Georgiy E Dr.Med.Sci., Professor; Siberian State Medical University; email@example.com
Karzilov Alexander I Dr.Med.Sci., Professor; Siberian State Medical University; firstname.lastname@example.org
Mesko Pavel E Cand.Med.Sci., Associate Professor; Siberian State Medical University; email@example.com
Nevdakh Anton E Researcher; Research Institute for Cardiology; firstname.lastname@example.org
The aim of the research is to summarize the results of clinical examination of the emergency workers (EW) at the Chernobyl station (ChS) with the diseases of internal organs and their outcomes for 30-year period after the accident. Material and methods. In 1996 -2002 117 EW were examined, who, since June 1986, in 1987 and 1988, worked in different places in 30-kilometer emergency zone and whose work duration differed. The absorbed dose of external γ-radiation ranged from 50.0 to 270.0 mGy (on average 163.06 ± 9.54 mGy). The research methods included standard clinical examination of patients, the study of the diseases of respiratory system, heart and blood vessels, digestive, hematopoietic, central nervous system and peripheral nervous systems with autopsy morphological diagnostics and conducted in vivo. Then analysis of life status of EW and of mortality structure was performed. Results. The study showed that the pathological effect of ionizing radiation (IR) consists in widespread severity of damage (of various degrees) of microvasculature (Mv) from vasculopathy to the manifestation of productive vasculitis, established in biopsy materials of the right ventricular myocardium and skin-muscle flap. Generalized vascular lesion of the Mv has caused the microvascular form of coronary artery disease often diagnosed in EW, the development of diffusion and vascular insufficiency of the respiratory apparatus, caused damage of the glial component of CNS and vegetative part of nervous system, leading to the development of neuropsychiatric diseases and disorders. For the period passed since the accident, super mortality is established in this cohort at working age. Until 2002, the mortality was caused by external causes and diseases of circulatory system, and then it was caused by the diseases of circulatory system and malignant neoplasms of lungs. Conclusion. The important targets of the damaging effect of “small” doses of IR include Mv of the brain and heart vessels. Their changes happened in the remote period after the accident exacerbate the psychosomatic maladjustment of these patients and can explain high mortality from various causes of external character and diseases of cardiovascular system.
Keywords: emergency workers at the Chernobyl station after its accident, radiation damage of microvasculature, outcomes.
Tatarnikova I.S., Gerasimenko O.N., Shpagina L.A., Gerasimenko D.A.
NUTRITIONAL DISORDERS IN ARTERIAL HYPERTENSION
Tatarnikova IS, Gerasimenko ON, Shpagina LA, Gerasimenko DA. Nutritional disorders in arterial hypertension. Siberian Medical Review. 2019;(1):34-39. DOI 10.20333/2500136-2019-1-34-39
Tatarnikova Irina S graduate student; Novosibirsk State Medical University; email@example.com
Gerasimenko Oksana N Dr.Med.Sci., Professor; Novosibirsk State Medical University; firstname.lastname@example.org
Shpagina Lyubov’ A. Dr.Med.Sci., Professor; Novosibirsk State Medical University, Address: 21, Polzunov Str., Novosibirsk, 630051, Russian Federation; Phone: +7(383)2799945; email@example.com
Gerasimenko Dmitry A resident doctor; Novosibirsk State Medical University; firstname.lastname@example.org
The aim of the research is to study the characteristics of nutrition, body composition, food hormone activity in patients with hypertension with non-dipping phenotype. Material and methods. It is an open, descriptive, comparative study of 54 patients with arterial hypertension (based on ESH / ESC 2013). The average age of patients varied 57.63 ± 11.87 (years), males and females. The check group consisted of 27 healthy patients, correlated by sex and age. Anthropometric parameters, body composition, actual nutrition, daily blood pressure monitoring were assessed. Results. When comparing the average values of anthropometric indicators and body composition indicators, the following ones were determined: the increase in the incidence of overweight and obesity, the increase in the ratio of waist volume to hip volume, high average value of normalized growth of fat mass in patients with arterial hypertension, 1.2 times (p = 0.0466) exceeding the performance of check group. In the analysis of laboratory parameters, violation of lipid profile, adipocytokine status in the group of patients with arterial hypertension has been revealed. When conducting multiple correlation analysis, a positive relationship is established. Conclusion We propose to use adipose mass normalized for height, atherogenic index, leptin level, leptin-binding receptor, adiponectin as additional criteria for nutritional disorders in patients with arterial hypertension
Keywords: obesity, arterial hypertension, hypercholesterolemia, nutrition, nutritionist, non-dipping
Shtegman O.A., Meleshko Y.I., Skripkin S.A., Krekov S.A.
ANALYSIS OF PATIENTS, SUSPECTED FOR ACUTE CORONARY SYNDROME, RENUNCIATION CAUSES
Shtegman OA, Meleshko YuI, Skripkin SA, Krekov SA. Analysis of patients, suspected for acute coronary syndrome, renunciation causes. Siberian Medical Review. 2019;(1):40-45.. DOI 10.20333/2500136-2019-1-40-45
Shtegman Oleg Anatolevich MD, Docent; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Meleshko Yulia I ; Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Skripkin Sergey A Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk ambulance station;; Cand.Med.Sci., Chief Doctor; email@example.com
Krekov Sergey A Deputy Chief Medical Officer; Krasnoyarsk ambulance station; firstname.lastname@example.org
The aim of the research is to study the causes of renunciation from hospitalization among patients with suspected acute coronary syndrome (ACS). Material and methods. The study included 56 patients with suspected ACS who called the ambulance, but refused from hospitalization. The facts of hospitalization and death within 30 days from the moment of the first call for ambulance and the type of attitude towards the disease were assessed. Results. Among 56 patients, only 15 people were males (27 %). From 56 patients, 53 (95 %) were suspected for ACS without ST segment elevation and 3 (5 %) patients were suspected for ACS with ST elevation. It was impossible to get in touch with 6 (11%) patients who refused to be hospitalized and to find out their fate, five more patients (9 %) refused to answer any questions. It was established that within 30 days one patient with ACS with ST elevation died after refusing from hospitalization (2 %). When interviewing 45 patients refused from hospitalization, it was found that in 43 cases (96 %), within a few hours after the call for the ambulance, the emergency medical service teams made an active home visit to the patient, during which 10 patients (22 %) were hospitalized. 19 from 45 interviewed patients (42 %) were hospitalized within 30 days after the first call for the ambulance. The main reason of refusing from hospitalization (25 %) is the lack of trust in inpatient doctors. Anosognosic type of attitude to the disease occurred in 30 % of patients with suspected ACS refusing from hospitalization. Conclusion. Among patients with suspected ACS who refuse from hospitalization, three quarters are females. More often, patients with suspected ACS without ST elevation refuse to be hospitalized. 42 % of patients with suspected ACS, who initially refused to be hospitalized, are hospitalized after repeated calls for the ambulance. Every fourth patient with suspected ACS refuses to be hospitalized due to the lack of trust in hospital doctors.
Keywords: acute coronary syndrome, emergency medical care, refuse from hospitalization, females, distrust of doctors, type of attitude to the disease
Stroganova M.A., Martynova G.P., Shnayder N.A.
THE ROLE OF EXTERNAL AND GENETIC FACTORS IN THE DEVELOPMENT OF FEBRILE CONVULSIONS IN CHILDREN
Stroganova MA, Martynova GP, Schnayder NA. The role of external and genetic factors in the development of febrile convulsions in children. Siberian Medical Review. 2019;(1):46-53.. DOI 10.20333/2500136-2019-1-46-53
Stroganova Maria Alexandrovna Postgraduate Student of the Department of Childhood Infections and Department of Medical Genetics and Clinical Neurophysiology of Institute of Postgraduate Education; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Martynova Galina Petrovna Professor of the Department of Childhood Infectious Diseases; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Shnayder Natalya Alekseevna MD, PhD, Prof., Head of the Department of Medical Genetics and Clinical Neurophysiology of Institute of Postgraduate Education; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; 660022, г. Красноярск, ул. Партизана Железняка, д. 1; тел.: 8(391) 2212449; e-mail: email@example.com
The aim of the research is to study the role of environmental and genetic factors in the development of febrile convulsions in infants. Material and methods. In total, 151 children aged from 3 to 36 months were under observation, the main group consisted of 121 patients with FС (average age varied 21.69 ± 10.32 months), the check group included 30 children with the development of hyperthermic syndrome with ARVI (average age 14.63 ± 8.24 months.) Results. The largest number of FCs was registered among boys 60.3 ± 4.4 % (73 people), in the check group, on the contrary, girls prevailed (20 people; 66.7 ± 8.6 %; p <0.05). Family history of FC in probands of the main group was burdened in one third of cases. In the etiological structure of ARVI in children with FC, the influenza A virus (37.2 %) and the PC virus (23.1 %) prevailed, and 38.7 % of the patients showed persistence of HSV-6. The association of homozygous genotypes in two highly producing allelic variants of IL-1B gene promoter was more common in the recurrent course of FC. In patients with HSV-6 persistence and recurrent FC, there was a homozygous genotype of IL-1B genes in a quarter of cases. The carrier rate of the SCN1A gene (rs16851603, rs3812718) in patients with FC and children with hyperthermic syndrome without FС according to statistics was significantly different in hetero-and homozygous genotypes (p <0.05). Conclusion. The results of the study confirm the multifactor nature of FC development in children, that greatly expand the previously obtained data.
Keywords: febrile convulsions, herpes viruses, genes, SCN1A, IL-1B, HSV-6, epilepsy
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Smolnikova M.V., Tereschenko S.Y., Smirnova S.V., Konopleva O.S.
IL17A GENETIC / F POLYMORPHISM IN BRONCHIAL ASTHMA PATHOGENESIS IN CHILDREN
Smolnikova MV, Tereshchenko SYu, Konopleva OS, Smirnova SV. IL17A genetic / F polymorphism in bronchial asthma pathogenesis in children. Siberian Medical Review. 2019;(1):54-62.. DOI 10.20333/2500136-2019-1-54-62
Smolnikova M. V. ; Scientific Research Institute for Medical Problems of the North of Siberian Division of Russian Academy of Medical Sciences; firstname.lastname@example.org
Tereschenko S. Yu. MD, Professor; Scientific research institute of medical problems of the North, Siberian department of the Russian Academy of Medical Sciences; email@example.com
Smirnova S. V. ; Federal Budget State Medical Research Institute for Northern Problems, Siberian Division of Russian Academy of Medical Sciences, Krasnoyarsk; firstname.lastname@example.org
Konopleva Olga S Cand.Med.Sci.; Scientific Research Institute of Medical Problems of the North; V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; email@example.com
The aim of the research is to study the involvement of polymorphisms of IL17A (rs2275913) and IL17F candidate genes (rs763780, rs2397084) in pathogenesis of atopic bronchial asthma with different levels of disease control in children of Caucasian origin of Eastern Siberia. Materials and methods. The objects of the study were children of Caucasian origin, patients with severe / moderate atopic bronchial asthma (ABA) with different levels of control over the course of the disease (n = 211). The diagnosis, severity, level of control over the course of the disease were established in accordance with the recommendations of GINA. Two groups of patients with ABA were defined: with controlled (n = 101) and uncontrolled flow (n = 110). The check group consisted of practically healthy individuals (n = 135). Amplification of the IL17A / F cytokine gene regions was carried out by PCR and RFLP analysis, followed by visualization of the results in UV light after electrophoretic separation in a 2 % agarose gel. Results. As a result of the research, data on IL17A / F polytypes and alleles of polymorphisms distribution in patients with atopic bronchial asthma and in population sample of Caucasian origin living in Krasnoyarsk were obtained for the first time. Rare allelic variants are A * IL17A (rs2275913) and allele G * IL17F (rs763780 and rs2397084), which is consistent with global data. Statistically significant differences in the distribution of AG and GG IL17F genotypes (rs763780), as well as GG IL17F ones (rs2397084) between children with asthma and the population sample, are shown. Conclusion. Genetic risk markers for the development of atopic bronchial asthma were established: AG and GG IL17F genotypes (rs763780) and the GG * one (rs2397084) are predisposing to ABA development and to its uncontrolled course in children. The results of the study supplemented the data on the contribution of polymorphisms of cytokine genes of the IL-17 family to the development of atopic bronchial asthma and the control of the course of the disease in children using the example of the Caucasoid population of Krasnoyarsk
Keywords: bronchial asthma, pathogenesis, disease control, cytokines, IL-17, gene polymorphism
Vetsler M.V., Cherkasova V.G., Muravyev S.V., Chainikov P.N.
AFFECTIVE DISORDERS AND DYSSOMNIAS IN UNIVERSITY STUDENTS DEPENDING ON SPORTS ACTIVITIES
Vetsler MV, Cherkasova VG, Kovalev MА, Muravyev SV, Chainikov PN. Affective disorders and dyssomnias in university students depending on sports activities. Siberian Medical Review.2019;(1):63-74.. DOI 10.20333/2500136-2019-1-63-74
Vetsler Mikhail V neurologist; Professorial Clinic LLC; firstname.lastname@example.org
Cherkasova Vera G Dr.Med.Sci., Professor; Perm State Medical University named after Academician E. A. Wagner; email@example.com
Muravyev Sergej V Cand.Med.Sci., Associate professor; Perm State Medical University named after Academician E. A. Wagner; firstname.lastname@example.org
Chainikov Pavel N Cand.Med.Sci., Associate professor; Perm State Medical University named after Academician E. A. Wagner; email@example.com
The aim of the research is to study the severity of anxiety-depressive disorders and dyssomnias in university students of different profiles at the end of the academic year, depending on sports activity. Material and methods. The study was conducted on 118 full-time university students (79 males, 39 females, average age varied 21 ± 3.32g.), studying different profiles by means of author’s questionnaire, which includes State-Trait Anxiety Inventory, Zung Self-Rating Depression Scale and the Pittsburgh Sleep Quality Index questionnaire. Statistical processing of the data was performed with the help of software package Statistica 8.0 for Windows XP. The quantitative characteristics of indicators were represented by the median (Me, Q2 - the second quartile), the first and the third quartile (Q1 and Q3, respectively). Intergroup differences were studied by means of non-parametric Mann-Whitney test. Correlations were evaluated by means of Spearman test. Results. It is shown that anxiety, depression and worsening of night sleep are interrelated pathological phenomena among students at the end of academic year. Doing low-static and medium-static sports of different dynamics reduce the severity of affective disorders and dyssomnias in students. Conclusion. Trainings are recommended, which include regular 1.5-2.5 hours of exercise at least thrice a week, which prevent the occurrence of the studied disorders. Long-term athletic experience and a sport title reduce the severity of affective disorders and dyssomnias among students at the end of the academic year in case of an early start of sports activity, i.e. in childhood and adolescence
Keywords: anxiety, depression, affective disorders, dyssomnias, insomnia, students, sport
Privalov Y.A., Khadanov A.A., Egorov I.A., Mikhaylov A.L., Vasileva N.B.
TYPE III MIRIZZI SYNDROME. CLINICAL CASE
Privalov YuА, Khadanov АА, Egorov IA, Mikhailov AL, Vasileva NB. Type III Mirizzi syndrome. Clinical case. Siberian Medical Review.2019;(1):75-79. DOI 10.20333/2500136-2019-1-75-79
Privalov Yuri A Dr.Med.Sci, Professor; Irkutsk State Medical Academy of Postgraduate Education; firstname.lastname@example.org
Khadanov Aleksei A graduate student; Irkutsk State Medical Academy of Postgraduate Education; email@example.com
Egorov Ivan A doctor; Railway Clinical Hospital on the station Irkutsk-Passazhirskiy;
Mikhaylov Alexander L doctor; Railway Clinical Hospital on the station Irkutsk-Passazhirskiy;
Vasileva Nadezhda B doctor; Railway Clinical Hospital on the station Irkutsk-Passazhirskiy;
The pathogenesis and classification of Mirizzi syndrome (MS) is presented. It is noted that the diagnosis of cystic choledochal fistula at the preoperative stage is a difficult problem. With the introduction of magnetic resonance cholangiopancreatography (MRCP) into clinical practice, diagnostic capabilities for MS have been improved. The given clinical case demonstrates a comprehensive diagnosis of MS and a stage approach to treatment.
Keywords: Mirizzi syndrome, cholecysto-choledochal fistula, obstructive jaundice, choledocholithiasis, US, MSCT, ERCP, MRCP, EUS
Budaev B.S., Zarbuev A.N., Danzanova D.G., Narkevich A.N., Vinogradov K.A.
DYNAMICS OF MORTALITY INDICATOR FROM TUBERCULOSIS AMONG THE POPULATION OF THE REPUBLIC OF BURYATIA IN 2013-2017
Budaev BS, Zarbuev AN, Danzanova DG, Narkevich AN, Vinogradov KA. Dynamics of mortality indicator from tuberculosis among the population of the Republic of Buryatia in 2013-2017. Siberian Medical Review. 2019;(1):80-84. DOI 10.20333/2500136-2019-1-80-84
Budaev Bator S Cand.Med.Sci.; Ministry of Health of the Republic of Buryatia; firstname.lastname@example.org
Zarbuev Anton N Dr.Med.Sci.; G.D.Dugarova Republican Antituberculosis Dispensary; email@example.com
Danzanova Darima G Cand.Med.Sci.; G.D.Dugarova Republican Antituberculosis Dispensary; firstname.lastname@example.org
Narkevich Artem N. Cand. Med. Sci.; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Vinogradov Konstantin Anatolevich MD, Professor; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
The aim of the research is the study of mortality rate from tuberculosis among the population of the Republic of Buryatia and its dynamics for the period 2013-2017 in order to assess the effectiveness of anti-tuberculosis interventions. Material and methods. The data of the forms of federal statistical observation No. 8 “Information about active tuberculosis diseases”, No. 33 “Information about patients with tuberculosis” were used. The number of the deceased is presented according to the Federal State Statistics Service. Mortality rates are calculated on the average annual population. Results. At the end of 2017, only 52 people died of tuberculosis, the mortality rate was 5.2 per 100 thousand of population, which is 20% lower than in the previous period (2016 - 6.5) and 1.2 times lower than average federal indicator (RF - 6.5 in 2017). When compared with the indicator for the SFD (12.7), the mortality rate in the republic is 2.4 times lower. By the end of 2017, the Republic of Buryatia ranks the 11-th among the 12 regions of the Siberian Federal District. Conclusion. In recent years, there has been a significant decline in mortality. There is an increase in the proportion of female population in the structure of the deceased from tuberculosis and acutely progressive forms of tuberculosis, as the main cause of death. At the same time, the proportion of deaths from HIV infection is increasing. In recent years, HIV infection has a significant impact on reducing the mortality rate of the population from tuberculosis.
Keywords: tuberculosis, tuberculosis mortality rates, gender and age structure, detection, treatment
Fomicheva M.L., Bortsov V.A., Khikhlich O.S.
MODERN POSSIBILITIES OF VISITING NURSES IN PRIMARY PREVENTION
Fomicheva ML, Bortsov VA, Khikhlich OS. Modern possibilities of visiting nurses in primary prevention. Siberian Medical Review. 2019;(1):85-89.. DOI 10.20333/2500136-2019-1-85-89
Fomicheva Marina L. Cand. Med. Sci.; Novosibirsk state medical university; Regional center for medical prevention; email@example.com
Bortsov V. A. D.Med.Sc.; Novosibirsk State Medical University; Novosibirsk city consultative-diagnostic polyclinic № 27; firstname.lastname@example.org
Khikhlich Oksana S doctor; Regional center of medical prevention; email@example.com
The aim of the research is to study the readiness of visiting nurses in conducting primary medical prevention in the population. Material and methods. In order to study additional opportunities increasing the availability of primary medical prevention in the population, a sociological survey of visiting nurses was conducted to determine their readiness for primary medical prevention. Results. As a result of the conducted sociological study, it was established that visiting nurses are focused on the main areas of primary medical prevention, they read medical literature and participate in scientific conferences and seminars on primary medical prevention, they consider themselves qualified to conduct it and wish to undergo additional trainings in the main areas of primary medical prevention. Visiting nurses marked the most interesting questions on primary medical prevention and the most convenient forms of increasing their competence in these issues. Visiting nurses noted the population’s need for information on primary medical prevention and appropriateness of providing information on primary medical prevention on the Internet to the population, they also expressed their desire to participate in the development of information materials on medical prevention. Conclusion. As a result of the conducted sociological study, it has been established that visiting nurses are now an additional information channel for preventive work with the population under the guidance of local general practitioners and doctors of the departments or medical prevention departments of medical organizations that provide medical care on outpatient basis.
Keywords: primary medical prevention, sociological research, visiting nurse, competence, population, Internet, information materials
Sokolovskaya M.V., Buyankina R.G., Zamiralova E.V.
METHODOLOGICAL APPROACHES TO THE DEVELOPMENT AND IMPLEMENTATION OF THE QUALITY MANAGEMENT SYSTEM IN THE HEALTHCARE ORGANIZATION
Sokolovskaya MV, Buyankina RG, Zamiralova EV. Methodological approaches to the development and implementation of the quality management system in the healthcare organization. Siberian Medical Review. 2019;(1):90-96.. DOI 10.20333/2500136-2019-1-90-96
Sokolovskaya Marina Vladimirovna the Teacher of the highest gualification category, the Specialist in QMS of Quality Management Department; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Buyankina Rimma Gennadievna Cand.Med.Sc, Associate Professor of Department of Dentistry Clinics, Institute of Post-diploma Education and Advanced Training, the Head of Quality Management Department; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Zamiralova Elena Vladimirovna Cand.Ec.Sc., Associate Professor of the Department of Management Quality and Economy of Mathematical Methods, the Head Deputy of Quality Quarantee Department; Siberian State Technological University; firstname.lastname@example.org
The aim of the research is conducting an analysis of the basic principles and stages of implementation of the quality management system in the healthcare organization. Material and methods. We used State Standard ИСО 9001-2015, State Standard ИСО 15189-2006, standard of Association of Russian Dentists, ИСО / IWA 1: 2005. The following research methods were used: expert assessment method, analysis and synthesis, information compilation. Results. A methodological approach was created for the development and implementation of QMS in medical organizations according to eight points. Conclusion. Analysis of native experience, basic principles and stages of implementing quality management system in healthcare organizations, State Standards ИСО 9001-2015 “Quality management system. Requirements”, State Standard ИСО 15189-2006 “Medical laboratories. Particular requirements for quality and competence”, standard of Association of Russian Dentists “Requirements for quality management systems in dental organization”, ИСО / IWA 1: 2005 “Quality management systems. Recommendations for improving the processes in healthcare organizations” allowed developing methodological scheme for the implementation of quality management system in healthcare organizations. The use of methodological approach in the development and implementation of quality management system will minimize risks, reduce quality and labor costs of employees in the organization, reduce the period of development and implementation of quality management system. The work done has practical application for improving the activities of healthcare organizations, as well as of organizations in other fields of the economy
Keywords: accessibility, quality, medical organizations, medical care, development and implementation, quality management system, healthcare, stages of implementation.
REVIEW OF DISSERTATION TOPICS THAT WERE SUBMITTED IN 2017 BY THE COMMITTEE OF DISSERTATION DEFENSE FOR THE DEGREE OF CANDIDATE OF SCIENCE, FOR THE DEGREE OF DOCTOR OF SCIENCE D 208.037.01 IN SPECIALTY 14.01.04 - INTERNAL DISEASES (MEDICAL SCIENCES)
Shtarik SYu. Review of dissertation topics that were submitted in 2017 by the committee of dissertation defense for the degree of candidate of science, for the degree of doctor of science D 208.037.01 in specialty 14.01.04 – internal diseases (medical sciences). Siberian Medical Review.2019;(1):97-101. DOI 10.20333/2500136-2019-1-97-101
Shtarik S. Yu. Dr. Med. Sci.,Professor; Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; email@example.com
REVIEW OF DISSERTATION TOPICS THAT WERE SUBMITTED IN 2017 BY THE COMMITTEE OF DISSERTATION DEFENSE FOR THE DEGREE OF CANDIDATE OF SCIENCE, FOR THE DEGREE OF DOCTOR OF SCIENCE D 208.037.06 IN SPECIALTIES 14.01.11 - NEUROLOGICAL DISEASES, 14.02.03 – PUBLIC HEALTH AND HEALTHCARE
Gorbach NA. Review of dissertation topics that were submitted in 2017 by the committee of dissertation defense for the degree of candidate of science, for the degree of doctor of science D 208.037.06 in specialties 14.01.11 – neurological diseases, 14.02.03 – public health and healthcare. Siberian Medical Review.2019;(1):102-109. DOI 10.20333/2500136-2019-1-102-109
Gorbach N. A. Dr.Med.Sc, Professor; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org