Saratov JOURNAL of Medical and Scientific Research

Sociology of Medicine

Readiness to realize the skills of professional communication among senior students of a medical university

Year: 2018, volume 14 Issue: №4 Pages: 691-695
Heading: Sociology of Medicine Article type: Original article
Authors: Shemetova G.N., Sidorova N.V., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: to assess the readiness for effective communication of senior students of medical university. Material and Methods. A survey of 158 students of the 5th and 6th courses of the medical faculty of SSMU was conducted in February 2017 according to the original questionnaire aimed at assessing the theoretical knowledge in the field of communication and readiness to communicate with patients in practice. Results. The study revealed a number of problematic issues related to the communicative competence of senior students of the medical University. Most respondents (88%) rated their training in communication technologies as high and sufficient, and knowledge of theoretical issues does not always meet the requirements of today. Despite the support of the majority of students for a paternalistic approach to the relationship between the doctor and the patient (44% in general, 94,7% among sixth- year students), many respondents (85%) agreed with the involvement of the patient in the process of discussing the planned diagnostic and therapeutic measures, more than half of the students (57,6%) expressed a desire to undergo additional training on the basics of communication. Conclusion. In accordance with the new challenges in the native health care training of graduates of medical universities should include the formation and improvement of communicative competence with the realization that in the modern system of relations the Central person is a patient with his problems and

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Medical and organizational issues of patients' preoperative fears management (analytical review)

Year: 2018, volume 14 Issue: №4 Pages: 686-690
Heading: Sociology of Medicine Article type: Review
Authors: Fedonnikov A.S., Katkova A.V., Andriyanova E.A.
Organization: Saratov State Medical University
Summary:

 The article deals with the problem of preoperative patient fears. Specific characteristics of preoperative fears and the mechanisms of their occurrence were described. According to the scientific literature analysis the typology of preoperative fears was performed. Within the framework of the author's approach the directions of the following theoretic understanding and practical solutions of indicated problem were presented. They included health managers focusing on interpersonal communication of patient and medical specialist; further analysis of factor influencing interpersonal communication of patient and medical specialist under disease condition requiring surgery; development of psychologically based medical care and postoperative rehabilitation quality indicators.

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Transplantation tourism as an international problem: prerequisites and ways of prevention

Year: 2018, volume 14 Issue: №4 Pages: 683-685
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Romanov S.V., Abaeva O.P.
Organization: I.M. Sechenov First Moscow State Medical University, Volga District Medical Center of FMBA
Summary:

The purpose of scientific work was to substantiate the relevance ofthe problem of transplant tourism, which is a way for a recipient to obtain an organ for transplantation bypassing national wait lists by finding a donor in a foreign country on a commercial basis. The authors have performed analysis of literary sources related to issues ofthe development of transplant tourism around the world, origins of its existence as well as possible ways to prevent the following practive. In conclusion, authors underline the necessity to establish the development of transplantology based on principles of gracious organ donations and fairness in terms of recipient election.

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Medical students representations on socially significant aspects of influenza prevention

Year: 2018, volume 14 Issue: №4 Pages: 680-682
Heading: Sociology of Medicine Article type: Original article
Authors: Mikhailova E.V., Malugina T.N., Levin D.Yu., Averianov А.Р., Serdyukov A.Yu., Zheleznikov P.A.
Organization: Saratov State Medical University
Summary:

The aim of the study is to assess the attitude to influenza prevention among medical students. Material and Methods. The survey of first-year students of Saratov State Medical University n.a. V. I. Razumovsky was conducted (n=110). Results included an analysis of the prevalence of different influenza prevention methods. We have identified the main causes of failures of specific influenza prevention and identified the most common ways of non-specific prevention. Conclusion. Despite the fact that the majority of students consider it necessary to carry out specific prevention of influenza, active immunization is used only by 15% of the surveyed students. Others prefer the methods of nonspecific prophylaxis of influenza.

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Application of financial motivation factors for organ donors: foreign experience and Russian attitude

Year: 2018, volume 14 Issue: №3 Pages: 448-450
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Romanov S.V.
Organization: Volga District Medical Center of FMBA
Summary:

The purpose of the article was to analyze the world practice of the means of financial motivation for organ donors as well as the attitude of Russians towards it. As the results have shown, means of financial stimulation are widely applied to living organ donors in the world. Such means are mainly illegal, most often targeting the most vulnerable social groups and current attempts to stop such practices are not successful. Among all nations, Iran is the only one country whose system of organ transplantation includes the idea of rewarding a living donor. Such practice has been supported by several specialists, some of them from the US. In the world, the ways of financial support of the families of posthumous donors also exist. Such practice has evoked controversial responses in Russia. In conclusion, it has been highlighted the necessity to conduct more informative works with different social groups with the aim to develop and support the principles of humanity and altruism of organ donation.

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Patients interviewing — an effective method of forming social competencies of medical students

Year: 2018, volume 14 Issue: №3 Pages: 445-447
Heading: Sociology of Medicine Article type: Original article
Authors: Skryabina E.N., Aleksandrova O.L., Korneva Yu.M., Pasechnaya N.V., Kats Z.V.
Organization: Saratov State Medical University
Summary:

The professionalism of a doctor is determined not only by scientific knowledge, but also by high moral qualities. Aim is the formation of the social competencies of the students of the medical university, concerning the personal qualities of the doctor. The authors used a self-developed questionnaire, which included questions relating to patients' characteristics (gender, level of education, disease origin and its duration) and to attending physician (work experience, theoretical and practical skills, moral qualities). Material and Methods. Questioning of 100 patients of the rheumatologi-cal department of the State Regional Hospital of Saratov was performed by students of the Saratov Medical University. Results. The survey showed that most patients considered the moral qualities of a doctor to be very important and they determined the successful treatment of patients. The ineffectiveness of treatment is largely due to loss of confidence in doctor. Conclusion. Questioning of patients allowed students to be convinced of the importance of formation of high moral qualities of a doctor as they help mutual understanding of a doctor and a patient, increase treatment efficiency.

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Risks of sexual relations in representations of students

Year: 2018, volume 14 Issue: №2 Pages: 297-301
Heading: Sociology of Medicine Article type: Original article
Authors: Chernyshkova E.V., Zaviyalov A.l., Tupikin D.V., Denishev R.R., Uzhakhov A.M., Uzhakhov T.M., Andriyanova E.A.
Organization: Saratov State Medical University
Summary:

.The goal of the workwasto determine on the basis of sociological research the representation of medical students about the possible risks of sexual relations. Materials and methods. The survey of 659 students of medical and pediatric faculties of Saratov State Medical University n.a. V. I. Razumovsky and Volgograd State Medical University. Results of the research demonstrate that the most significant risks of sexual relations considered by the students are sexually transmitted infections and unwanted pregnancy. However, despite a high level of awareness of probability of their occurrence less than a half of the students always use necessary remedies to avoid these risks, this fact allows to refer students to a group with an increased risk of STI and unwanted pregnancy. It is determined that self-treatment practice in regard to STI is not wild-spread among medical students due to the presence of deeper knowledge about reproduc- tive health. Conclusion. The analysis of author's research data and the works devoted to the problem of sexual relations risks among youth allows to state the imbalance between students' knowledge of sexual contacts risks and their real behavioral practices, and a significant decrease in the level of preventive work. Medical students can be considered as a resource for optimizing this type of work with students of high schools, colleges and other universities.

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Medical and ethical aspects of gene therapy

Year: 2017, volume 13 Issue: №4 Pages: 859-861
Heading: Sociology of Medicine Article type: Original article
Authors: Yupatov V.D., Yalieva L.K., Vorfolomeev S.A., Fakhrudinova E.R.
Organization: Saratov State Medical University
Summary:

The article is to review the main moral, ethical and legal issues of genomics. In connection with the rapid development of molecular biology, deciphering the structure of DNA (deoxyribonucleic acid) and breakthrough in gene editing, this topic is extremely relevant today. The author tries to answer the questions: 1) whether a person has the right to intervene into the natural mechanisms of existence of living organisms; 2) what is the role of genetic engineering and gene therapy in modern society?

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Inadequate motivation for maternity is the risk factor for a perinatal fetus pathology and a newborn

Year: 2017, volume 13 Issue: №4 Pages: 857-859
Heading: Sociology of Medicine Article type: Short message
Authors: Panina O.S., Privalova I.V., Chernenkov Yu.V., Pozgaleva N.V., Cherednikova E.N.
Organization: Saratov State Medical University
Summary:

One of the important social risk factors for the birth of a child with pathology in our time is tobacco smoking, with both mother and father. Goal: assess the formation of motivation for motherhood by questioning women with tobacco. Material and Methods. To carry out the research, we used the "Methods of Investigating Motives for Preserving Pregnancy" according to L. N. Rabovalyuk, N.A. Kravtsovoy; methodology "Motives for the conception of a child" by OA. Urusova. Results. When analyzing the results using the method "Motives for conceiving a child" (OA Urusova), in 45.7% of the women studied, an inadequate type of motivation for motherhood was revealed. An unconstructive motive is the high desire of the subject to have a being that will embody her unrealized dreams and plans. 54.3% of mothers, as the predominant type, have an adequate type of motivation for maternity. In addition, the motives for responsibility for the life of the child, the joy of motherhood, the awareness of the child's own values, the desire to have it for the sake of positive life goals and himself are revealed. Conclusion. Timely detection of inadequate motivation for motherhood and proper prioritization will reduce the percentage of pathological pregnancy, increase the birth rate of healthy newborns.

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Marginalization of health institute professional groups: societal approach

Year: 2017, volume 13 Issue: №4 Pages: 854-856
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Kovalev Ye.P., Yeremina M.G., Vlasova M.V., Dolgova E.M., Bochkareva G.N.
Organization: Saratov State Medical University
Summary:

The process of institutionalization of healthcare, which is considered as one of the basic social institutions, is realized in qualitative changes in its structure. The authors note that changes in the social structure, the social differentiation increasing, crisis and dysfunctional processes in the healthcare institution in modern Russia have led to a change in status, social mobility descending and marginalization of the social and professional groups of the healthcare institute. In the authors' opinion the process of marginalization of the social and professional groups of the healthcare institute is explained by the «concept of status inconsistency» proposed by G. Lensky.

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