Saratov JOURNAL of Medical and Scientific Research

Author's opinion

Strategy and tactics for cervical dystonia rehabilitation

Year: 2019, volume 15 Issue: №4 Pages: 968-970
Heading: Тhematic supplement Article type: Author's opinion
Authors: Anikina M.A., Bril Е.V., Zimnyakova O.S., Abbasov F.A.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Rehabilitation of patients with cervical dystonia is not limited to muscle relaxation, but includes comprehensive measures to correct motor and non-motor symptoms to achieve higher level of social adaptation. The article discusses the most effective rehabilitation techniques from the point of view of pathogenesis of dystonia, and highlights the problems related to the use of rehabilitation programs from the point of view of real clinical practice.

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Optimization of medical organization activities by implementation of lean-production

Year: 2019, volume 15 Issue: №4 Pages: 893-897
Heading: public health Article type: Author's opinion
Authors: Breusov A.V., Fenyutina V.A., Orudzhev A.A.
Organization: Bauman Moscow State Technical University, Peoples' Friendship University of Russia
Summary:

The existing health care system in the Russian Federation requires significant changes related to the reorganization of the current processes of medical care in medical institutions, therefore, the topic of introducing the principles of lean production in the healthcare sector is extremely relevant today. Lean healthcare is aimed at increasing the availability and quality of medical care to the population by streamlining processes and eliminating losses. The main objectives of the medical institution as part of the implementation of the concept of lean manufacturing are to increase the satisfaction of consumers of medical services, increase the quality and productivity of medical personnel. The need to implement these tasks is caused by the unreasonably long time spent of patients in the clinic during research, the uneven workload of medical institution specialists, queues at the reception desk, filling in a large number of different paper forms and processing of unnecessary information. The study allowed us to comprehensively analyze the basic principles of the concept of lean manufacturing, to substantiate the relevance and the possibility of extrapolating its principles to the healthcare sector, as well as to study the organization of the activities of the best "lean" clinics abroad, which could become role models when introducing the principles of lean manufacturing in domestic medical organizations.

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Basic principles of prenatal counseling by a pediatric urologist: challenges and opportunities

Year: 2019, volume 15 Issue: №4 Pages: 884-887
Heading: Urology Article type: Author's opinion
Authors: Deryugina L.A.
Organization: Saratov State Medical University
Summary:

This publication is based on the results of the accumulated experience of a practicing pediatric urologist during prenatal counseling in the framework of the regional prenatal consultation and is the result of long-term research work in the field of pediatric urology, fetal urology, prenatal ultrasound diagnosis of urinary system defects. The system of prenatal diagnosis of urinary system pathology proposed in the article will significantly increase the reliability of antenatal diagnosis and prognosis, plan the timing, scope and tactics of treatment activities carried out as early as possible after birth at the stage of preclinical manifestations. To do this, it is assumed, firstly, the creation of a group of perinatal observation of patients; secondly, the use of evaluation and interpretation of ultrasound data that determine the level and nature of urodynamic lesions of the fetal urinary system, the severity of urinary tract dilatation, the preservation of renal parenchyma, which is the basis for prenatal diagnosis, evaluation of prospective kidney function. The signs of prognostically unfavorable malformations of the urinary system, in which the question of termination of pregnancy is discussed, are highlighted.

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The role and place of tests in the assessment of the level of competence acquired by senior students of medical university

Year: 2019, volume 15 Issue: №3 Pages: 711-714
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Gubanova G.V., Shemetova G.N., Ryaboshapko A.l., Shebalova E.M.
Organization: Saratov State Medical University
Summary:

The introduction of a competence-based approach in the context of the implementation of the latest generation of the GEF leads to the formation of a new control and assessment system of educational results, which allows to take into account all the indicators obtained by students during the course of the discipline, i. e. to evaluate not only the final one-time result, but also the learning process. The formation of a fund of appraisal tools for test control of knowledge at the departments of the medical university is being discussed with the aim of objectifying the assessment of the level of competence in the disciplines of the main educational programs. It reveals the approaches to understanding the role and place of testing in assessing the level of competence acquired by senior students of higher education, as well as analyzes its experience. The advantages and disadvantages of using tests in the process of defining educational achievements are described.

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Vegetative dystonia syndrome as a somatoform disorder

Summary:

Despite the fact that there is still no consensus on concept and use of vegetative vascular dystonia as a diagnostic term in Russian literature, this diagnosis has become firmly established in clinical practice. In this article we have tried to reconcile two competing concepts — psychovegetative syndrome and vascular dystonia — primarily on the basis that both concepts reflect functional disorders of suprasegmental apparatus of the autonomic nervous system (limbic-reticular complex, reticular formation of the brain stem) and have more similarities than differences, which allows us to include them in a general group of somatoform disorders.

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Autonomous device for registration of direct current potential of eye in experiment and clinic

Year: 2018, volume 14 Issue: №4 Pages: 910-913
Heading: Ophtalmology Article type: Author's opinion
Authors: Mukhamadeev T.R., Yamgutdinov R.R., Vafiev A.S., Kalmetyev A.Kh., Yamlikhanov A.G., Tumashinov V.N.
Organization: Bashkir State Medical University of the Russian Health Care, ZAO Optimedservis
Summary:

 The article presents an autonomous device for recording of direct current potential of eye at rest and at different illumination levels to assess the functional state of the photoreceptor— retinal pigment epithelium complex in experiments on laboratory animals and in clinical practice including vitreoretinal surgery.

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Regenerative capabilities of the skin

Year: 2018, volume 14 Issue: №4 Pages: 738-739
Heading: Dermatovenerology Article type: Author's opinion
Authors: Eremina M.G., Eremin A.V., Eldesbaeva Ya.S., Drozdova S.B., Roshchepkina E.M., Chumachenko Yu.V.
Organization: Saratov State Medical University
Summary:

The skin is the largest organ of the human body and has many functions. Stem cells of the epidermis and hair follicles are necessary for homeostasis and skin regeneration, which leads to the restoration of the integrity and function of the damaged tissue. Currently, we are actively searching for the best therapeutic strategies to restore the barrier function of the skin. Stem cells are recognized as potential candidates for the treatment of numerous skin pathologies. Therapeutic strategies of modern medicine require an understanding of the potential uses of stem cells for treating skin diseases.

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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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The role of private medical business in the digital health projects

Year: 2018, volume 14 Issue: №4 Pages: 667-670
Heading: Health Service Organization Article type: Author's opinion
Authors: Muslimov M.l.
Organization: Clinic of Scientific Medicine
Summary:

New medical and information technologies meet a global challenge in the world health system. In developed countries there are legislative and financial arrangements for the transfer of the national health service in digital format. Russia also keeps up with global economic trends: regulatory and legislative acts have been adopted to ensure the transition to digital healthcare, the state program of digital medicine has been approved, and a list of priority tasks proposed for implementation by 2025 has been defined. The author examines the various concepts and directions of the movement to digital health, adopted in some countries and in Russia, analyzes the current state of affairs in the Russian digital health, forming predictive estimates for the future.

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The problem of management of pregnant women with ulcer colitis

Year: 2018, volume 14 Issue: №4 Pages: 629-632
Heading: Internal Diseases Article type: Author's opinion
Authors: Kudishina M.M., Kozlova I.V.
Organization: Saratov State Medical University
Summary:

The relevance of the study of inflammatory bowel diseases in pregnant women is due to the rise of the disease at a young age (20-30 years), which accounts for the period of active childbirth. Treatment of pregnant women with ulcer-ative colitis and Crohn's disease remains a difficult problem for both doctors and patients. This work aims to analyze the features of the course and treatment of ulcerative colitis in pregnant women, to identify problems in the tactics of management on a real clinical example.

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