Saratov JOURNAL of Medical and Scientific Research

Review

Analysis of foreign practices for the safe management regulation of waste containing very low active manmade radionuclides (review)

Year: 2019, volume 15 Issue: №4 Pages: 971-976
Heading: Тhematic supplement Article type: Review
Authors: Barchukov V.G., Kochetkov О.А., Kuznetsova L.I., Maksimov A.A.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Today, wastes that have specific activities lower than those assigned to solid radioactive waste, but higher than levels permitted for unrestricted use are enclosed in a legal vacuum. This fact necessitates searching for legislative and regulatory solutions. In order to find the most acceptable solution, this review examines the practice of solving similar problems in countries with developed nuclear energy. Recommendations of international organizations on the development of a safe management system of such waste are reviewed as well. Based on the information presented in this review, the allocation of this waste category including the establishment of legislative and regulatory requirements for its safe management seems the most logical and taking into account the current practice of waste management in Russia.

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Evolution of the study of organ donation problems: from religious canons to sociological analysis (review)

Year: 2019, volume 15 Issue: №4 Pages: 931-933
Heading: Sociology of Medicine Article type: Review
Authors: Petrov G.S., Krom I.L., Yerugina M.V., Kovalenko E.M.
Organization: Saratov State Medical University
Summary:

The review was based on the materials of 21 titles of scientific works in information systems databases PubMed and electronic library. The process of evolution of the analysis of problems related on transplantation of human organs is carried out from a religious basis to an ethical and legal, and later on, sociological. According to the authors, the leading role in global understanding of the organ donation problems in world science belongs to sociology and its directions. In this regard, the involvement of sociologists to participate in the promotion of posthumous donation in Russia should be an important step towards the creation of a national organ transplantation programs.

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Internal quality control of medical care in scientific publications and regulatory legal acts of the Russian Federation (review)

Year: 2019, volume 15 Issue: №4 Pages: 925-930
Heading: public health Article type: Review
Authors: Chubirko M.I., Chubirko Yu.M., Antonenkov Yu.E.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

The review is devoted to the current state of the problem of activity, which is assigned to each medical organization without taking into account the forms of ownership: the organization of internal quality control and safety of medical activity in medical organizations in Russia. The authors analyzed scientific publications, regulatory legal acts and laws on internal quality control and safety of medical activities at present and made recommendations on the issue under consideration.

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. Actual problems of provision of Russian healthcare with specialists with secondary medical education (analytical review)

Year: 2019, volume 15 Issue: №4 Pages: 909-916
Heading: public health Article type: Review
Authors: Novokreshchenova I.G., Chunakova V.V., Semikina N.A., Aranovich L.M.
Organization: Saratov State Medical University
Summary:

According to the literary sources and official statistics it was revealed that high needs in the paramedical personnel preserve in medical organizations of different levels and profile and in the whole industry. The mechanisms of forming of deficit of paramedics in the healthcare system of our country were considered. Within the framework of authorial approach the article presents basic directions of solving the problems of staffing of local healthcare system with specialists with secondary medical education.

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Information systems perspectives in the improvement of dental care quality (review)

Year: 2019, volume 15 Issue: №4 Pages: 888-893
Heading: public health Article type: Review
Authors: Bragina М.G., Fomina A.V.
Organization: Peoples' Friendship University of Russia
Summary:

The analysis of literature data on the possibilities and prospects for the use of information technologies (IT) to improve the efficiency and quality of dental medical care (QDMC) to the population has been performed. The need for the introduction of IT systems as part of pilot projects in dental facilities was noted. According to a number of researchers, the prospects for introducing medical information systems (IS) are associated with increasing the supporting business processes. The results of a number of studies are presented in which it is demonstrated that the use of the software systems proposed by different authors allows for the operative control of the QDMC with the evaluation of medical personnel, as well as for improving the effectiveness of treatment and optimizing the patient flow. It is indicated that the electronic method of collecting, storing and processing data makes it possible to combine the efforts of specialists who are participants in the process of providing dental care to the population in a single information field, which undoubtedly should make a significant contribution to improving the efficiency of their treatment.

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Endovascular treatment for critical limb ischemia in patients with diabetes mellitus (review)

Year: 2019, volume 15 Issue: №4 Pages: 873-876
Heading: Surgery Article type: Review
Authors: Bakhmetyev A.S., Anisimova Е.А., Temerezov T.Kh., Zotkin V.V., Rudakov M.O.
Organization: Medical Di Center, Regional Vascular Center of the Karachay-Cherkess Republican Clinical Hospital, Saratov State Medical University
Summary:

The literature review is devoted to the contemporary possibilities of endovascular surgery for patients with critical lower limb ischemia and diabetes mellitus. Surgical indications based on non-invasive methods such as measuring ankle-brachial and shoulder-finger indexes, as well as transcutaneous oximetry are considered. The material outlines both positive and negative aspects of interventional surgery in this cohort of patients included in the group of extremely high atherosclerotic risk.

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Tentative analytic biomarker panel of maladaptive myocardial remodeling (systematic review)

Year: 2019, volume 15 Issue: №3 Pages: 773-779
Heading: Cardiology Article type: Review
Authors: Malinova L.I., Denisova Т.Р., Furman N.V., Dolotovskaya P.V., Puchinyan N.Ph., Povarova T.V.
Organization: Saratov Road Clinical Hospital, Saratov State Medical University
Summary:

The purpose is to design a tentative analytical panel of biomarkers (BM) of maladaptive myocardial remodeling/extracellular myocardial matrix dysfunction. eLibrary.ru and PubMed were used for data extraction. Reproducibility of the obtained data was calculated, as well as the intragroup correlations of BM maladaptive myocardial remodeling/extracellular myocardial matrix dysfunction with the clinical phenotype of heart failure (HF) — т. The tentative BM panel design was carried out using the ranking method (R). Analysis included data from 5085 publications. The highest reproducibility was traced in nautriuretic peptides ((3 0.91 and 0.89) and cardiac troponins ((3 0.84), while the highest correlation ratios of BM and the clinical phenotype of CH were detected in natriuretic peptides and ST2 (т 0.81; 0.77 and 0.71). PIIINP and decorin did not reveal any significant correlation with the HF clinical phenotype. A rank of >0.5 was identified in galectin-3, GDF-15, and osteopontin. A set of biomarkers with a proven participation in the pathogenesis of heart failure, which potentially has the greatest diagnostic and prognostic value was designed, i. e. a tentative analytical panel of biomarkers of maladaptive myocardial remodeling/extracellular myocardial matrix dysfunction: NT-proBNP, BNP, cardiac rf-troponins, ST2, GDF-15, galectin-3 and osteopontin.

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Somatic sex determination of an adult by bone remains (review)

Summary:

The article presents a comprehensive osteoscopic approach based on the visual identification of high- quality semi-diagnostic signs on the bones. The differences in the bones of the skeleton in this approach are determined by the greater development of the muscles in men as compared with women, as well as the performance of a fertility function by the woman. On the pelvic bones, differences are functional in nature: the structure of the male pelvis is determined only by supporting and motor functions, and the structure of the female pelvis must also ensure the function of delivery. An osteometric approach is described to determine the somatic sex from the pelvic bones of a person, the basis of which is the use of the instrumental method of determining the properties of objects, fixed in numerical values. It has been shown that almost all bones of the skeleton have the signs of sexual dimorphism, however, they are most clearly expressed in the bones of the pelvis and skull. Determining the gender of bone remains requires a complete examination of the bones presented. It depends on the number of objects, their state, the completeness of the methods used, as well as on the preparation of the expert. A careful analysis of the greatest number of signs revealed on the bones will allow us to arrive at the most reliable result, which is important when establishing the identity of an unidentified corpse.

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Magnetic resonance imaging in the diagnosis of bladder cancer (review)

Year: 2019, volume 15 Issue: №3 Pages: 662-666
Heading: Urology Article type: Review
Authors: Bobylev D.A., Chekhonatskaya M.L., Rossolovsky A.N., Ponukalin A.N., Kryuchkov I.A., Kondratieva O.A., Zakharova N.B., Abramova A.P., Popkov V.M.
Organization: Saratov State Medical University
Summary:

The current review represents possibilities of magnetic-resonance imaging in bladder cancer diagnostics. The most important indicator that determines the bladder cancer prognosis and surgical treatment tactics is the muscle wall invasion. Dynamic-contrast-enhanced magnetic resonance imaging and diffusion-weighted magnetic resonance imaging can determine the depth of invasion, although although both are susceptible to over-staging. Magnetic resonance imaging and computed tomography have approximately the same accuracy in determining perivesical invasion as well as in relation to metastatic lymph nodes less than 8 mm in diameter. A promising new technique is the ultra-small paramagnetic iron oxide particles-enhanced magnetic resonance imaging.

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The history of epidural anesthesia (review)

Year: 2019, volume 15 Issue: №3 Pages: 657-661
Heading: Anaesthesiology and Reanimatology Article type: Review
Authors: Prigorodov M.V.
Organization: Saratov State Medical University
Summary:

The method of a long-term epidural anesthesia has been significantly improved and acquired the status of a well-developed and widely used clinical manipulation. Epidural anesthesia is a type of local anesthesia. Until now, there is no single definition of «epidural anesthesia» (or «epidural blockade»). The review is devoted to the history of the formation of epidural anesthesia and substantiation of the term «epidural anesthesia».

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