Saratov JOURNAL of Medical and Scientific Research

Chernyshkova E.V.

Saratov State Medical University n.a. V.I. Razumovsky, Head of Department of Foreign Languages, Assistant Professor, Candidate of Sociology

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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Psychological predictors of reproductive attitudes among medical students

Year: 2017, volume 13 Issue: №3 Pages: 549-553
Heading: Sociology of Medicine Article type: Original article
Authors: Popkov V.M., Bugaeva I.O., Andriyanova Е.А., Aranovich I.Yu., Katkova A.V., Chernyshkova E.V., Aranovich L.M.
Organization: Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky
Summary:

The goal was to determine psychological predictors of reproductive attitudes among medical students. Material and Methods. The survey of 84 students (of the 3rd and the 5th year of medical faculty of Saratov State Medical University n.a. V. I. Razumovsky) was carried out using a combination of methods (questionnaire, testing) aimed to achieve the research goal. Results. Features of reproductive attitudes and reproductive intentions of students, as well as psychological characteristics of youth, such as personal maturity, belief in people and value orientations were studied. Psy- chological predictors of reproductive attitudes among medical students were determined. Conclusion. It was revealed that reproductive attitudes among students of the 5th year were higher than those of the 3rd year. There were gender differences in psychological predictors of reproductive attitudes among students. It was experimentally established that existence of faith in people, high level of personal maturity, high importance of personal values, altruistic values and values of acceptance of others had a positive impact on reproductive attitudes among young people. Based on the results of the study, recommendations were developed with the aim to improve reproductive attitudes and psychological readiness for parenting of medical students.

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Strategies of health preservation of agricultural workers with occupational diseases (material of focus-group research)

Year: 2017, volume 13 Issue: №1 Pages: 88-92
Heading: Sociology of Medicine Article type: Original article
Authors: Chernyshkova Е.М., Andriyanova Е.А., Yurova I.Yu., Chernyshkov D.V., Mukhina M.Yu.
Organization: Saratov State Medical University
Summary:

The aim of the work is to analyze the attitude of employers to health preserving practices among agricultural workers with occupational diseases. Material and methods. Applying qualitative research strategy — focus-group interview (research period: 2015-2016). The basis of the study is opinion of peasant farm enterprise employers from Saratov region (n=8). Results. The article reveals formal character of health preserving actions aimed at agricultural workers with occupational diseases who are involved in work associated with occupational hazards at peasant farm enterprises. Breach of employment requirements and norms, conditions of work, sanitary and medical protection on the part of employers has also been stated. Failure of working career alternative adequate to somatic state of employees and absence of formed value system among agricultural workers aimed at health preserving practices have been detected as well. Conclusion. On the basis of employers opinion it is possible to state weakening of responsibility on the part of an employer as an active agent of health preserving process and its transfer to employees.

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Social evaluation of the normative-legal basis of professional risks regulation in regard to nurses

Year: 2016, volume 12 Issue: №4 Pages: 605-611
Heading: Sociology of Medicine Article type: Review
Authors: Devlicharova R.Yu., Andriyanova Е.А., Chernyshkova E.V.
Organization: Saratov State Medical University
Summary:

The analysis of normative-legal basis to regulate occupational health risks of medical nursing staff as a part of health services institutionalization (by the example of nurses working with ionizing radiation in oncology service) is presented. It was revealed that transition to a model of social partnership between the state and the employer in the field of occupational safety had a negative impact on practice of health preservation of the analyzed social group, which actually has lost financial compensation for harmful working conditions. The authors point out the necessity to expand state functions in the sphere of health preservation or specifying guarantees for safe working conditions to different categories of medical staff at the level of a specialized federal legislation.

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Nurses of the psychiatric service as the specific occupational group

Year: 2016, volume 12 Issue: №2 Pages: 199-202
Heading: Sociology of Medicine Article type: Review
Authors: Klimentova I.V., Andriyanova Е.А., Chernyshkova Е.М.
Organization: Saratov State Medical University
Summary:

The demand for psychiatric services in modern health care system will increase due to the growth in number of mental diseases. The role of nurses in prevention, treatment and rehabilitation of mental illness has a number of features. These features are related to care of patients with high level of aggressiveness, behavioral deviations, and problems in self-service. Differences in procedure practice and communicative space specialize and make narrower the nurses' professional practice in psychiatry and determine appearance of specific mechanisms and norms bound up with the necessity of supervision of patients while respecting their rights. Personnel's oversight functions, deviant behavior of patients, high degree of closure of psychiatric medical institutions — are the reasons for specialization of nurses' professional group in psychiatry, forming special mechanisms of maintaining tolerance to patients in professional sphere of this community.

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Источники поддержания здоровья в интерпретациях представителей пожилого возраста

Year: 2015, volume 11 Issue: №1 Pages: 058-061
Heading: Gerontology and geriatrics Article type: Original article
Authors: Chernyshkova Е.М., Andriyanova Е.А., Repin V.F., Chernyshkov D.V.
Organization: Saratov State Medical University
Summary:

The goal is to analyze the main sources of health maintenance among elderly people who continue working after retirement. Material and methods. Analysis of the main sources of health maintenance among elderly people is based on the results of sociological research by means of semi-structured interview, conducted in 2014 in Saratov city. The sample included 8 respondents aged 55-65 years who continue working after their retirement. Results. The main sources of health maintenance among working pensioners include such preventive measures as moderate physical exercise, rational nutrition, folk medicine, hardening, and regular medical examinations. It was revealed that in the case of self-prevention of chronic diseases worsening elderly persons rely on previous doctors' prescriptions, drugs instructions, and medical literature. Conclusion. The data obtained in this research allow to make the conclusion that along with demand for preventive measures of health maintenance among working pensioners, there is an expansion of self-medication practice. This fact could be explained by a decrease of confidence in primary health care services, low availability of paid medical services.

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Health preservation of elderly persons as the problem of sociology of medicine

Year: 2014, volume 10 Issue: №4 Pages: 670-674
Heading: Sociology of Medicine Article type: Review
Authors: Arstangaliyeva Z.Zh., Chernyshkova Е.М., Andriyanov S.V.
Organization: Saratov State Medical University
Summary:

The present review concerns the elderly persons' health preservation and deals with theoretical approaches to the study of this problem. It was revealed that there is an imbalance between basic approaches in favor of medicinal side in the study of health preservation of older age group. The necessity for interdisciplinary problem solving in regard to elderly persons' health preservation was substantiated in categorical field of sociology of medicine.

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Influence of value orientations of rural population on formation of self-preserving behavior

Year: 2014, volume 10 Issue: №3 Pages: 465-468
Heading: Sociology of Medicine Article type: Review
Authors: Yurova I.Yu., Fyodorova L.M., Chernyshkova E.V.
Organization: Saratov State Medical University
Summary:

Formation of self-preserving behavior of rural population is defined both by external conditions and factors, and by way of living of a particular person, its value orientations towards his or her own health, and later — by practical implementation of appropriate behavioral values. System of values as the element of culture and essential factor that forms people's attitude to their health determines health-saving or health-destructing practice. In reality, however, there is a mismatch of value orientations of rural population and practical actions for maintaining (destructing) its health.

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Medical Students' Personal Determinants of Overcoming Strategies in Difficult Situations

Year: 2013, volume 9 Issue: №1 Pages: 132-136
Heading: Pedagogics and Education Article type: Original article
Authors: Veretelnikova Yu.Ya., Chernyshkova E.V., Belyakov A.Ye.
Organization: Saratov State Medical University, Saratov state university
Summary:

Goal of the research was to study conditionality of overcoming strategies in difficult situations of social interaction by personal representations of attitude to others among medical students. Material and methods. 134 first-year students of Saratov State Medical University n.a. V. I. Razumovsky took part in the comparative diagnostic study. Results. Comparison of average indices of various strategies evidence in coping behaviour allowed revealing statistically significant dependence of coping behaviour modi in difficult situations of social interaction upon types of personal representations of attitude toward others and gender features of forming effective strategies of coping behaviour among medical students. Conclusion. Correlation between coping behaviour modi in difficult situations of social interaction and typology of personal representations of attitudes toward others among medical students was marked.

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Features of psychoemotional status of pregnant women with fetoplacental insuffciency

Year: 2012, volume 8 Issue: №2 Pages: 541-547
Heading: Neurology Article type: Original article
Authors: Chekhonatskaya M.L., Chernyshkova E.V., Chekhonatsky A.A., Kipchatova T.Yu.
Organization: Saratov State Medical University
Summary:

Research Goal was to study features of psychoemotional status of pregnant women with chronic fetoplacental insuffciency. Materials. 112 pregnant women with chronic fetoplacental insuffciency; 73 women with physiological course of pregnancy and delivery. Research of personal psychological characteristics was carried out by Minnesota multidimensional personal index (MMPI), adapted by F. B. Berezina and V. P Miroshnikova (1989). Personal and reactive anxiety was defned by method of self-appraisal according to D. Spilberger and Yu. L. Khalin. Results. Psychoveg-etative changes lead to unequal mobilization of various visceral systems, which can promote development of different complications of pregnancy course along with other factors, including fetoplacental insuffciency. Pregnant women with increased level of reactive anxiety more often have isolated decrease of uteroplacental blood fow; at hyperdepression combined disturbance of uteroplacental and fetoplacental blood fow was revealed; at hypochondria disturbance of uteroplacental and fetoplacental blood fow was also marked. Conclusion. Pregnant women with fetoplacental insuf-fciency demonstrated increase of anxiety and psychasthenia. As gestation period extended, patients with fetoplacental insuffciency marked high level of lability and reactivity of vegetative nervous system in combination with increased anxiety and presence of depression. Taking into consideration psychovegetative basis of occurrence of functional disturbances in the system mother-placenta-fetus, determination of personal psychoemotional features and state of vegetative nervous system, with future correction of reveled disturbances, should be obligatory.

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