Saratov JOURNAL of Medical and Scientific Research

Saratov State Medical University

www.sgmu.ru

The Department of Hospital Therapy of Medical faculty as a basis for the new departments organisation and teaching staff training

Year: 2018, volume 14 Issue: №3 Pages: 473-475
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Yudanova L.S., Rebrov А.Р.
Organization: Saratov State Medical University
Summary:

The article represents the history of the Hospital Therapy Department at the Saratov State Medical University served as a basis for new departments' organization. The stages of its development are highlighted.

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Professor Zakharova Galina Nikolaevna (to the 100th teacher's birth anniversary)

Year: 2018, volume 14 Issue: №3 Pages: 470-472
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Tsarev О.А.
Organization: Saratov State Medical University
Summary:

The article states the biographical information about Professor G. N. Zakharova, describing her academic contribution into the development of surgery, health care organization and training of academic staff of Saratov Medical Institute.

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Professor I.Ya. Livshits and his contribution to the development of national neurosurgery

Year: 2018, volume 14 Issue: №3 Pages: 466-469
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Ulyanov V.Yu., Ninel V.G., Norkin I.A., Grishin S.Ye., Bazhanov S.P., Fedonnikov A.S., Chibrikov G.l., Puchinyan D.M.
Organization: Saratov Medical University "Reaviz", Saratov Socio-Economic Institute of Plekhanov Russian University of Economics, Saratov State Medical University
Summary:

The article traces the professional path of Professor Lev Yakovlevich Livshits, assesses his scientific contribution to the development of national neurosurgery. The concept of minimally invasive surgical treatment of trigeminal nerve neuralgia, developed by L. Ya. Livshits, allowed developing an original method of puncture surgical treatment of pain syndrome by directed hydrothermal destruction of the sensitive trigeminal root. The concept of "growing radicalism" created by Professor L. Ya. Livshits allowed his students elaborating algorithms for treating severe chronic pain syndromes of any localization and etiology.

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Professor Natalya Grigoryevna Astafyeva (to the birth anniversary)

Year: 2018, volume 14 Issue: №3 Pages: 464-465
Heading: anniversary Article type: Short message
Authors: Erugina М.V., Abyzova N.V., Zavyalov A.I.
Organization: Saratov State Medical University
Summary:

The article is devoted to the 75th birth anniversary of the Honoured Doctor of the Russian Federation Professor Natalya Grigoryevna Astafyeva.

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Modern approaches to the work of student scientific society at the Department of Hospital Therapy of Saratov State Medical University n.a. V.I. Razumovsky

Summary:

The article describes the perspective forms of the student scientific society sessions. Interdepartmental and inter-university conferences open new opportunities for a comprehensive interdisciplinary approach to a particular scientific problem, broadening the knowledge horizon and facilitating the acquisition of the students' discussion and speech experience. Intellectual game as one of the new active forms of the student scientific society sessions was developed at the Department of Hospital Therapy in order to increase the interest to the discipline "Internal Diseases" and involve new students in the scientific activity of the department.

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Principles of education of students at a highe medical school

Year: 2018, volume 14 Issue: №3 Pages: 457-460
Heading: Pedagogics and Education Article type: Short message
Authors: Bugaeva I.O., Andronova Т.А., Durnova N.A., Berezutsky M.A., Sheremetyeva A.S.
Organization: Saratov State Medical University
Summary:

The article considers the issues of organization of the educational process at the Department of General Biology, Pharmacognosy and Botany of Saratov State Medical University named after V. I. Razumovsky. The most important component of the educational process at higher schools is education. Teaching and educational process at the department is carried out with the observance of the basic principles of didactics. The analysis of the main directions of educational work is carried out: professional, civil and patriotic, moral, cultural and aesthetic, ecological, medical-prophylactic (promotion of healthy lifestyle) and supervision.

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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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Health care supervisors' opinion on prophylactic work in medical organizations

Year: 2018, volume 14 Issue: №3 Pages: 438-444
Heading: Health Service Organization Article type: Original article
Authors: Korshever N.G., Sidelnikov S.A., Yakhina R.R.
Organization: Saratov Regional Centre of Medical Prophylaxis, Saratov State Medical University
Summary:

 The aim: to investigate the condition of prophylactic work in medical organizations and to determine the directions for optimization of this process. Material and Methods. There has been carried out an anonymous questioning 92 of health care supervisors of the Saratov region, as well the analysis of data obtained from Saratov Regional Centre of medical prophylaxis. It was found that there were significant shortcomings in the individual items in the preventive work of medical organizations. Results. There has been determined the awareness of health care supervisors about normative-legal acts regulating prophylactic work; use of corresponding informational-methodical materials; management of registration documents and submission of reporting documents; performance of primary, secondary and tertiary prophylactic measures; realization of means and methods of hygienic upbringing and education of patients; activities of offices (departments) of medical prophylaxis. It has been established that the condition of prophylactic work in medical organizations of the Saratov region is at the satisfactory level but needs to be optimized. The directions of optimization are determined by the necessity to raise the levels of a number of characteristics analyzed. None of the considered measures of the first prophylaxis has been evaluated with the mark "good", (> 4,0 points); some measures of the secondary prophylaxis (purposeful sanitary-hygienic education of patients and members of their families in skills of care associated with a certain disease or with a group of diseases, etc.) (2 points) have been evaluated with the mark "unsatisfactory"; the state of the tertiary prophylaxis has been evaluated on the whole with the mark "satisfactory", i.e. 3,4 points. Conclusion. The obtained materials may be useful in daily practice of medical organizations.

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Methodology of advanced medical information registries design

Year: 2018, volume 14 Issue: №3 Pages: 434-437
Heading: Health Service Organization Article type: Original article
Authors: Fedonnikov A.S., Kolesnikova A.S., Rozhkova Yu.Yu., Kirillova I.V., Bessonov L.V., Ulyanov V.Yu., Kossovich L.Yu.
Organization: Saratov State Medical University
Summary:

Aim: development of information exchange methodology between the main participants of health branch in providing of medical care for traumatology and orthopedic patients at the base of specialized registers design. Material and Methods. Analysis and systematization of 31 registers of medical information in the field of traumatology and orthopedics functionality placed in Federal Institute of Industrial Property, European Patent databases, developers' web-sites were made. Search depth was designated from 1979 and was defined by the date of the earlier found information source. Results. Analysis of specialized registries has shown that most of it (70.9%) are mono-nosological and contain information about diagnostic and treatment measures provided at the level of a medical institution. It was developed a methodology of specialized registry of medical information functionality including the information of applied medical devices, pharmaceutical preparations, medical technologies, rehabilitation programs, medical care evaluation results methodology which let operate with the data forming in information systems of the main health branch participants. Conclusion. Proposed information exchange methodology determines the necessity of integrated target-oriented registry development. Its practical use let increase management decisions quality influencing the achievement of health branch participants objectives.

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Biomarkers of renal damage and immunohistochemical detection of oncogenesis in the surgical treatment of renal cell carcinoma

Year: 2018, volume 14 Issue: №3 Pages: 420-426
Heading: Urology Article type: Original article
Authors: Tarasenko A.l., Rossolovsky A.N., Berezinets O.L., Ponukalin A.N., Medvedeva A.M., Zakharova N.B., Popkov V.M., Maslyakova G.N.
Organization: Saratov State Medical University, I.M. Sechenov First Moscow State Medical University
Summary:

Objective: to assess the possibility of using markers of renal injury and carcinogenesis as additional criteria for the choice of the method of surgical treatment of RCC and to minimize the risk of development and progression of kidney injury. Material and Methods. 60 patients with morphologically confirmed RCC T1-3M0N0 operated on in the volume of open nephrectomy or laparoscopic nephrectomy or laparoscopic resection and the kidney were examined. Patients were divided into 3 groups: group 1: patients after nephrectomy performed for kidney cancer using traditional surgical technique, group 2: patients after laparoscopic nephrectomy and group 3: after laparoscopic resection of kidney tumor. Before surgical operation, on the 5-7 day and after 1 month, all patients were examined by concentrations of urinary excreted lipocalin 2 (NGAL), and serum concentrations of IL-18, MMP-9 and IGF-1. Renal function was estimated using the calculated GFR equation (CKD-EPI 2009) based on serum creatinine level. Immunohistochemical study of histological preparations of distant tumors on proliferation antibodies (Ki-67, PCNA), apoptosis (BAX, Bcl-2) was performed. Differences in clinical data and clinical variables were compared using Spearman rank correlations and t-test. Results. The studied indices of renal damage of IL-18, NGAL, MMP-9 and IGF-1 both in the early (5-7 days) and later (1 month) postoperative period showed a correlation between the surgical intervention method and the degree of tumor cell differentiation. Conclusion. The levels of biomolecular markers of renal damage (IL-18, NGAL, MMP-9 and IGF-1) correlate with the degree of differentiation in thetumoral cells and functional activity of the remaining renal parenchyma in the postoperative period, but also depend on the individual characteristics of the patient's body. A certain level of expression of MMP-9 and IL-18 with a small tumor size can be a guide to determine the indications for the choice of organ-preserving surgery in patients.

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