Saratov JOURNAL of Medical and Scientific Research

Krasnikova N.V.

Saratov State Medical University n.a. V.I. Razumovsky Associate Professor of Department of Polyclinic Therapy, General Practice and Preventive Medicine, PhD

Medico-social performance of health centers to identify risk factors for major chronic non-communicable diseases

Year: 2019, volume 15 Issue: №1 Pages: 77-82
Heading: Health Service Organization Article type: Original article
Authors: Krasnikova N.V., Shemetova G.N., Kazban O.G., Кап А.О., Savinov T.Kh.
Organization:
Summary:

Objective: to study the frequency of occurrence of risk factors for cardiovascular disease among the working population of Saratov and to analyze the effectiveness of measures to promote a healthy lifestyle in the district health Center. Material and methods. The study was conducted on the basis of thehealth Center of the Saratov city polyclinic №17. For 2013-2017 surveyed 50301 patient of working age. The plan of the survey included the collection of anamnesis to identify risk factors for cardiovascular disease, physical examination with the implementation of anthropometry (determination of growth, calculation of body mass index), measurement of blood pressure, determination of total cholesterol and glucose in capillary blood. The total risk of fatal cardiovascular complications was assessed on the SCORE scale. Portable peripheral Doppler analyzer Smart Dop 30 EX with automatic measurement of systolic blood pressure and calculation of ankle-brachial index was used for angiological screening. Results: The most common risk factors were poor nutrition and physical activity, hypercholesterolemia, hyperglycemia, overweight and obesity. A decrease in the number of smokers since 2013 by more than 1.5 times: from 12.9 to 7.5%. The incidence of hypertension increased from 29.1 to 41.7%. Conclusion. It was found that more than 70% of patients who applied had risk factors for major chronic noncommunicable diseases. Overweight and obesity, irrational nutrition, low physical activity were detected in more than 50% of cases; hypercholesterolemia was determined in 45% of cases, hyperglycemia in 25%. Over the past 5 years, the incidence of hypertension among patients of working age has increased, primarily due to improved detection. It is important to carry out preventive programs, starting with students and young people, to inform citizens and motivate them to lead a healthy lifestyle.

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The role of departments of polyclinic therapy in solution of primary healthcare matters

Year: 2016, volume 12 Issue: №3 Pages: 418-420
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shemetova G.N., Krasnikova N.V.
Organization: Saratov State Medical University
Summary:

Priority tasks concerning the improvement of the Russian health and the primary health care, restoring the primacy of prevention as a strategic line of health are impossible without highly qualified training of health personnel, particularly therapeutists and general practitioners (family doctors). Departments of polyclinic therapy play a crucial role in the training of specialists of primary health care.

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Modern innovative pedagogical technologies in training primary care physicians

Year: 2011, volume 7 Issue: №1 Pages: 165-168
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shlyakhova G.N., Balashova М.Е., Shemetova G.N., Krasnikova N.V., Ryaboshapko A.I., Ryzhkova L.K., Ilyasova T.A.
Organization: Saratov State Medical University
Summary:

Training primary care physicians and general practitioners/family doctors is performed at different departments of Saratov State Medical University: Ambulatory Care, Polyclinic Therapy and Family Medicine. Since the foundation of department of Polyclinic Therapy, traditional training in polyclinic therapy has been carried out in different directions: outpatient therapy for the general practitioners/family doctors, for the 6th-year students of the Therapeutic faculty, for the 4th-year students of the Medico-prophylactic faculty, and for the 4th-year students of faculty of higher nursing professional education. In the recent years, the educational system is being reformed, so it has led to some changes in all fields of education in general. Innovative technologies, such as multimedia lectures, seminars, discussions, round tables, self-study with the use of different information resources, making out presentations of clinical cases, making reports and discussions in groups, carrying out mini-conferences, role model and business games for the primary care physicians, are introduced to the modern educational process. Therefore it is of high priority to use not only traditional education in the training of a general practitioner, but innovative technologies as well, which can guarantee high level of education and professional development

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