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Specialty "preventive medicine": from applicant to specialist 预防医学 "专科:从申请人到专家
Pub Date : 2024-03-01 DOI: 10.24075/rbh.2024.090
OM Shepeleva, ES Gerasimova, MI Churilin
Preserving and strengthening the health of the population of the Russian Federation is impossible without ensuring sanitary and epidemiological welfare. Furthermore, the staff shortage of preventive medicine specialists is observed in a number of regions, along with the decline in popularity of this specialty among applicants manifesting itself in the lower number of applications and the lower average USE scores of admitted students together with the lower passing scores in educational institutions. The study was aimed to assess the social and psychological portrait of the student studying at the faculty of preventive medicine and his/her motivation for further professional activity. The anonymous online questionnaire survey of 153 students showed that only 57.5% of students made a conscious choice of profession, 54.3% remain confident in their choice throughout the learning process, 28.8% doubt their choice, and 16.9% would never do the same choice. A total of 34.0% respondents are concerned about the success of their employment. At the same time, the majority of students show good academic performance, while career orientation and competitiveness are the major factors that drive their successful study.
如果不确保卫生和流行病方面的福利,就不可能维护和加强俄罗斯联邦居民的健康。此外,许多地区都出现了预防医学专业人员短缺的问题,同时该专业在申请者中的受欢迎程度也在下降,表现为申请人数减少、被录取学生的 USE 平均分降低以及教育机构的及格分数降低。本研究旨在评估就读于预防医学系的学生的社会和心理特征及其进一步从事专业活动的动机。对 153 名学生进行的匿名在线问卷调查显示,只有 57.5%的学生有意识地选择了专业,54.3%的学生在整个学习过程中对自己的选择充满信心,28.8%的学生怀疑自己的选择,16.9%的学生永远不会做出同样的选择。共有 34.0%的受访者担心自己能否成功就业。与此同时,大多数学生的学习成绩良好,而就业取向和竞争力是推动他们成功学习的主要因素。
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引用次数: 0
Psychophysiological features of students at different risk of internet-addictive behavior 不同网络成瘾行为风险学生的心理生理特点
Pub Date : 2024-03-01 DOI: 10.24075/rbh.2024.091
NP Setko, OM Zhdanova, A. Setko
Internet addiction is a behavioral problem that is rapidly growing increasingly widespread, especially among higher education students. This study aimed to profile psychophysiological characteristics of students at different levels of risk of developing behavior-modifying internet addiction. We invited 261 students and established their levels of internet addiction using the Chen Internet Addiction Scale, then formed two groups: group 1 — students showing no signs of internet addiction; group 2 — students prone to internet addiction. Students' mental and social health and quality of life were assessed. Compared to the participants from group 1, group 2 students were found to exhibit 1.7 times more intense compulsive symptoms, 1.5-fold stronger withdrawal and tolerance symptoms, and had intrapersonal/health issues and time management problems that were 1.3 and 1.4-fold more grave, respectively; all these factors contributed to their predisposition to internet addiction. The risk of internet addiction in group 2 externalized as greater irritability (1.5-fold higher than in group 1), resentment (1.4-fold higher), feelings of guilt and hostility (1.3-fold more intense), verbal aggression (1.2-fold), stress (1.3-fold), anxiety and negative emotional experiences (1.2-fold), and 1.2 times lower quality of life in terms of its psychological component. The resulting data suggest the need for prevention measures designed to reduce the risk of internet addiction through management of negative emotional states in students with the help of socio-psychological inventory.
网络成瘾是一种行为问题,正在迅速发展,日益普遍,尤其是在高校学生中。本研究旨在了解不同程度的网络成瘾学生的心理生理特点。我们邀请了 261 名学生,使用陈氏网络成瘾量表确定了他们的网络成瘾程度,然后将他们分成两组:第一组--没有网络成瘾迹象的学生;第二组--容易出现网络成瘾的学生。对学生的心理健康、社交健康和生活质量进行了评估。结果发现,与第 1 组相比,第 2 组学生的强迫症状比第 1 组强烈 1.7 倍,戒断和耐受症状比第 1 组强烈 1.5 倍,人际关系/健康问题和时间管理问题分别比第 1 组严重 1.3 倍和 1.4 倍,所有这些因素都是导致他们容易网络成瘾的原因。第 2 组的网瘾风险外化为更易怒(比第 1 组高出 1.5 倍)、怨恨(高出 1.4 倍)、内疚感和敌意(强烈 1.3 倍)、言语攻击(1.2 倍)、压力(1.3 倍)、焦虑和负面情绪体验(1.2 倍),在心理因素方面,生活质量降低了 1.2 倍。由此得出的数据表明,有必要采取预防措施,借助社会心理清单管理学生的负面情绪状态,从而降低网络成瘾的风险。
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引用次数: 0
Hygienic characteristics of some aspects of students’ psychological health 学生心理健康某些方面的卫生特征
Pub Date : 2024-02-19 DOI: 10.24075/rbh.2024.087
A. Kopylov
Recently, the problem of psychological status of students, including university students, and its influence on the health of the individual has become very relevant. The applicants entering higher education institutions of our county face an especially difficult period. They have to deal with a lot of exams affecting their future destiny, the complicated process of adaptation to the new training conditions existing in the educational institutions, as well as with the completely unfamiliar team of teachers and students. The study was aimed to perform comparative analysis of psychological health of the students attending the medical university and to determine the indicators most strongly affecting the students’ quality of life and body’s condition. A total of 1050 first-year, third-year, and sixth-year students of the medical university were enrolled. Each subject was offered to voluntarily pass three different tests to determine his/her psychological status. The scores of functional reserve of the CNS below 50% were reported for more than one third of students of the pediatric faculty (39%). In students of the faculty of pediatrics, the decreased performance was observed in 51% of cases, mostly in females. To summarize, it is worth noting, that medical students, especially first-year students, often have psychological health problems.
近来,学生(包括大学生)的心理状况及其对个人健康的影响问题变得非常重要。进入我县高等院校的考生面临着一个特别困难的时期。他们要面对许多影响自己前途命运的考试,要适应教育机构新的培养条件的复杂过程,还要面对完全陌生的师生团队。本研究旨在对医科大学学生的心理健康状况进行比较分析,并确定对学生生活质量和身体状况影响最大的指标。研究共招募了 1050 名医科大学一年级、三年级和六年级学生。每个受试者都自愿通过三种不同的测试,以确定其心理状况。超过三分之一的儿科系学生(39%)的中枢神经系统功能储备得分低于 50%。在儿科学系的学生中,51%的人的成绩有所下降,其中以女生居多。总之,值得注意的是,医科学生,尤其是一年级学生,经常有心理健康问题。
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引用次数: 0
Pressing issues of medical assistance of students receiving secondary medical education 接受中等医学教育的学生在医疗援助方面面临的紧迫问题
Pub Date : 2024-01-30 DOI: 10.24075/rbh.2024.086
VV Shkarin, NI Latyshevskaya, EN Tikhonova, NV Levchenko
The paper reports the issues of the medical assistance of students attending secondary medical educational institutions in Volgograd and the Volgograd region. It has been found that the regional regulatory documents contain no unified requirements related to students’ health protection. Primary medical care provision to students is ensured by pediatric (under the age of 18 years) and adult outpatient clinics (over the age of 18 years) of Volgograd and the Volgograd region in accordance with the concluded contracts. Furthermore, the students have a mandatory medical check-up before the beginning of practical training in accordance with the Order № 29N of the Ministry of Health of the Russian Federation dated January 28, 2021. At the same time, there is no dynamic monitoring of the students’ health status during the educational process. It has been shown that none of the secondary medical educational institutions of Volgograd and the Volgograd region conducts assessment and monitoring of occulational risk factors corresponding to the studied specialty. It is necessary to develop the system for informational communication of medical professional with medical institutions conducting preventive medical examinations and routine check-ups of students. Furthermore, it is important to consider the features of the chosen profession taking into account potential risk factors of the learning process and future professional activity.
本文报告了伏尔加格勒和伏尔加格勒州中等医学教育机构学生的医疗援助问题。研究发现,地区规范性文件中没有关于学生健康保护的统一要求。伏尔加格勒市和伏尔加格勒州的儿科(18 岁以下)和成人门诊(18 岁以上)根据签订的合同为学 生提供初级医疗服务。此外,根据俄罗斯联邦卫生部2021年1月28日第29N号命令,学生在开始实习前必须进行体检。同时,在教学过程中也没有对学生的健康状况进行动态监测。事实证明,伏尔加格勒和伏尔加格勒州的中等医学教育机构均未对所学专业的发病危险因素进行评估和监测。有必要建立医疗专业人员与对学生进行预防性体检和常规检查的医疗机构之间的信息沟通系统。此外,考虑到学习过程和未来职业活动的潜在风险因素,考虑所选专业的特点也很重要。
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引用次数: 0
Hygienic assessment of daily dietary intake of medical students 医学生日常饮食摄入量的卫生学评估
Pub Date : 2023-12-27 DOI: 10.24075/rbh.2023.084
IO Makarova
It is difficult to overestimate the relevance of the study of the actual nutrition of students of higher education institutions, as nutrition is the most important component of healthy lifestyle. The aim of the study was to perform hygienic assessment of the medical university students’ daily dietary intake. The study involved 1200 students of the 1st, 2nd and 3rd years at the department of general medicine, pediatric department and dental department. The method of studying actual nutrition with the help of an electronic food diary, where the subjects entered information about the foods consumed during the day, was chosen to record actual nutrition facts. Data processing showed that the daily nutritional intake of students at all the studied faculties was characterized by reduced caloric content, reduced intake of nutritional substances, lack of systematization of meals and eating mainly in the evening. Thus, hygienic assessment of the medical students’ daily dietary intake revealed shortcomings in the organization of nutrition of this population group, which should be eliminated in order to preserve and improve the health of future specialists. In subsequent studies, one would need to assess the nutrition of different gender groups in order to trace the emerging nutritional stereotypes in groups of young men and women, taking into account the differences in age and the chosen specialty.
营养是健康生活方式最重要的组成部分,因此对高等院校学生的实际营养状况进行研究,其意义无论怎样强调都不为过。本研究旨在对医科大学学生的日常饮食摄入量进行卫生学评估。研究涉及全科医学系、儿科系和牙科系一、二、三年级的 1200 名学生。研究选择了借助电子食物日记来记录实际营养状况的方法,受试者在电子食物日记中输入了一天中摄入的食物信息。数据处理结果表明,所研究的所有院系学生的日常营养摄入特点是热量含量降低、营养物质摄入减少、膳食缺乏系统性以及主要在晚上进食。因此,对医科学生日常膳食摄入量的卫生学评估揭示了这一人群在营养组织方面的缺陷,为了保护和改善未来专家的健康,应消除这些缺陷。在以后的研究中,我们需要对不同性别群体的营养状况进行评估,以便在考虑到年龄和所选专业差异的情况下,追踪青年男女群体中新出现的营养定型观念。
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引用次数: 0
Features of teaching hygiene in the medical university considering specialization and digitalization 考虑到专业化和数字化的医科大学卫生教学特点
Pub Date : 2023-12-06 DOI: 10.24075/rbh.2023.083
TE Fertikova, NYu Chernykh, E. Melikhova, AV Skrebneva, II Libina, RO Khatuaev, MV Vasilieva
The issue of organizing the teaching of hygiene considering specialization of the medical university faculties is relevant in the context of digitalization. Proficiency in digital skill determines the modern professional physician’s competitiveness. The paper provides analysis of the use of digital technologies to study the relevant issues of hygiene. Educational process at the Department of General Hygiene of the Voronezh State Medical University is built on the principle of uniformity and consistency. Professional educational trajectory, including that on digital platforms, considers the teaching continuity, from fundamental theoretical subjects to clinical and specialized ones. Within the framework of educational process, issues of special hygiene, such as specifics of structure and use of medical institutions, features of professional activity of physicians of various specialties, are considered. Conventional methods to teach hygiene are supplemented with the differentially used innovative teaching techniques. The business game method is successfully used by the future clinicians to master the topic “Food Poisoning”. The method of creating educational videos for visual demonstration of laboratory work can be used in distant learning. The digital learning method demonstrates the possibility of using advanced digital devices and internet-based technologies in preventive medicine. It seems necessary to further improve the educational process at all the faculties as educational and professional standards, as well as the academic passport for Hygiene, are updated.
在数字化背景下,考虑到医科大学院系的专业化,组织卫生学教学的问题具有现实意义。数字技术的熟练程度决定了现代专业医生的竞争力。本文分析了利用数字技术研究卫生学相关问题的情况。沃罗涅日国立医科大学普通卫生学系的教育过程建立在统一性和一致性的原则之上。包括数字平台在内的专业教育轨迹考虑到了从基础理论科目到临床和专业科目的教学连续性。在教学过程框架内,考虑了特殊卫生问题,如医疗机构结构和使用的特殊性、各专业医生职业活动的特点等。除了传统的卫生学教学方法外,还采用了不同的创新教学方法。未来的临床医生成功地利用商业游戏法掌握了 "食物中毒 "这一主题。制作教学视频以直观演示实验室工作的方法可用于远程学习。数字学习法展示了在预防医学中使用先进数字设备和互联网技术的可能性。随着教育和专业标准以及卫生学学术护照的更新,似乎有必要进一步改进所有学院的教育过程。
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引用次数: 0
Carbon dioxide: problems of standard setting, content control and prevention of adverse effects in educational institutions 二氧化碳:教育机构的标准制定、内容控制和不良影响预防问题
Pub Date : 2023-12-01 DOI: 10.24075/rbh.2023.081
II Novikova, A. Sorokina, M. Lobkis, N. Zubtsovskaya, M. Semenikhina, VA Shcheveleva, NI Nazimkin
This article is a review of data published in Russian and foreign studies that reflect current problems concerning content of carbon dioxide in spaces of residential and public buildings, including children's educational organizations. We consider: mechanisms of action of high concentrations of carbon dioxide on the human body, which manifests as acute and delayed disruptions of metabolic processes in circulatory, central and respiratory systems; existing carbon dioxide content measurement methods used for indoor spaces; principles of setting microclimate and air quality standards for temporarily and constantly occupied indoor spaces and the respective parameter control principles. This analytical review revealed the need for standard-setting efforts, development and approval of a methodology enabling measurement of the actual carbon dioxide concentration in children's educational institutions, since routine measures adopted for the purpose lack in effectiveness or realization, which prevents normalization and stabilization of all qualitative and quantitative air parameters at the levels making the environment of a classroom safe and optimal for education-related activities given high occupancy of the space.
本文回顾了俄罗斯和国外发表的研究数据,这些数据反映了住宅和公共建筑(包括儿童教育组织)空间中二氧化碳含量的当前问题。我们考虑:高浓度二氧化碳对人体的作用机制,其表现为循环、中枢和呼吸系统代谢过程的急性和延迟中断;现有用于室内空间的二氧化碳含量测量方法;临时性和持续性室内空间小气候和空气质量标准的设定原则及参数控制原则。这一分析性审查表明,有必要制定标准,制定和核准一种方法,以便能够测量儿童教育机构内的实际二氧化碳浓度,因为为此目的采取的常规措施缺乏效力或无法实现。这阻碍了所有定性和定量空气参数的正常化和稳定,使教室环境安全,最适合教育相关活动,因为空间占用率很高。
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引用次数: 0
Health status of children and adolescents in the far eastern federal district 远东联邦区儿童和青少年的健康状况
Pub Date : 2023-12-01 DOI: 10.24075/rbh.2023.082
OP Gritsina, AK Yatsenko, LV Trankovskaya, IS Bodraya, ES Pozdeeva, PA Zmitrovich, VE Izbaskhanova
It is well-known that investigation of the features of incidence among children and adolescents in certain human environment aimed at identification of promising prevention vectors in the region is a priority in the development of healthcare system and the state’s social policy. The study was aimed to explore the regional features of the pediatric population health in the regions of the Far Eastern Federal District (FEFD). A retrospective analytical study was conducted; the values and structure of incidence in children and adolescents in 11 FEFD regions were assessed. It was found that classes X (Diseases of the respiratory system) and XIX (Injury, poisoning and certain other consequences of external causes) occupied the leading places in the structure of the long-term average annual incidence by disease classes in FEFD among children aged 0–14 and adolescents aged 15–17. The lowest incidence was reported for class III (Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism). Significant differences in the long-term average annual levels of the studied indicator between age groups in FEFD and significant differences from the all-Russian values were revealed. The findings can be used to predict the health status of the younger generation and determine the strategic direction of healthcare system in the macroregion.
众所周知,在特定的人类环境中调查儿童和青少年的发病率特征,旨在确定该地区有希望的预防媒介,是医疗保健系统和国家社会政策发展的优先事项。本研究旨在探讨远东联邦区(FEFD)地区儿童人口健康的区域特征。进行回顾性分析研究;评估了11个FEFD地区儿童和青少年发病率的值和结构。研究发现,在0-14岁儿童和15-17岁青少年FEFD按疾病类别划分的长期平均年发病率结构中,X类(呼吸系统疾病)和XIX类(损伤、中毒和某些其他外因后果)占据领先地位。据报道,发病率最低的是第三类疾病(血液和造血器官疾病以及涉及免疫机制的某些疾病)。FEFD研究指标的长期平均年水平在各年龄组之间存在显著差异,与全俄罗斯值存在显著差异。研究结果可用于预测年轻一代的健康状况,并确定宏观区域医疗保健系统的战略方向。
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引用次数: 0
Relationship between major cardiovascular system parameters and body mass index in adolescents of magadan region 马加丹地区青少年心血管系统主要参数与体重指数之间的关系
Pub Date : 2023-11-28 DOI: 10.24075/rbh.2023.080
OO Alyoshina, AA Suhanova, IV Averyanova
Excess weight and obesity detected in adolescence are likely to be detected in adulthood, which increases the risk of cardiovascular disorders. The study was aimed to assess the features of cardiovascular system parameters in adolescent males considering their body mass index (BMI). For this purpose a total of 208 adolescent males aged 15–16 were surveyed. The major indicators of physical development and cardiovascular system function were evaluated by standard method. BMI was calculated, based on which three groups were distinguished: underweight adolescents, adolescents with normal and excess body weight. It was found that 23% of subjects were underweight, 62% had normal body weight, and excess body weight was reported in 15% of adolescents. It has been shown that the growth of strain on the cardiovascular system from the group of underweight adolescents to the group with excess weight is observed (4, 16, and 37%, respectively), which is confirmed by the correlation analysis results. The findings suggest the less effective cardiovascular system functioning mode in overweight adolescents compared to other assessed groups. The data obtained can be used to develop the guidelines on managing excess body weigth in the group of individuals being through the adolescent ontogeny period as a target group for health promotion and applying preventive measures.
青少年时期发现的超重和肥胖很可能会在成年后被发现,从而增加心血管疾病的风险。这项研究旨在评估青少年男性心血管系统参数的特征,同时考虑到他们的体重指数(BMI)。为此,共调查了 208 名 15-16 岁的青少年男性。采用标准方法对身体发育和心血管系统功能的主要指标进行了评估。在计算体重指数的基础上,将青少年分为三组:体重不足的青少年、体重正常的青少年和体重超标的青少年。结果发现,23% 的受试者体重不足,62% 的受试者体重正常,15% 的青少年体重超标。研究结果表明,从体重不足青少年组到体重超标青少年组,心血管系统的负荷都在增加(分别为 4%、16% 和 37%),相关分析结果也证实了这一点。研究结果表明,与其他被评估组别相比,超重青少年的心血管系统功能模式效果较差。所获得的数据可用于制定有关管理处于青春发育期的超重人群的准则,将其作为促进健康和采取预防措施的目标群体。
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引用次数: 0
Current directions of the department of hygiene, faculty of pediatrics, pirogov russian national research medical university (115th anniversary of the department) 俄罗斯国立皮罗戈夫研究医科大学儿科学系卫生学教研室当前的方向(建系 115 周年)
Pub Date : 2023-11-01 DOI: 10.24075/rbh.2023.079
O. Milushkina, N. Skoblina, VV Korolik, NI Sheina, NA Bokareva, FU Kozyreva, S. Markelova, MB Bulatseva, EA Dubrovina, YuL Tikhonova
The paper provides the analysis of the research and practical work done at the Department of Hygiene, Pirogov Russian National Research Medical University, for the period between 2018 and 2023 aimed to determine the today’s directions of the Department and demonstrate their relevance, scientific and practical significance; prospective directions of further research are defined. Statistical data processing was performed using the Statistica 13 PL software and the tag (word) cloud service. Staff of the Department did extensive educational and methodological, organizational and methodological, expert and consulting, research work (paragraphs 1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12 of the academic passport for the specialty 3.2.1. “Hygiene”); a total of 10 textbooks and three toolkits, three guidelines, two software products, one patent for invention and 39 database certificates, 11 collective monographs were published; two hygienic standards were approved; the activity outcomes were presented during 95 scientific and practical events, including that with international involvement. A total of 150 articles were published: 46 in the journals indexed in international databases (Scopus, Web of Science), 58 in the journals indexed by HAC under the Ministry of Education and Science of the Russian Federation, one in the Nature journal. Two candidate and two doctoral theses on the specialty 3.2.1. “Hygiene” were prepared and defended. The activity outcomes provided helped to address the hygienic challenges currently faced by professional community to achieve the national goals of the Russian Federation in the fields of demography, public health and digitalization.
本文对皮罗戈夫俄罗斯国立研究医科大学卫生系在2018年至2023年期间所做的研究和实际工作进行了分析,旨在确定该系当今的发展方向,并证明其相关性、科学性和实用性;同时还确定了进一步研究的前瞻性方向。统计数据的处理使用了 Statistica 13 PL 软件和标签(文字)云服务。该系工作人员开展了广泛的教育和方法、组织和方法、专家和咨询、研究工作(专业 3.2.1 学术护照第 1、2、3、4、5、6、8、9、10、11、12 段。"卫生");共出版了 10 本教科书和 3 个工具包、3 份指南、2 个软件产品、1 项发明专 利和 39 份数据库证书、11 本集体专著;批准了 2 项卫生标准;在 95 次科学和实践活动(包 括有国际参与的活动)中介绍了活动成果。共发表了 150 篇文章:46 篇发表在国际数据库(Scopus、Web of Science)收录的期刊上,58 篇发表在俄罗斯联邦教育和科学部下属的 HAC 收录的期刊上,1 篇发表在《自然》期刊上。关于 3.2.1."卫生 "专业的两篇候选论文和两篇博士论文进行了撰写和答辩。所提供的活动成果有助于应对专业界目前面临的卫生挑战,以实现俄罗斯联邦在人口、 公共卫生和数字化领域的国家目标。
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引用次数: 0
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Российский вестник гигиены
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