Medicine and its ability to overcome diseases, epidemics, and mass mortality helped humanity survive the most difficult times in history. It is known that the development of medical science went through several stages over several millennia, gradually improving its capabilities. At the present stage, an essential component of progress in the medical industry is the large-scale development of information technologies, which make it possible to provide medical services of the highest quality, expand the range of opportunities, develop the information component, and form new channels of interaction between social agents. Such modern industries as microbiology, prosthetics, and surgery would not be possible without the development of science and technology. The Internet acted as a significant impetus for the development of the technical and digital spheres, making a breakthrough in almost all spheres of human life possible.
{"title":"Theoretical and methodological analysis of the features of the creation and functioning of a medical organization’s digital platform","authors":"I. E. Utkin, N. Vyatkina","doi":"10.33920/med-03-2307-01","DOIUrl":"https://doi.org/10.33920/med-03-2307-01","url":null,"abstract":"Medicine and its ability to overcome diseases, epidemics, and mass mortality helped humanity survive the most difficult times in history. It is known that the development of medical science went through several stages over several millennia, gradually improving its capabilities. At the present stage, an essential component of progress in the medical industry is the large-scale development of information technologies, which make it possible to provide medical services of the highest quality, expand the range of opportunities, develop the information component, and form new channels of interaction between social agents. Such modern industries as microbiology, prosthetics, and surgery would not be possible without the development of science and technology. The Internet acted as a significant impetus for the development of the technical and digital spheres, making a breakthrough in almost all spheres of human life possible.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115985662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As social practice shows, the future is born from the present. Widely presented at the booths of the Week of Medical Education 2021–2023, robotic and simulation technologies confirmed the effectiveness and prospective viability of using technical developments in medicine. Medicine, being a part of social life, plays an important role in the life of the individual and social groups, and, certainly, its role will only increase [1, 2]. Medical interventions, which until recently seemed to be exclusive novelties, “miracles of science and technology”, have currently become a common clinical practice, not only in capital clinics, but also in regional hospitals. This makes the discussion about strategically promising directions in the development of medicine extremely relevant.
{"title":"Digital technologies and social landscape transformation","authors":"O. Lebed","doi":"10.33920/med-03-2306-03","DOIUrl":"https://doi.org/10.33920/med-03-2306-03","url":null,"abstract":"As social practice shows, the future is born from the present. Widely presented at the booths of the Week of Medical Education 2021–2023, robotic and simulation technologies confirmed the effectiveness and prospective viability of using technical developments in medicine. Medicine, being a part of social life, plays an important role in the life of the individual and social groups, and, certainly, its role will only increase [1, 2]. Medical interventions, which until recently seemed to be exclusive novelties, “miracles of science and technology”, have currently become a common clinical practice, not only in capital clinics, but also in regional hospitals. This makes the discussion about strategically promising directions in the development of medicine extremely relevant.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134408049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although studies on public health and lifestyle diseases have a long history, they are characterized by the selective nature of the consideration of the issue. Over the past decades, student youth has repeatedly been the focus of such studies. Student lifestyle is often accompanied by a violation of the regime of work and rest, quality sleep, as well as cooking and eating. Often, students' meals include unbalanced, high-calorie foods. In this regard, the importance of forming a need for a healthy lifestyle, an attentive attitude to health, and skills aimed at maintaining and preserving it among Russian students is apparent. This goal can be achieved through active outreach and awareness-raising work and the introduction of educational programs and youth projects focused on protection and promotion of Russian students’ health.
{"title":"The food culture of Russian students and its impact on health","authors":"O. Lebed, V. Vershinina","doi":"10.33920/med-03-2306-04","DOIUrl":"https://doi.org/10.33920/med-03-2306-04","url":null,"abstract":"Although studies on public health and lifestyle diseases have a long history, they are characterized by the selective nature of the consideration of the issue. Over the past decades, student youth has repeatedly been the focus of such studies. Student lifestyle is often accompanied by a violation of the regime of work and rest, quality sleep, as well as cooking and eating. Often, students' meals include unbalanced, high-calorie foods. In this regard, the importance of forming a need for a healthy lifestyle, an attentive attitude to health, and skills aimed at maintaining and preserving it among Russian students is apparent. This goal can be achieved through active outreach and awareness-raising work and the introduction of educational programs and youth projects focused on protection and promotion of Russian students’ health.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126587824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article is devoted to the analysis of factors influencing the consumer satisfaction with a medical organization; the shortcomings of the traditional survey method for studying patient satisfaction are considered. In the framework of the article, a digital product that allows the head of a medical organization to monitor the reputational characteristics of the institution in real time and timely eliminate the negative aspects of the institution's work has been proposed.
{"title":"Modern possibilities for analyzing consumers» satisfaction with services of a medical organization","authors":"A. V. Berezanskiy, N. Vyatkina","doi":"10.33920/med-03-2306-01","DOIUrl":"https://doi.org/10.33920/med-03-2306-01","url":null,"abstract":"The article is devoted to the analysis of factors influencing the consumer satisfaction with a medical organization; the shortcomings of the traditional survey method for studying patient satisfaction are considered. In the framework of the article, a digital product that allows the head of a medical organization to monitor the reputational characteristics of the institution in real time and timely eliminate the negative aspects of the institution's work has been proposed.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126751217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In modern algorithms of arterial hypertension treatment, the main strategic approach aimed at increasing the therapy effectiveness is the use of fixed combinations (FC) of two antihypertensive drugs at the start of therapy and of three drugs (preferably in one tablet) when it is necessary to intensify pharmacotherapy. Starting therapy with two drugs in one tablet (FC) is recommended for more than 70 % of patients. The article provides up-to-date information on the choice of a fixed combination for the treatment of patients with arterial hypertension (AH) according to modern national and international recommendations. The place of a fixed combination of ramipril and amlodipine among antihypertensive drugs in achieving the goal of treating patients with arterial hypertension was determined. The advantages of the fixed combination of ramipril and amlodipine due to the wide range of indications and its effectiveness for patients with hypertension in combination with chronic kidney disease (CKD) and metabolic syndrome are discussed. The distinctive properties of the fixed combination of ramipril and amlodipine are emphasized: it allows achieving target values of blood pressure (BP), improves adherence to treatment, reduces the frequency of prescribing additional antihypertensive drugs, and increases patient satisfaction with treatment. In patients with diabetes mellitus and metabolic syndrome, the fixed combination of ramipril and amlodipine allows achieving target values of blood pressure, promotes adherence to treatment, reduces heart rate, improves biochemical parameters of lipid and carbohydrate metabolism and functional kidney indicators. Ramipril, along with perindopril, is widely prescribed for patients with arterial hypertension, and its combination with amlodipine can be considered the method of choice in arterial hypertension patients with diabetes mellitus, chronic kidney disease, and metabolic syndrome.
{"title":"Application of fixed combinations in the treatment of arterial hypertension. Focus on ramipril and amlodipine","authors":"M. Maksimov, K. O. Shnaider, A. P. Kondrakhin","doi":"10.33920/med-03-2306-02","DOIUrl":"https://doi.org/10.33920/med-03-2306-02","url":null,"abstract":"In modern algorithms of arterial hypertension treatment, the main strategic approach aimed at increasing the therapy effectiveness is the use of fixed combinations (FC) of two antihypertensive drugs at the start of therapy and of three drugs (preferably in one tablet) when it is necessary to intensify pharmacotherapy. Starting therapy with two drugs in one tablet (FC) is recommended for more than 70 % of patients. The article provides up-to-date information on the choice of a fixed combination for the treatment of patients with arterial hypertension (AH) according to modern national and international recommendations. The place of a fixed combination of ramipril and amlodipine among antihypertensive drugs in achieving the goal of treating patients with arterial hypertension was determined. The advantages of the fixed combination of ramipril and amlodipine due to the wide range of indications and its effectiveness for patients with hypertension in combination with chronic kidney disease (CKD) and metabolic syndrome are discussed. The distinctive properties of the fixed combination of ramipril and amlodipine are emphasized: it allows achieving target values of blood pressure (BP), improves adherence to treatment, reduces the frequency of prescribing additional antihypertensive drugs, and increases patient satisfaction with treatment. In patients with diabetes mellitus and metabolic syndrome, the fixed combination of ramipril and amlodipine allows achieving target values of blood pressure, promotes adherence to treatment, reduces heart rate, improves biochemical parameters of lipid and carbohydrate metabolism and functional kidney indicators. Ramipril, along with perindopril, is widely prescribed for patients with arterial hypertension, and its combination with amlodipine can be considered the method of choice in arterial hypertension patients with diabetes mellitus, chronic kidney disease, and metabolic syndrome.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"447 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132976816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Based on the research by the Institute of Psychology of the Russian Academy of Sciences, the level of anxiety and depression is growing across the country. The greatest blow falls on young people aged 18–24, with about 77 % noting depressive symptoms in themselves. Zurab Kekelidze, the director general of the Serbsky Center, responsible for providing the World Health Organization (WHO) with data on people with depression, revealed that about 8 million people in Russia suffer from this disease. That is why it is essential for a practitioner to pay attention to the effectiveness of the chosen drug therapy, as well as to take into account adverse reactions. The purpose of the review. This article provides an update on the clinical pharmacology, mechanisms of action, and safety of antidepressants, antipsychotics, and the results of their combination in the treatment of depression. We identified potentially relevant studies by searching the electronic databases MEDLINE, SCOPUS, PubMed, Google Scholar, and the Cochrane Database of Systematic Reviews for the last 5 years up to December 2022, using the terms: depression, mental disorders, therapy, safety, efficacy, adverse effects. Results. Recent studies have shown the efficacy and good tolerability of antidepressant and antipsychotic therapy in the treatment of depression.
{"title":"Efficacy and safety of antidepressant and antipsychotic combinations in the treatment of depression","authors":"K. O. Shnaider, M. Maksimov, A. S. Mikheeva","doi":"10.33920/med-03-2304-02","DOIUrl":"https://doi.org/10.33920/med-03-2304-02","url":null,"abstract":"Based on the research by the Institute of Psychology of the Russian Academy of Sciences, the level of anxiety and depression is growing across the country. The greatest blow falls on young people aged 18–24, with about 77 % noting depressive symptoms in themselves. Zurab Kekelidze, the director general of the Serbsky Center, responsible for providing the World Health Organization (WHO) with data on people with depression, revealed that about 8 million people in Russia suffer from this disease. That is why it is essential for a practitioner to pay attention to the effectiveness of the chosen drug therapy, as well as to take into account adverse reactions. The purpose of the review. This article provides an update on the clinical pharmacology, mechanisms of action, and safety of antidepressants, antipsychotics, and the results of their combination in the treatment of depression. We identified potentially relevant studies by searching the electronic databases MEDLINE, SCOPUS, PubMed, Google Scholar, and the Cochrane Database of Systematic Reviews for the last 5 years up to December 2022, using the terms: depression, mental disorders, therapy, safety, efficacy, adverse effects. Results. Recent studies have shown the efficacy and good tolerability of antidepressant and antipsychotic therapy in the treatment of depression.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"189 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123326574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the near future, global healthcare will undergo fundamental changes associated with digital transformation of medicine, which is supported by numerous innovative technologies. Digitalization of domestic healthcare is currently a priority for its development. It requires medical professionals to have specialized knowledge and a willingness to make the most of the advances in digital medicine. Content analysis of the information space of digital medicine makes it possible to determine people's attitudes by learning the opinions of representatives of various strata of civil society, expressed in the media, and to draw a conclusion about the state of healthcare both in Russia and around the world. In this regard, the methodological support of computer-based content analysis, which must be carried out at the most modern technological level, is of particular interest. It is no coincidence that the purpose of this article is to consider key issues related to the use of innovative approaches and algorithms for assessing the information space of digital medicine.
{"title":"Methodology for content analysis of the digital medicine information space","authors":"V. Berdutin, T. Romanova","doi":"10.33920/med-03-2304-01","DOIUrl":"https://doi.org/10.33920/med-03-2304-01","url":null,"abstract":"In the near future, global healthcare will undergo fundamental changes associated with digital transformation of medicine, which is supported by numerous innovative technologies. Digitalization of domestic healthcare is currently a priority for its development. It requires medical professionals to have specialized knowledge and a willingness to make the most of the advances in digital medicine. Content analysis of the information space of digital medicine makes it possible to determine people's attitudes by learning the opinions of representatives of various strata of civil society, expressed in the media, and to draw a conclusion about the state of healthcare both in Russia and around the world. In this regard, the methodological support of computer-based content analysis, which must be carried out at the most modern technological level, is of particular interest. It is no coincidence that the purpose of this article is to consider key issues related to the use of innovative approaches and algorithms for assessing the information space of digital medicine.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114397285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. G. Pomnikov, A. Alekhin, I. V. Sakovskiy, I. I. Belozertseva, O. V. Dudkina, V. Amelina
The article presents the data on the most important technological solutions that have been implemented in medicine and neurology over the past five years. The analysis of innovations is carried out, their role in the development of medical science is shown, their strengths and weaknesses are highlighted, and problems and prospects for further development of high technologies are reflected.
{"title":"High technologies in medicine and neurology at the current stage: problems and prospects","authors":"V. G. Pomnikov, A. Alekhin, I. V. Sakovskiy, I. I. Belozertseva, O. V. Dudkina, V. Amelina","doi":"10.33920/med-03-2304-03","DOIUrl":"https://doi.org/10.33920/med-03-2304-03","url":null,"abstract":"The article presents the data on the most important technological solutions that have been implemented in medicine and neurology over the past five years. The analysis of innovations is carried out, their role in the development of medical science is shown, their strengths and weaknesses are highlighted, and problems and prospects for further development of high technologies are reflected.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126178247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Yarikov, V. A. Kolesnikov, A. Afanasieva, E.I. Akifieva, K. Lipatov, E.R. Kim, A. Kalinkin, E.A. Agapycheva, E. V. Rumyantseva, T. Apostolova
The article presents a clinical case of surgical treatment of a patient with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine. This patient had spinal epiduritis, paraspinal and subdural abscesses, and purulent meningitis; the course was complicated by bilateral lower lobe pneumonia, systemic inflammatory response syndrome, and sepsis. The main stages of surgical correction were laminectomy, sanitation, and drainage of paraspinal, epidural and subdural abscesses, tracheostomy, puncture and drainage of the psoas abscess on the left side under ultrasound navigation. In addition, the patient received targeted antibiotic therapy. After treatment in the neurosurgical department, the patient was transferred to rehabilitation treatment. Based on the results of surgical treatment, a conclusion was made about the clinical validity of using a combination of methods for the treatment of patients with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine.
{"title":"A case of successful treatment of a multimorphic form of nonspecific purulent-inflammator y disease of the spine","authors":"A. Yarikov, V. A. Kolesnikov, A. Afanasieva, E.I. Akifieva, K. Lipatov, E.R. Kim, A. Kalinkin, E.A. Agapycheva, E. V. Rumyantseva, T. Apostolova","doi":"10.33920/med-03-2304-04","DOIUrl":"https://doi.org/10.33920/med-03-2304-04","url":null,"abstract":"The article presents a clinical case of surgical treatment of a patient with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine. This patient had spinal epiduritis, paraspinal and subdural abscesses, and purulent meningitis; the course was complicated by bilateral lower lobe pneumonia, systemic inflammatory response syndrome, and sepsis. The main stages of surgical correction were laminectomy, sanitation, and drainage of paraspinal, epidural and subdural abscesses, tracheostomy, puncture and drainage of the psoas abscess on the left side under ultrasound navigation. In addition, the patient received targeted antibiotic therapy. After treatment in the neurosurgical department, the patient was transferred to rehabilitation treatment. Based on the results of surgical treatment, a conclusion was made about the clinical validity of using a combination of methods for the treatment of patients with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127660182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the introduction of the «training center», the qualifications of the staff of the emergency medical care station have significantly improved, which made it possible to put into practice the main performance indicators of the station of emergency medical care, such as the quality and level of medical care.
{"title":"Successful implementation of the «training center» on the basis of the Pavlodar Regional Station of Emergency Medical Care","authors":"K. Akhmetzhanov","doi":"10.33920/med-03-2303-05","DOIUrl":"https://doi.org/10.33920/med-03-2303-05","url":null,"abstract":"With the introduction of the «training center», the qualifications of the staff of the emergency medical care station have significantly improved, which made it possible to put into practice the main performance indicators of the station of emergency medical care, such as the quality and level of medical care.","PeriodicalId":406478,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115092262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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