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Development of standard operating procedure "Quality control of sodium chloride solution 0.9% (350 ml) for infusion (intra-pharmacy preparation) in pharmacy organizations manufacturing pharmaceuticals" 制定标准操作程序 "制药机构输液用 0.9%氯化钠溶液(350 毫升)(药房内配制)的质量控制"
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-37-46
A. V. Pereskok, I. A. Savchenko, I. Korneeva, E. A. Luksha, E. V. Ivanova, V. V. Podgurskaya
To develop a standard operating procedure (SOP) for quality control of 0.9% sodium chloride solution (350 ml) for infusion (intra-pharmacy preparation) in accordance with the requirements of the current regulatory documentation. Materials and Methods. Sodium chloride 0.9% sodium chloride solution (350 ml) for infusion (intra-pharmacy preparation) served as the object of the study. The SOP was developed taking into account the requirements of updated regulatory documents used in the field of quality control of medicines: Federal Law No. 61 dated 12.04.2010 "On Circulation of Medicines", Order of the Ministry of Health of the Russian Federation dated 22.05.2023 No. 249n, Order of the Ministry of Health of the Russian Federation dated 22.05.2023 No. 647n dated 31.08.2016, State Pharmacopoeia XV ed. and GOST R 52249-2009. Results. The main stages of the SOP in accordance with the current regulatory documentation are given, reagents, instruments and equipment required for testing are listed, mandatory and sample types of control are indicated. For this dosage form the mandatory controls will be organoleptic, written, control at release, physical and full chemical control. The methods of pH and authenticity tests are described, and the chemistry of qualitative reactions is given. For quantitative determination by the method of argentometry according to Mohr, the method of analysis is given, chemical reactions occurring during titration, the necessary calculations are made: the titer of silver nitrate solution of sodium chloride, the preliminary volume of titrant, the content of sodium chloride in the dosage form in grams. Permissible content limits are given in accordance with OFS.1.8.0001 "Medicinal preparations of pharmacy manufacture". Based on the results of the SOP development, a working instruction for quality control of sodium chloride solution 0.9% (350 ml) for infusion was drawn up. Conclusion. The presented SOP for quality control of sodium chloride solution 0.9% (350 ml) for infusion (intra-pharmacy preparation) describes the requirements for the organization and conditions of testing in assessing the quality of this dosage form and can be implemented in the work of manufacturing pharmacies as a detailed instruction for intra-pharmacy control.
根据现行法规文件的要求,制定输液用 0.9%氯化钠溶液(350 毫升)(药房内配制)的质量控制标准操作程序(SOP)。材料和方法。研究对象为输液用 0.9%氯化钠溶液(350 毫升)(药房内制剂)。SOP 的制定考虑到了药品质量控制领域使用的最新监管文件的要求:2010 年 4 月 12 日第 61 号联邦法《药品流通法》、2023 年 5 月 22 日第 249n 号俄罗斯联邦卫生部令、2016 年 8 月 31 日第 647n 号俄罗斯联邦卫生部令、《国家药典》第 XV 版和 GOST R 52249-2009。结果。根据现行法规文件,给出了 SOP 的主要阶段,列出了测试所需的试剂、仪器和设备,并标明了强制控制和样本控制类型。对于这种剂型,强制性控制包括感官控制、书面控制、释放控制、物理控制和全化学控制。说明了 pH 值和真实性测试的方法,并给出了定性反应的化学反应。对于根据莫尔的精馏法进行定量测定,给出了分析方法、滴定过程中发生的化学反应,并进行了必要的计算:氯化钠硝酸银溶液的滴定度、滴定剂的初步体积、剂型中氯化钠的含量(克)。根据 OFS.1.8.0001 "药房制造的药物制剂",给出了允许的含量限制。根据制定标准操作程序的结果,制定了输液用 0.9%氯化钠溶液(350 毫升)的质量控制工作指南。结论所介绍的输液用 0.9%氯化钠溶液(350 毫升)(药房内部制剂)质量控制标准操作程序说明了评估该剂型质量的检测组织和条件要求,可作为药房内部控制的详细说明在生产药房的工作中实施。
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引用次数: 0
Peculiarities of clabsi in oncologic hospitals 肿瘤医院中clabsi的特殊性
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-47-53
N. E. Belova, E. A. Wilms
Currently, healthcare-associated infections (HAIs) are one of the most dangerous complications for hospitalized patients. The economic damage caused by HCAI in the Russian Federation annually is about 15 billion rubles; in addition, HCAI occupy the tenth place among the causes of mortality of the population. Catheter-associated bloodstream infection holds the leading place in the structure of ISMP morbidity. The concept of CVC-AIC (catheter-associated bloodstream infections or CLABSI), in turn, is included in CAIC. Purpose of the study. To analyze the current literature data of domestic and foreign authors for the years 2012-2022 concerning CAIC in patients of oncologic hospitals with CVCs, including subcutaneous central venous port catheters. Material and Methods. A review of 38 literature sources for the last 10 years was performed, including current information on catheter-associated bloodstream infections, measures to prevent them, and modern treatment approaches. Results. The studies have shown that the combination of drug resistance in microorganisms and immunity reduction in cancer patients, which occurs against the background of chemotherapy, makes them a risk group for the development of CAICs and episodes of their recurrence. Ensuring epidemiological safety of bloodstream catheterization in such patients is an important step in the prevention of CAIC. This is one of the priority tasks of oncoepidemiology today. Conclusion. The leading role in the occurrence of catheter-associated bleeding plays the term of catheterization and the condition of the patient, his age, stage of cancer development and concomitant chronic diseases. One of the most vulnerable risk groups are cancer patients from hemoblastosis chemotherapy and bone marrow and hematopoietic stem cell transplantation units. This may be due to the use of immunosuppressant drugs to suppress graft rejection, which significantly reduce patients' immunity. According to the results of studies, infection with drug-resistant Gram-negative microorganisms, including multidrug-resistant ones, is prevalent in cancer patients with CAIC. When using povidone iodine, there is a tendency to decrease the incidence of CAIC, but the use of chlorhexidine alcohol solution showed better results. A direct correlation was observed between the use of surgically implanted intravascular devices for long-term function and a lower incidence of CAIC, particularly in pediatric oncology.
目前,医疗相关感染(HAIs)是住院病人最危险的并发症之一。在俄罗斯联邦,每年因 HCAI 造成的经济损失约为 150 亿卢布;此外,HCAI 在导致人口死亡的原因中占第十位。导管相关血流感染在 ISMP 发病率结构中占据首位。而 CVC-AIC(导管相关血流感染或 CLABSI)的概念也包含在 CAIC 中。研究目的分析国内外学者 2012-2022 年关于肿瘤医院使用 CVC(包括皮下中心静脉端口导管)患者 CAIC 的最新文献数据。材料与方法。对过去 10 年的 38 篇文献资料进行回顾,包括导管相关血流感染的最新信息、预防措施和现代治疗方法。结果显示研究表明,在化疗的背景下,微生物的耐药性和癌症患者免疫力的下降共同作用,使他们成为导管相关性血流感染发病和复发的高危人群。确保此类患者血流导管操作的流行病学安全是预防 CAIC 的重要一步。这是当今肿瘤流行病学的首要任务之一。结论导管相关出血发生的主要原因是导管插入的时间、患者的状况、年龄、癌症发展阶段和伴随的慢性疾病。最易受伤害的高危人群之一是接受化疗、骨髓和造血干细胞移植的癌症患者。这可能是由于使用免疫抑制剂来抑制移植排斥反应,从而大大降低了患者的免疫力。根据研究结果,CAIC 癌症患者普遍感染耐药革兰氏阴性微生物,包括耐多药微生物。使用聚维酮碘有降低 CAIC 发生率的趋势,但使用洗必泰酒精溶液的效果更好。在使用具有长期功能的手术植入血管内装置与降低 CAIC 发病率之间存在直接关联,尤其是在儿科肿瘤中。
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引用次数: 0
Application of ultrasonic diagnostics in the study of urogenital organs of birds 超声波诊断在鸟类泌尿生殖器官研究中的应用
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-30-36
A. A. Dikikh, M. Pervenetskaya, V. V. Rusakov, L. I. Sukach, O. I. Slapovskaya, A. Komarov, Y. Makarova
Ultrasound examination is one of the most accessible and having a high probability of competence of research of diagnostics of diseases of internal organs, which are carried out mainly in small pets. The aim of the study is to obtain information about parenchymatous organs in birds in norm and in case of pathologic changes for making or confirming clinical diagnosis. Material and methods. Ultrasound diagnostics of avian oviduct was carried out on ultrasonic diagnostic scanner ETS-D-05 "Raskan", ~ 220V, 50 Hz, 100 VA, class 1. The transducer is microconvex 7.5 MHz. Results. At ultrasound examination of the kidneys in the chicken, it was noted that the kidneys had smooth, clear boundaries. The echostructure of cortical and brain layers in the median plane is heterogeneous, echogenicity of parenchyma corresponds to the norm. The capsule is not visualized. The presence of lighter and darker areas in the parenchyma is clearly visible, which is associated with filtration of mineral substances contained in the blood. Ultrasound examination of the genitalia in the chicken was carried out in several stages. At the first stage, the presence of a mature follicle was noted. Localized volumetric formations of rounded shape - follicles at different stages of development were revealed. They have homogeneous echogenicity and echostructure of hyperechogenic character, giving a weak acoustic shadow. In the second stage of the study we noted the presence of yolk covered with vitelline shell, which is located in the central part of the albumen section of the oviduct, has a high density and good echogenicity. In the third stage, the yolk is located in the caudal part of the albumen section. At its periphery, the albumen with several layers is located. Protein section is displaced somewhat to the left, has strongly tortuous loops. The wall of the albumen is well structured, the expression of layers is weakly marked. In the cavity of the oviduct, the content of the oviduct is homogeneous with a small amount of content of liquid consistency. At the fourth stage of the study in the uterus of the oviduct, an anechogenic formation - an egg - is visualized on the echogram. In its center, a hypoechogenic structure with indistinct contours - yolk is detected. The contours of the egg are smooth, borders are indistinct. The egg completely fills the uterine cavity, the lumen between the egg and the uterine wall is absent, the uterine wall contours are clear and even with homogeneous echogenic structure, no nodular formations are detected, uterine vessels are not dilated.
超声波检查是内脏器官疾病诊断研究中最容易获得和最有可能胜任的检查之一,主要用于小型宠物。本研究的目的是获取鸟类正常和病理变化情况下实质器官的信息,以做出或确认临床诊断。材料和方法鸟类输卵管的超声波诊断是在超声波诊断扫描仪 ETS-D-05 "Raskan"(220V,50 Hz,100 VA,1 级)上进行的。换能器为微凸 7.5 MHz。结果对鸡肾脏进行超声波检查时发现,肾脏光滑、边界清晰。皮层和脑层在中轴平面上的回声结构不均匀,实质回声符合标准。看不到囊。实质中明显可见浅色和深色区域,这与血液中含有的矿物质过滤有关。鸡生殖器的超声波检查分几个阶段进行。在第一阶段,可以看到成熟卵泡的存在。在不同的发育阶段,卵泡的局部体积呈圆形。它们具有均匀的回声和高回声特征的回声结构,能发出微弱的声影。在研究的第二阶段,我们注意到卵黄覆盖着卵黄膜,卵黄膜位于输卵管蛋白部分的中央,密度高,回声好。在第三阶段,卵黄位于蛋白段的尾部。在其外围,有多层蛋白。蛋白部分向左侧移位,有强烈的迂回环。蛋白壁结构良好,层次表达不明显。在输卵管腔中,输卵管的内容物是均匀的,有少量液态内容物。在研究的第四阶段,在输卵管子宫内的回声图上可以看到一个无回声的形成--卵子。在其中心,检测到一个轮廓模糊的低回声结构--卵黄。卵子的轮廓光滑,边界模糊不清。卵子完全充满子宫腔,卵子和子宫壁之间没有管腔,子宫壁轮廓清晰,甚至具有均匀的回声结构,没有发现结节,子宫血管没有扩张。
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引用次数: 0
Problems of late radiation injuries of the skin and possibilities of their treatment 皮肤晚期放射损伤问题及其治疗方法
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-54-63
P. V. Bogdanchikova, M. V. Naboka
Currently there is a problem of insufficient effectiveness of treatment of late radiation skin lesions. Possibilities of application of combined schemes of treatment of malignant neoplasms, including radiation therapy, show both good immediate and distant results, life expectancy of patients has increased. However, the issue of such remote local radiation lesions as radiation ulcers also remains relevant. Such lesions in the practice of clinical oncologists usually occur from 1-1,5 months and more after the end of the course of close-focus X-ray therapy for skin cancer. The peculiarity of radiation ulcers is that they heal extremely poorly even by secondary tension. In the pathogenesis of late radiation ulcers, along with disruption of microcirculation, the main role is played by the direct damaging effect of radiation on stem cells and, consequently, suppression of reparative processes. For this reason, such ulcerous defects are characterized by torpidity to drug and surgical treatment. The analysis of modern scientific and practical literature does not fully reveal the peculiarities of the pathogenesis of post-radiation skin lesions leading to the development of radiation ulcers. Researchers have set a goal to search for new modern methods of effective treatment of this pathology. The main purpose of the literature review was to theoretically substantiate the possibilities of including enzyme antioxidants and epidermal growth factor preparations into the complex of pathogenetic treatment of radiation skin ulcers. Superoxide dismutase (SOD) is an active enzyme-antioxidant, it neutralizes excessive free oxygen radicals, and also has a pronounced anti-inflammatory effect by means of oxidative post-radiation stress of skin tissues. Epidermal growth factor promotes cell growth and differentiation of stem cells (SC) involved in ulcer defect regeneration. Pathogenetically justified stepwise application of these drugs will improve the effectiveness of treatment of post-radiation skin ulcers. This paper presents the current information about the pathogenesis of late radiation skin ulcers, the mechanism of action of SOD, epidermal growth factor preparations, as well as the importance of the microenvironment and the homing effect in controlling the links of the pathogenesis of radiation ulcers and the possibility of their reparative regeneration.
目前,治疗晚期放射性皮肤病变存在疗效不佳的问题。包括放射治疗在内的恶性肿瘤综合治疗方案的应用显示了良好的近期和远期疗效,患者的预期寿命也有所延长。然而,像放射性溃疡这样的远期局部放射性病变问题仍然存在。在临床肿瘤学家的实践中,这种病变通常发生在皮肤癌近距离 X 射线治疗结束后 1-1.5 个月或更长时间。放射性溃疡的特点是即使通过二次拉力愈合也非常困难。在晚期放射性溃疡的发病机制中,除了微循环的破坏外,主要是辐射对干细胞的直接破坏作用,从而抑制了修复过程。因此,这类溃疡缺陷的特点是对药物和手术治疗无能为力。对现代科学和实用文献的分析并没有完全揭示导致辐射溃疡的辐射后皮肤损伤的发病机理的特殊性。研究人员将目标定为寻找有效治疗这种病症的现代新方法。文献综述的主要目的是从理论上证实将酶抗氧化剂和表皮生长因子制剂纳入辐射性皮肤溃疡病理治疗综合疗法的可能性。超氧化物歧化酶(SOD)是一种活性酶抗氧化剂,它能中和过多的自由氧自由基,还能通过皮肤组织的辐射后氧化应激起到明显的消炎作用。表皮生长因子能促进参与溃疡缺损再生的干细胞(SC)的细胞生长和分化。从病理上合理地逐步应用这些药物将提高辐射后皮肤溃疡的治疗效果。本文介绍了辐射后期皮肤溃疡的发病机制、SOD、表皮生长因子制剂的作用机制,以及微环境和归巢效应在控制辐射溃疡发病环节中的重要性及其修复再生的可能性。
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引用次数: 0
Impact of nutritional risk factors on the development of multiple sclerosis 营养风险因素对多发性硬化症发病的影响
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-64-74
L. I. Gomanova, Y. A. Balanova
The literature review considers the data on the assessment of the influence of alimentary factors on the development of a severe neurological disease - multiple sclerosis (MS). MS is a polyetiologic disease, the risk of development of which is influenced by both infectious (Epstein-Barr virus, herpes simplex virus, influenza virus, etc.) and noninfectious factors (genetic predisposition, smoking, geographic region of residence, etc.). MS is a progressive demyelinating disease of the central nervous system (CNS), which leads to neurodegeneration accompanied by a variety of clinical manifestations. The pathogenesis of MS is characterized by immune-mediated damage to the myelin sheaths of nerve fibers, which is manifested by inflammation, neurosynaptic damage, and destruction of white matter, axons, and blood vessels. Rapid non-evolutionary dietary and lifestyle changes, which are driven by urbanization, industrialization and globalization of the food market, are leading to an increase in most chronic non-communicable diseases, including MS. The effects induced by alimentary factors are due to changes in the microbial composition of the gastrointestinal tract (GIT), immune cell function, enzyme systems functioning, etc. The aim of the work is to study the influence of micro/macronutrients, as well as the nature of the diet on the risk of MS development, to assess the role of nutrition in the primary prevention of MS. It has been shown that a diet characterized by a high content of animal fats and trans-isomers of fatty acids (TFA), increased consumption of meat products, but low content of vegetables, fruits and whole-grain products is associated with a higher risk of MS development. Regular inclusion in the diet of sources of polyunsaturated fatty acids (PUFAs) (vegetable oils, seeds, nuts, marine fish) and vitamin D (fatty fish, caviar, butter, egg yolk) leads to lower relapse rates and less new brain lesions among MS patients. The literature review was conducted using open sources posted in electronic databases: PubMed, Medline, Scopus, Google Scholar, World Bank publications, WHO, eLibrary, Cyberleninka, Web of Science.
本文献综述考虑了有关评估膳食因素对严重神经系统疾病--多发性硬化症(MS)发病影响的数据。多发性硬化症是一种多病原性疾病,其发病风险受感染性因素(Epstein-Barr 病毒、单纯疱疹病毒、流感病毒等)和非感染性因素(遗传易感性、吸烟、居住地域等)的影响。多发性硬化症是中枢神经系统(CNS)的一种进行性脱髓鞘疾病,会导致神经变性,并伴有多种临床表现。多发性硬化症的发病机制以免疫介导的神经纤维髓鞘损伤为特征,表现为炎症、神经突触损伤以及白质、轴突和血管的破坏。在城市化、工业化和食品市场全球化的推动下,非进化性的饮食和生活方式迅速改变,导致包括多发性硬化症在内的大多数慢性非传染性疾病增加。膳食因素诱发的影响是由于胃肠道(GIT)的微生物组成、免疫细胞功能、酶系统功能等发生了变化。这项工作的目的是研究微量/微量营养素以及饮食性质对多发性硬化症发病风险的影响,以评估营养在多发性硬化症一级预防中的作用。研究表明,动物脂肪和反式脂肪酸异构体(TFA)含量高、肉制品消费量增加,但蔬菜、水果和全谷物产品含量低的饮食与多发性硬化症发病风险较高有关。在饮食中定期摄入多不饱和脂肪酸(PUFAs)(植物油、种子、坚果、海鱼)和维生素 D(肥鱼、鱼子酱、黄油、蛋黄)可降低多发性硬化症患者的复发率,减少新的脑损伤。文献综述是通过电子数据库中的公开资料来源进行的:PubMed, Medline, Scopus, Google Scholar, World Bank publications, WHO, eLibrary, Cyberleninka, Web of Science。
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引用次数: 0
Influence of polyphenolic compounds on human health and the course of a number of diseases 多酚类化合物对人体健康和多种疾病病程的影响
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-87-91
N. D. Kyazimova, V. V. Kornyakova
The purpose of this literature review is to elucidate the biological effects of polyphenols and their importance for human health. Polyphenols play the role of food antioxidants and are of growing interest in various fields of scientific research and including nutritional research due to the presence of these compounds in plant foods. In this review, a brief classification of polyphenols is presented. Polyphenols include a diverse group of compounds such as phenolic acids, flavonoids, stilbenes and lignans. Flavonoids are found in fruits such as apples, apricots, grapes and citrus fruits; vegetables are rich in phenolic acids. Polyphenols are also rich in nuts, legumes, green tea, blueberries, cocoa. Polyphenols are of interest because of their effective direct and indirect antioxidant mechanisms for attenuating chronic diseases, as well as leveling negative lifestyle and nutritional factors. The antioxidant properties of polyphenolic compounds limit oxidative stress, which is relevant in geriatrics. Through a diet enriched with polyphenols, it is possible to reduce the likelihood of developing cancer, and diabetes. The favorable effect of polyphenols is noted on the functioning of the cardiovascular system. Polyphenols protect the endothelium from damage, slow the formation of atherosclerotic plaques, exhibit antithrombotic action. Having antioxidant activity, polyphenols inhibit lipoperoxidation processes, having a therapeutic effect in Alzheimer's and Parkinson's disease. In particular, catechins are effective in Parkinson's disease and ferulic acid is effective in patients with Alzheimer's disease. The protective effects of polyphenols associated with their antioxidant activity make the use of these compounds in geriatrics attractive. Due not only to their antioxidant but also hypoglycemic properties, polyphenols may be an additional treatment for diabetes mellitus. The polyphenols theaflavins and thearubigins, found in black tea and possessing antioxidant properties, have anti-cancer effects. Polyphenols also protect the skin from sun damage. It can be concluded that patients with chronic diseases should be prescribed a diet rich in polyphenols.
本文献综述旨在阐明多酚的生物效应及其对人类健康的重要性。多酚具有食品抗氧化剂的作用,由于这些化合物存在于植物食品中,因此在包括营养学研究在内的各个科学研究领域越来越受到关注。本综述简要介绍了多酚的分类。多酚包括酚酸、类黄酮、二苯乙烯和木脂素等多种化合物。类黄酮存在于苹果、杏、葡萄和柑橘等水果中;蔬菜中含有丰富的酚酸。坚果、豆类、绿茶、蓝莓和可可中也含有丰富的多酚。多酚类物质具有有效的直接和间接抗氧化机制,可减轻慢性疾病,消除不良生活方式和营养因素,因此备受关注。多酚类化合物的抗氧化特性可限制氧化应激,这与老年病有关。通过富含多酚的饮食,可以降低患癌症和糖尿病的可能性。多酚对心血管系统功能的有利影响是显而易见的。多酚能保护血管内皮免受损伤,减缓动脉粥样硬化斑块的形成,并具有抗血栓作用。多酚具有抗氧化活性,可抑制脂肪过氧化过程,对阿尔茨海默氏症和帕金森氏症有治疗作用。其中,儿茶素对帕金森病有效,阿魏酸对阿尔茨海默病患者有效。多酚的保护作用与其抗氧化活性有关,这使得这些化合物在老年病中的应用具有吸引力。由于多酚不仅具有抗氧化作用,而且还具有降血糖作用,因此多酚可能是治疗糖尿病的另一种方法。红茶中含有的茶黄素和茶红素等多酚类物质具有抗氧化特性,具有抗癌作用。茶多酚还能保护皮肤免受阳光伤害。因此,慢性病患者应该多吃富含茶多酚的食物。
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引用次数: 0
Identifying professional and pedagogical deficiencies of a medical university teacher 找出一名医科大学教师在专业和教学方面的缺陷
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-92-100
N. A. Getman, E. N. Kotenko
In this article, the authors presented certain results of a study devoted to identifying deficiencies in the psychological and pedagogical activities of medical university teachers. A definition is given to the concept of professional deficits as a lack (limitation) in professional competence that prevents the effective implementation of professional actions. The purpose of this work was to describe the areas of professional deficits of teachers of higher medical schools. In the article, the authors tried to answer the questions: How ready are the teaching staff of a medical university for changes in the higher education system? What professional deficiencies most often arise among teachers and how to deal with them? A number of studies conducted at the Department of Pedagogy and Psychology of Further Education indicate that university teachers have a number of professional deficiencies. The reasons for these deficits are varied, since the work experience of teachers, areas of professional deficits, etc. vary. The work was based on regulatory documents, such as “Strategic priorities in the implementation of the state program of the Russian Federation “Development of Education” until 2030.” Professional deficits were examined in five main areas of professional pedagogical activity: scientific-theoretical, methodological, psychological-pedagogical, communicative and general pedagogical. Research on deficits in these areas has been conducted and analyzed. Professional deficits were identified through a sociological survey of teachers in offline and online formats using a specially created questionnaire. The questionnaire was developed using tools from various areas of psychological and pedagogical knowledge. The set of these deficits is unique for each teacher. No teacher is immune from professional difficulties: both young and experienced teachers face them. Professional pedagogical deficits depend not only on the personal characteristics and developed competencies of the teacher, but also on the developing educational environment in which he is located. Purposeful work in this direction will help to overcome professional deficits. This activity is carried out by the Department of Pedagogy and Psychology of Further Education during advanced training and professional retraining of university teachers.
在这篇文章中,作者介绍了一项研究的某些结果,该研究致力于确定医科大学教师在心理和教学活动中的缺陷。专业缺陷的概念是指专业能力的缺乏(限制),它阻碍了专业行动的有效实施。这项工作的目的是描述高等医学院校教师的专业缺陷领域。在文章中,作者试图回答以下问题:医科大学教师队伍对高等教育体系变革的准备程度如何?教师中最常出现哪些专业缺陷以及如何应对?继续教育教学法和心理学系开展的多项研究表明,大学教师存在许多专业缺陷。由于教师的工作经历、专业缺陷领域等各不相同,造成这些缺陷的原因也多种多样。这项工作的依据是《2030 年前俄罗斯联邦 "教育发展 "国家计划实施中的战略重点》等规范性文件。在专业教学活动的五个主要领域对专业缺陷进行了研究:科学理论、方法论、心理教学、交流和一般教学。对这些领域的缺陷进行了研究和分析。通过使用专门制作的调查问卷,以离线和在线形式对教师进行社会学调查,确定了教师的专业缺陷。该问卷是利用心理学和教育学知识各领域的工具编制的。每个教师都有自己独特的职业缺陷。无论是年轻教师还是经验丰富的教师,都会遇到职业困 难。专业教学缺陷不仅取决于教师的个人特点和能力发展,还取决于他所处的教育环境的发展。在这方面开展有目的的工作将有助于克服专业缺陷。继续教育教学法和心理学系在大学教师进修和专业再培训期间开展了这项活动。
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引用次数: 0
History of the use of chemical weapons for military purposes and the possibility of their current use 将化学武器用于军事目的的历史及其目前使用的可能性
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-75-86
M. Y. Kozlov, I. V. Ashvits
Throughout the history of mankind there have been many wars of both local character and large-scale wars. At the heart of military actions necessarily lies the use of weapons, one type of which is chemical. Chemical weapons, the basis of which are diverse in their effect on the body and chemical composition of poisonous substances, began to be used for military purposes during World War I, namely, the first use occurred on April 22, 1915 in Belgium near the city of Ypres. Germany used gas cylinders filled with chlorine in this attack. The man who created this weapon was German chemist Fritz Haber, who became known as the "father of chemical weapons". Since that time, scientists from different countries began to actively study the effect of poisonous substances on the human body, synthesize their new types, as well as search for reliable means of protection against its effects. Throughout history, attempts have been made to ban the use of chemical weapons. In particular, after the end of the First World War, the Geneva Protocol was adopted in 1925, prohibiting the use of asphyxiating, poisonous or other similar gases in war. However, this agreement failed to limit the use of poisonous substances, which led to their further use, mainly in localized wars. Much work on the prohibition and destruction of chemical weapons belongs to the Organization for the Prohibition of Chemical Weapons, established in 1997 after the adoption of the Convention on the Prohibition of the Development, Production, Stockpiling and Use of Chemical Weapons and on Their Destruction in 1993. The purpose of this paper is to summarize the history of chemical weapons for military purposes, as well as to study the activities for their prohibition. Literary data of recent years on the history of creation, use of chemical weapons and international legal agreements on their prohibition and destruction, the main types of toxic substances, means of protection against their effects are analyzed. Conclusions are made about the possibilities of chemical weapons use at present.
在人类历史上,发生过许多局部战争和大规模战争。军事行动的核心必然是使用武器,其中一种就是化学武器。第一次世界大战期间,化学武器开始被用于军事目的,即 1915 年 4 月 22 日在比利时伊普尔市附近首次使用。德国在这次袭击中使用了装有氯气的气瓶。制造这种武器的是德国化学家弗里茨-哈伯,他后来被称为 "化学武器之父"。从那时起,各国科学家开始积极研究有毒物质对人体的影响,合成新型有毒物质,并寻找可靠的防护手段。纵观历史,人们一直试图禁止使用化学武器。特别是第一次世界大战结束后,1925 年通过了《日内瓦议定书》,禁止在战争中使用窒息性气体、毒气或其他类似气体。然而,该协议未能限制有毒物质的使用,导致有毒物质被进一步使用,主要是在局部战争中。禁止和销毁化学武器方面的许多工作属于禁止化学武器组织,该组织是在 1993 年通过《关于禁止发展、生产、储存和使用化学武器及销毁此种武器的公约》之后于 1997 年成立的。本文旨在总结用于军事目的的化学武器的历史,并研究禁止化学武器的活动。本文分析了近年来有关化学武器的产生和使用历史的文献资料,以及有关禁止和销毁化学武器的国际法律协议、有毒物质的主要类型、防止其影响的手段。对目前使用化学武器的可能性做出了结论。
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引用次数: 0
Risk meters and markers of accelerated aging 加速老化的风险仪表和标志物
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-17-29
O. A. Savchenko, I. I. Novikova, O. V. Plotnikova, O. A. Savchenko
The purpose of the study is to analyze scientific research on the establishment of risk meters and markers of aging, in order to take a set of measures to prevent accelerated aging and the development of occupational diseases in the working population, including using models on laboratory animals. Material and methods: analytical, toxicological, hygienic and statistical research methods. The object of the study was the results of our own original research on the influence of environmental factors (vibration, noise, 4-component mixture of hydrocarbons) on the organisms of model animals, as well as published research material on the establishment of risk meters and markers of aging. The results and their discussion. The study determined a direct relationship between gender, age and duration of exposure to environmental factors on model organisms exposed to 90-day exposure to occupational hazards, which made it possible to establish risk meters and markers of premature aging in animals of experimental groups, compared with the control group. The results obtained experimentally will contribute to the adoption of measures to protect the health of the labor contingent. Conclusion. The leading role of timely adoption of a set of health-saving measures to prevent the development of occupational diseases in the labor contingent is determined, based on established risk meters and markers of accelerated aging using organisms of model animals.
本研究的目的是分析关于建立老化风险度量和标志物的科学研究,以便采取一系列措施,包括利用实验动物模型,防止工作人群加速老化和患上职业病。材料和方法:分析、毒理学、卫生学和统计学研究方法。研究对象是我们自己关于环境因素(振动、噪音、碳氢化合物四组份混合物)对模型动物机体影响的原创性研究成果,以及已发表的关于建立老化风险测量仪和标志物的研究材料。结果及其讨论。研究确定了暴露于职业危害 90 天的模式生物的性别、年龄和接触环境因素的时间长短之间的直接关系,从而有可能确定实验组动物与对照组相比的风险测量值和早衰标志物。实验得出的结果将有助于采取措施保护劳动队伍的健康。结论根据利用模式动物机体建立的风险测量和加速衰老标志,确定了及时采取一套健康保护措施的主导作用,以防止劳动队伍中出现职业病。
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引用次数: 0
Features of the impact of production factors on the processes of premature aging and changes in biological age 生产因素对早衰和生物年龄变化过程的影响特点
Pub Date : 2024-05-18 DOI: 10.61634/2782-3024-2024-13-3-16
O. A. Savchenko, I. I. Novikova, O. V. Plotnikova, O. A. Savchenko
The purpose of the study is to assess the role of production factors in the development of premature (accelerated) aging and changes in biological age (according to a literature review), to analyze risk factors and mechanisms that trigger the processes of premature aging and changes in biological age, in order to prevent these processes – taking a set of measures to prevent occupational diseases of all categories of the population. Material and methods: In the analysis of risk assessment of premature (cellular) aging and changes in biological age under the influence of harmful production factors, methods of hygienic diagnostics and theoretical research were used: formalization, generalization, comparison, system analysis. The object of the study was the material of scientific papers on the study of the influence of harmful production factors on the processes of cellular aging and biological age. The results and their discussion. The study determined a direct relationship between the influence of production factors on the health of the labor contingent, lifestyle and functioning of the health-saving system. The conducted research will allow a deeper understanding of the processes leading to a change in biological age and the development of premature aging by analyzing the influence of factors of the production environment, socio-economic, environmental and other conditions affecting the health and life expectancy of the working contingent. Conclusion. The leading role of preventive measures in maintaining professional performance and prolonging the life of the labor contingent is determined. The study of the processes leading to the prevention of changes in biological age and the launch of mechanisms of premature aging of the working contingent will contribute to their long-term professional activity and creative longevity.
本研究的目的是评估生产因素在早衰(加速)和生物年龄变化发展中的作用(根据文献综述),分析引发早衰和生物年龄变化过程的风险因素和机制,以预防这些过程--采取一系列措施预防各类人群的职业病。材料和方法:在分析有害生产因素影响下的(细胞)早衰和生物年龄变化风险评估时,采用了卫生诊断和理论研究方法:形式化、概括化、比较、系统分析。研究对象是研究有害生产因素对细胞衰老和生物年龄过程影响的科学论文材料。结果及其讨论。研究确定了生产因素对劳动队伍健康的影响、生活方式和保健系统功能之间的直接关系。通过分析影响劳动队伍健康和寿命的生产环境、社会经济、环境和其他条件等因素的影响,所进行的研究将有助于更深入地了解导致生物年龄变化和早衰发展的过程。结论确定了预防措施在保持职业表现和延长劳动队伍寿命方面的主导作用。研究导致预防生物年龄变化的过程和启动劳动特遣队过早衰老的机制,将有助于他们长期从事专业活动和创造性地延长寿命。
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引用次数: 0
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Scientific Bulletin of the Omsk State Medical University
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