Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-31-38
V. Kamenev, A. Kopelev, J. B. Chervyakova, I. Belyaev, N. I. Obolonkova
{"title":"THE IMPACT OF CONFOUNDING FACTORS FOR COMMUNITY-ACQUIRED PNEUMONIA (CASE REPORT)","authors":"V. Kamenev, A. Kopelev, J. B. Chervyakova, I. Belyaev, N. I. Obolonkova","doi":"10.18413/2075-4728-2019-42-1-31-38","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-31-38","url":null,"abstract":"","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78641459","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-83-90
I. Belenova, O. Kudryavtsev, O. Azarova, I. Belenov
{"title":"ANALYTICAL COMPARISON OF LIGHT-INDUCING DEVICES FOR CURING SEALS OF PHOTOCOMPOSITE","authors":"I. Belenova, O. Kudryavtsev, O. Azarova, I. Belenov","doi":"10.18413/2075-4728-2019-42-1-83-90","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-83-90","url":null,"abstract":"","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79505798","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-57-64
O. S. Nalotova
{"title":"COMBINATION THERAPY RESIDENTS OF DONBASS WITH ARTERIAL HYPERTENSION AND SITUATIONAL DEPRESSION","authors":"O. S. Nalotova","doi":"10.18413/2075-4728-2019-42-1-57-64","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-57-64","url":null,"abstract":"","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79478688","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-23-30
M. S. Turchina, T. I. Obolenskaya, Y. Morozov, Zh. E. Annenkova, L. G. Polyakov
most cases by the development of functional disorders of the Oddi's sphincter and intestines. As part of this study, the issues of outpatient treatment of patients with burdened allergic anamnesis who underwent cholecystectomy are considered. In comparison with patients who do not have chronic allergic diseases, in this case more frequent development of functional disorders with a more pronounced dyspeptic syndrome is observed. In addition, in the case of the development of postcholecystectomy syndrome in patients with aggravated allergic anamnesis, violations of the qualitative and quantitative composition of the intestinal microbiota with excessive growth of conditionally pathogenic microflora, contributing to the development of diarrhea are more common. In turn, this leads to a deterioration in the quality of life and requires a more prolonged and massive drug therapy, increasing the cost of treatment.
{"title":"FEATURES OF POSTCHOLECYSTECTOMY SYNDROME IN PATIENTS WITH AGGRAVATED ALLERGIC ANAMNESIS","authors":"M. S. Turchina, T. I. Obolenskaya, Y. Morozov, Zh. E. Annenkova, L. G. Polyakov","doi":"10.18413/2075-4728-2019-42-1-23-30","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-23-30","url":null,"abstract":"most cases by the development of functional disorders of the Oddi's sphincter and intestines. As part of this study, the issues of outpatient treatment of patients with burdened allergic anamnesis who underwent cholecystectomy are considered. In comparison with patients who do not have chronic allergic diseases, in this case more frequent development of functional disorders with a more pronounced dyspeptic syndrome is observed. In addition, in the case of the development of postcholecystectomy syndrome in patients with aggravated allergic anamnesis, violations of the qualitative and quantitative composition of the intestinal microbiota with excessive growth of conditionally pathogenic microflora, contributing to the development of diarrhea are more common. In turn, this leads to a deterioration in the quality of life and requires a more prolonged and massive drug therapy, increasing the cost of treatment.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81698419","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-126-132
S. V. Jarko, E. Al-Kanani, A. A. Iarosh, A. A. Karpachev, A. L. Iarosh, A. Klimchenko, A. B. Guriev, N. V. Oleynik
Diseases of the appendix remains an actual problem in abdominal surgery. Some of them are rare pathological processes and are difficult to diagnose and surgical treatment. The mucocele of the appendix is a rare, more often benign neoplasm, developing by widening the lumen of the appendix due to excessive accumulation of mucin. One of the most dangerous complications of a mucocele is a spontaneous or iatrogenic rupture with the development of a peritoneal pseudomyxoma (mucinous carcinomatosis), as a result of the dissemination of goblet cells, which are fixed in abdominal flanks and produce mucin. Article presents a case report of a 32-year-old patient with mucinous cystadenoma of the appendix and developed of peritoneal pseudomyxoma, who underwent laparoscopy with a conversion to a total laparotomy, right hemicolectomy, resection of the greater omentum and terminal ileostomy. Results of immunohistochemistry: highly differentiated neuroendocrine tumor, germinating all tissues of the appendix, spreading on adipose tissue. Patient was discharged on the 10th day in a satisfactory condition. НАУЧНЫЕ ВЕДОМОСТИ Серия: Медицина. Фармация. 2019. Том 42, No 1 127 Ключевые слова: червеобразный отросток, муцинозная цистаденома, псевдомиксома.
{"title":"MUCINOUS CYSTADENOMA OF THE APPENDIX AS THE CAUSE OF PSEUDOMYXOMA OF THE PERITONEUM (CLINICAL CASE)","authors":"S. V. Jarko, E. Al-Kanani, A. A. Iarosh, A. A. Karpachev, A. L. Iarosh, A. Klimchenko, A. B. Guriev, N. V. Oleynik","doi":"10.18413/2075-4728-2019-42-1-126-132","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-126-132","url":null,"abstract":"Diseases of the appendix remains an actual problem in abdominal surgery. Some of them are rare pathological processes and are difficult to diagnose and surgical treatment. The mucocele of the appendix is a rare, more often benign neoplasm, developing by widening the lumen of the appendix due to excessive accumulation of mucin. One of the most dangerous complications of a mucocele is a spontaneous or iatrogenic rupture with the development of a peritoneal pseudomyxoma (mucinous carcinomatosis), as a result of the dissemination of goblet cells, which are fixed in abdominal flanks and produce mucin. Article presents a case report of a 32-year-old patient with mucinous cystadenoma of the appendix and developed of peritoneal pseudomyxoma, who underwent laparoscopy with a conversion to a total laparotomy, right hemicolectomy, resection of the greater omentum and terminal ileostomy. Results of immunohistochemistry: highly differentiated neuroendocrine tumor, germinating all tissues of the appendix, spreading on adipose tissue. Patient was discharged on the 10th day in a satisfactory condition. НАУЧНЫЕ ВЕДОМОСТИ Серия: Медицина. Фармация. 2019. Том 42, No 1 127 Ключевые слова: червеобразный отросток, муцинозная цистаденома, псевдомиксома.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73017706","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-73-82
I. V. Ovchinnikov, L. V. Polovneva, V. P. Chuyev, A. A. Kopytov
In the field of an orthopedic odontology structural materials, including plastic, metals, various on hardness, are widely applied. The most effective method of their processing is the cutting leading to a wear of rotational tools. When processing solid tissues of teeth or structural materials the diamond grains forming an effective area multiply contact to the processed surface that leads to a wear of the tool. The intensity of wear is defined not by the linear contact processes happening on an effective area of the tool. The complexity of contact processes is caused, including, a wear of diamond powder, various on 74 НАУЧНЫЕ ВЕДОМОСТИ у Серия: Медицина. Фармация. 2019. Том 42, No 1 intensity, and the holding sheaf objects of various nature. The research objective accepted rather assessment of time of a wear of standard pine forests by a graininess of 220-160 microns, 160-125 microns and hybrid pine forests a graininess of 220-160/63-50 microns, 220-160/63-50 microns at bench cutting nickel chrome alloy. The conducted researches proved a possibility of 20 percentage increase in time of a wear due to introduction to a linking of pine forests of a rough and superrough graininess of powder with sizes of diamond grains of 63-50 microns. Ключевые слова: гибридные алмазные боры, время износа, стендовое нагружение, ВладМиВа.
在口腔矫形学领域，结构材料包括塑料、金属和各种硬度的材料被广泛应用。其最有效的加工方法是切削导致旋转工具的磨损。当加工牙齿或结构材料的固体组织时，金刚石颗粒与被加工表面形成有效面积的多次接触，从而导致刀具的磨损。磨损强度不是由发生在刀具有效区域上的线性接触过程来定义的。接触过程的复杂性是造成的，包括，金刚石粉的磨损，各种上74 НАУЧНЫЕ ВЕДОМОСТИ Серия: Медицина。Фармация。2019. Том 42、1号强度，以及各种性质的持束物体。在镍铬合金台架切削时，采用220-160微米、160-125微米的颗粒度评价标准松林磨损时间，采用220-160/63-50微米、220-160/63-50微米的杂交松林磨损时间。研究结果表明，如果将粗糙和超粗糙的粉末与63 ~ 50微米大小的金刚石颗粒连接在一起，磨损时间可能会增加20%。Ключевыеслова:гибридныеалмазныеборы,времяизноса,стендовоенагружение,ВладМиВа。
{"title":"COMPARATIVE ASSESSMENT OF TIME OF STANDARD WEAR AND HYBRID DIAMOND BURS FOR BENCH LOADING","authors":"I. V. Ovchinnikov, L. V. Polovneva, V. P. Chuyev, A. A. Kopytov","doi":"10.18413/2075-4728-2019-42-1-73-82","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-73-82","url":null,"abstract":"In the field of an orthopedic odontology structural materials, including plastic, metals, various on hardness, are widely applied. The most effective method of their processing is the cutting leading to a wear of rotational tools. When processing solid tissues of teeth or structural materials the diamond grains forming an effective area multiply contact to the processed surface that leads to a wear of the tool. The intensity of wear is defined not by the linear contact processes happening on an effective area of the tool. The complexity of contact processes is caused, including, a wear of diamond powder, various on 74 НАУЧНЫЕ ВЕДОМОСТИ у Серия: Медицина. Фармация. 2019. Том 42, No 1 intensity, and the holding sheaf objects of various nature. The research objective accepted rather assessment of time of a wear of standard pine forests by a graininess of 220-160 microns, 160-125 microns and hybrid pine forests a graininess of 220-160/63-50 microns, 220-160/63-50 microns at bench cutting nickel chrome alloy. The conducted researches proved a possibility of 20 percentage increase in time of a wear due to introduction to a linking of pine forests of a rough and superrough graininess of powder with sizes of diamond grains of 63-50 microns. Ключевые слова: гибридные алмазные боры, время износа, стендовое нагружение, ВладМиВа.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88279538","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-5-12
N. Burduli, A. S. Krifaridi, I. Aksenova
The aim of the work was to study the effect of low-intensity laser radiation on the cytokine system, vascular endothelial function in patients with chronic hepatitis. All patients were divided into three groups: in the I th (control) group (30 people) only traditional drug therapy was used for treatment, patients of the II th group (45 people) along with drug therapy received intravenous laser therapy and the III group of patients (45 people) received a course of cutaneous laser therapy. The results of our study indicate that drug therapy in patients with CG is not accompanied by a significant improvement in the plasma levels of NOx, as well as Pro-inflammatory cytokines, and the inclusion of laser therapy in the complex of therapeutic measures contributes to a significant improvement in the plasma levels of NOx, eliminating the imbalance of cytokine regulation. Various methods of laser therapy improve the NOproducing function of the endothelium, improve the functional state of the vascular endothelium, have an immunomodulatory effect. НАУЧНЫЕ ВЕДОМОСТИ | ■; | Серия: Медицина. Фармация. 2019. Том 42, No 1 5 6 НАУЧНЫЕ ВЕДОМОСТИ у Серия: Медицина. Фармация. 2019. Том 42, No 1 Ключевые слова: дисфункция эндотелия, оксид азота, цитокины, хронический гепатит, низкоинтенсивная лазерная терапия.
{"title":"PATHOGENETIC ASPECTS OF THE USE OF LASER RADIATION IN THE TREATMENT OF CHRONIC HEPATITIS","authors":"N. Burduli, A. S. Krifaridi, I. Aksenova","doi":"10.18413/2075-4728-2019-42-1-5-12","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-5-12","url":null,"abstract":"The aim of the work was to study the effect of low-intensity laser radiation on the cytokine system, vascular endothelial function in patients with chronic hepatitis. All patients were divided into three groups: in the I th (control) group (30 people) only traditional drug therapy was used for treatment, patients of the II th group (45 people) along with drug therapy received intravenous laser therapy and the III group of patients (45 people) received a course of cutaneous laser therapy. The results of our study indicate that drug therapy in patients with CG is not accompanied by a significant improvement in the plasma levels of NOx, as well as Pro-inflammatory cytokines, and the inclusion of laser therapy in the complex of therapeutic measures contributes to a significant improvement in the plasma levels of NOx, eliminating the imbalance of cytokine regulation. Various methods of laser therapy improve the NOproducing function of the endothelium, improve the functional state of the vascular endothelium, have an immunomodulatory effect. НАУЧНЫЕ ВЕДОМОСТИ | ■; | Серия: Медицина. Фармация. 2019. Том 42, No 1 5 6 НАУЧНЫЕ ВЕДОМОСТИ у Серия: Медицина. Фармация. 2019. Том 42, No 1 Ключевые слова: дисфункция эндотелия, оксид азота, цитокины, хронический гепатит, низкоинтенсивная лазерная терапия.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74944341","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}
Pub Date : 2019-03-30DOI: 10.18413/2075-4728-2019-42-1-91-98
O. Serikova, I. Belenova, N. Serikov, L. V. Shevchenko
The problem of treatment of severe forms of lichen planus, which are characterized by the presence of island-inflammatory phenomena and soreness for many years, which contributes to a decrease in the quality of life of patients. In the complex treatment of patients with severe forms of lichen planus, the authors used a combined method of physiotherapy, including ozone therapy and photophoresis of topical steroid. Combined physiotherapy was performed against the background of basic treatment. The study allowed to reduce the time of elimination of the inflammatory reaction of the oral mucosa and epithelialization of erosive and ulcerative elements, which contributed to a decrease in the dose of corticosteroids in the treatment of patients. Ключевые слова: слизистая оболочка рта, красный плоский лишай, озонотерапия, фотофорез, топический стероид.
{"title":"COMBINED PHYSIOTHERAPY IN THE TREATMENT OF SEVERE LICHEN PLANUS OF THE ORAL MUCOSA","authors":"O. Serikova, I. Belenova, N. Serikov, L. V. Shevchenko","doi":"10.18413/2075-4728-2019-42-1-91-98","DOIUrl":"https://doi.org/10.18413/2075-4728-2019-42-1-91-98","url":null,"abstract":"The problem of treatment of severe forms of lichen planus, which are characterized by the presence of island-inflammatory phenomena and soreness for many years, which contributes to a decrease in the quality of life of patients. In the complex treatment of patients with severe forms of lichen planus, the authors used a combined method of physiotherapy, including ozone therapy and photophoresis of topical steroid. Combined physiotherapy was performed against the background of basic treatment. The study allowed to reduce the time of elimination of the inflammatory reaction of the oral mucosa and epithelialization of erosive and ulcerative elements, which contributed to a decrease in the dose of corticosteroids in the treatment of patients. Ключевые слова: слизистая оболочка рта, красный плоский лишай, озонотерапия, фотофорез, топический стероид.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90794118","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}
Pub Date : 2018-12-30DOI: 10.18413/2075-4728-2018-41-4-633-639
T. A. Usanova, I. N. Shelpakova
This study was conducted to examine changes in the quality of young patients‘ life , who underwent ischemic stroke, with an emphasis on the degree of change in cognitive functions and the presence of depressive disorders. MMSE scale (Mini mental State Examination), 10 words technique and clock drawing test, as well as assessment of depression on the Hamilton Rating Scale for Depression were used as the research methods. The study showed that its participants did not experience severe cognitive disorders. Besides, their level is comparable to pre-Dement disorders and there was no serious violation of memory, orientation, perception, attention, speech, reading and writing. Therefore, we can definitely say that there is no significant damage to the social and professional functions of the studied patients’ lives. However, there are either light or moderate depressive disorders in all studied groups. Consequently, young patients with ischemic stroke are more susceptible to depressive rather than cognitive disorders. These results should be taken into account while doing the social and professional rehabilitation of these patients, which is necessary to improve their quality of life, adaptation in society and a soon return to daily activities. 634 НАУЧНЫЕ ВЕДОМОСТИ ^ Серия Медицина. Фармация. 2018. Том 41 ,No 4 Ключевые слова: пациенты в возрасте от 18 до 50 лет, ишемический инсульт, качество жизни, когнитивные функции, депрессивные расстройства, социальная реабилитация, профессиональная реабилитация, шкала MMSE, шкала Гамильтона.
本研究旨在检查缺血性中风年轻患者生活质量的变化，重点关注认知功能的变化程度和抑郁障碍的存在。研究方法采用MMSE量表(Mini mental State Examination)、10字技术及时钟绘制测验、汉密尔顿抑郁评定量表(Hamilton Rating scale for depression)评定抑郁程度。研究表明，参与者没有出现严重的认知障碍。此外，他们的水平与痴呆前的障碍相当，没有严重的记忆、定向、感知、注意、言语、阅读和写作的侵犯。因此，我们可以肯定地说，研究患者的社会和职业功能没有明显的损害。然而，在所有的研究组中都有轻度或中度的抑郁症。因此，年轻的缺血性中风患者更容易患抑郁症，而不是认知障碍。在对这些患者进行社会和专业康复时应考虑到这些结果，这对于提高他们的生活质量，适应社会并尽快恢复日常活动是必要的。634 НАУЧНЫЕ ВЕДОМОСТИ ^ Серия Медицина。Фармация。2018. Том41岁,4号Ключевыеслова:пациентыввозрастеот18д50олет,ишемическийинсульт,качествожизни,когнитивныефункци,идепрессивныерасстройства,социальнаяреабилитация,профессиональнаяреабилитация,шкалаMMSE,шкалаГамильтона。
{"title":"Quality of life at the patients between the ages of 18 and 50 with ischemic stroke","authors":"T. A. Usanova, I. N. Shelpakova","doi":"10.18413/2075-4728-2018-41-4-633-639","DOIUrl":"https://doi.org/10.18413/2075-4728-2018-41-4-633-639","url":null,"abstract":"This study was conducted to examine changes in the quality of young patients‘ life , who underwent ischemic stroke, with an emphasis on the degree of change in cognitive functions and the presence of depressive disorders. MMSE scale (Mini mental State Examination), 10 words technique and clock drawing test, as well as assessment of depression on the Hamilton Rating Scale for Depression were used as the research methods. The study showed that its participants did not experience severe cognitive disorders. Besides, their level is comparable to pre-Dement disorders and there was no serious violation of memory, orientation, perception, attention, speech, reading and writing. Therefore, we can definitely say that there is no significant damage to the social and professional functions of the studied patients’ lives. However, there are either light or moderate depressive disorders in all studied groups. Consequently, young patients with ischemic stroke are more susceptible to depressive rather than cognitive disorders. These results should be taken into account while doing the social and professional rehabilitation of these patients, which is necessary to improve their quality of life, adaptation in society and a soon return to daily activities. 634 НАУЧНЫЕ ВЕДОМОСТИ ^ Серия Медицина. Фармация. 2018. Том 41 ,No 4 Ключевые слова: пациенты в возрасте от 18 до 50 лет, ишемический инсульт, качество жизни, когнитивные функции, депрессивные расстройства, социальная реабилитация, профессиональная реабилитация, шкала MMSE, шкала Гамильтона.","PeriodicalId":8785,"journal":{"name":"Belgorod State University Scientific bulletin Medicine Pharmacy","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74895876","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}
Pub Date : 2018-12-30DOI: 10.18413/2075-4728-2018-41-4-591-599
N. N. Zubareva
The article deals with a systematic approach of the strategic management process in medical organisations of Belgorod region. The purpose of using this approach is to consolidate into a single system the private management practices of various services within medical organisations. The methodical basis of the system is the launch of real mechanisms for strategic planning and indicative accounting of the results of the activities of the main and auxiliary structural units of medical organisations. The content of the strategic management process itself, which will be introduced during the implementation of the regional project, is disclosed. The consolidated forecast of the main targeted effects of project activities is given. A systematic approach to the strategic planning of the organisation's processes in general is able to solve the existing problem of fragmentation of management mechanisms, methods and techniques in numerous services (main and auxiliary) of medical organisations. This approach is able to subordinate the activities of its individual structural units to the achievement of the common goal of a medical organisation. Designing acts as a reliable, proven mechanism for launching positive changes. The leadership component of the improvement process (the project team) is not built on the principle of administrative appointment, but on the basis of the initiative of its members and the confidence of the participants in positive change. All actions and predictable results are achievable and clear to the performers, which ultimately ensures the success of the project.
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