Saratov JOURNAL of Medical and Scientific Research

2018, volume 14

Morbidity by skin melanoma among various population groups of Samara region

Year: 2018, volume 14 Issue: №1 Pages: 016-019
Heading: Health Service Organization Article type: Original article
Authors: Neretin E.Yu., Utyashev I.A.
Organization: National Medical Research Center of Oncology n.a. N.N. Blokhin
Summary:

The aim: to study the dynamics of the incidence of skin melanoma among various population groups of the multi-million territory. Material and Methods. Primary accounting records for 21 years (1995-2016) on the newly diagnosed disease, annual reports of the Samara Regional Clinical Oncology Center, annual statistical reports of the established form (Form 7 and Form 35). The following statistical methods were used: extrapolation method, linear and polynomial regression model. Results. The results indicate an increase in the incidence of skin melanoma among older people. Conclusions are drawn about the need to organize screening examinations among groups with a high incidence of skin melanoma.

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Experience of introducing telemedicine technologies for prophylaxis of cardio-vascular diseases

Year: 2018, volume 14 Issue: №1 Pages: 011-016
Heading: Health Service Organization Article type: Original article
Authors: Molodtsova E.V., Shemetova G.N.
Organization: Saratov State Medical University
Summary:

Aim: to study the effectiveness of the implementation of the telemedicine program for the prevention of cardiovascular diseases in patients from high risk group and patients with arterial hypertension. Material and Methods. On the basis of "Railway clinical hospital at Saratov-ll station of "Russian Railways" developed and introduced to the work of the telemedicine program for the prevention of cardiovascular diseases in patients from high risk group that integrates all the activities of rehabilitation institutions and nursing nursing and telemedicine center. The analysis of efficiency of telemedical prevention work in the group of persons with risk factors and patients with arterial hypertension was performed. Results. In the group of patients participating in the telemedicine program, a decrease of morbidity with temporary disability on average by 58.8%; not registered any case of transfer of disease in the subsequent stage; there was a decline in hospitalization rates about of hypertension is 17.4%, and a reduction in the level of removal from flight among workers in locomotive service because of high blood pressure and excessive heart rate from 7.9 to 3.6 cases per 10000 examinations. Conclusion. Implementation of "home" telemedicine monitoring of blood pressure, heart rate, pulse rate, regularity of taking medications, virtual communication between doctor and patient, a visit to the online "Schools patient for the prevention of cardiovascular diseases" demonstrated sufficient efficacy. Tele-health program for the prevention of cardiovascular disease in patients from high risk group and patients with arterial hypertension help to teach patients to correct risk factors and to control their disease.

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Statistics and evidence-based medicine: health care supervisors realization in practice

Year: 2018, volume 14 Issue: №1 Pages: 007-011
Heading: Health Service Organization Article type: Original article
Authors: Yerugina M.V., Korshever N.G., Sidelnikov S.A., Baregamyan L.A.
Organization: Saratov State Agrarian University named after N.I. Vavilov
Summary:

The aim of the work is associated with investigation of realization of knowledge of statistics and evidence-based medicine in activities of health care supervisors. Material and Methods. There were used sociological, statistical and analytical methods of investigation. There has been carried out an anonymous questioning of 92 physicians-organizers during the process of their advanced training in the specialty "Health care organization and public health". Results. It has been established that in their practical work health care supervisors do not completely realize possibilities of both medical statistics and evidence-based medicine which is closely connected with medical statistics. The complex of reasons has been determined according to the situation. Health care organizers have been revealed to have low levels of knowledge of medical statistics (2,60±0,03 marks) and evidence-based medicine (2,32±0,03 marks). It has been demonstrated that during the course of advanced training in the specialty "Health care organization and public health" these levels and motivation of students may be significantly raised (3,79±0,05 and 4,13±0,06 marks). Conclusion. The obtained results of the investigation are recommended to be used both in practical activities of health care supervisors and in the process of their professional training.

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