Saratov JOURNAL of Medical and Scientific Research

Sociology of Medicine

Medical and ethical aspects of gene therapy

Year: 2017, volume 13 Issue: №4 Pages: 859-861
Heading: Sociology of Medicine Article type: Original article
Authors: Yupatov V.D., Yalieva L.K., Vorfolomeev S.A., Fakhrudinova E.R.
Organization: Saratov State Medical University
Summary:

The article is to review the main moral, ethical and legal issues of genomics. In connection with the rapid development of molecular biology, deciphering the structure of DNA (deoxyribonucleic acid) and breakthrough in gene editing, this topic is extremely relevant today. The author tries to answer the questions: 1) whether a person has the right to intervene into the natural mechanisms of existence of living organisms; 2) what is the role of genetic engineering and gene therapy in modern society?

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Inadequate motivation for maternity is the risk factor for a perinatal fetus pathology and a newborn

Year: 2017, volume 13 Issue: №4 Pages: 857-859
Heading: Sociology of Medicine Article type: Short message
Authors: Panina O.S., Privalova I.V., Chernenkov Yu.V., Pozgaleva N.V., Cherednikova E.N.
Organization: Saratov State Medical University
Summary:

One of the important social risk factors for the birth of a child with pathology in our time is tobacco smoking, with both mother and father. Goal: assess the formation of motivation for motherhood by questioning women with tobacco. Material and Methods. To carry out the research, we used the "Methods of Investigating Motives for Preserving Pregnancy" according to L. N. Rabovalyuk, N.A. Kravtsovoy; methodology "Motives for the conception of a child" by OA. Urusova. Results. When analyzing the results using the method "Motives for conceiving a child" (OA Urusova), in 45.7% of the women studied, an inadequate type of motivation for motherhood was revealed. An unconstructive motive is the high desire of the subject to have a being that will embody her unrealized dreams and plans. 54.3% of mothers, as the predominant type, have an adequate type of motivation for maternity. In addition, the motives for responsibility for the life of the child, the joy of motherhood, the awareness of the child's own values, the desire to have it for the sake of positive life goals and himself are revealed. Conclusion. Timely detection of inadequate motivation for motherhood and proper prioritization will reduce the percentage of pathological pregnancy, increase the birth rate of healthy newborns.

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Marginalization of health institute professional groups: societal approach

Year: 2017, volume 13 Issue: №4 Pages: 854-856
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Kovalev Ye.P., Yeremina M.G., Vlasova M.V., Dolgova E.M., Bochkareva G.N.
Organization: Saratov State Medical University
Summary:

The process of institutionalization of healthcare, which is considered as one of the basic social institutions, is realized in qualitative changes in its structure. The authors note that changes in the social structure, the social differentiation increasing, crisis and dysfunctional processes in the healthcare institution in modern Russia have led to a change in status, social mobility descending and marginalization of the social and professional groups of the healthcare institute. In the authors' opinion the process of marginalization of the social and professional groups of the healthcare institute is explained by the «concept of status inconsistency» proposed by G. Lensky.

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Social self-esteem: theoretical and methodological approaches to research

Summary:

The perspective of the analysis of the phenomenon of the social well-being of patients with chronic diseases from the standpoint of the sociology of medicine is proved. Modern approaches to the study of social well-being within the framework of sociological and psychological approaches are singled out. The importance of studying the levels of social well-being (institutional and individual) is presented to explain the individual's chosen strategies of behavior in the disease situation. The vectors of operationalization of the category of social well-being within the sociology of medicine are indicated.

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Psychological predictors of reproductive attitudes among medical students

Year: 2017, volume 13 Issue: №3 Pages: 549-553
Heading: Sociology of Medicine Article type: Original article
Authors: Popkov V.M., Bugaeva I.O., Andriyanova Е.А., Aranovich I.Yu., Katkova A.V., Chernyshkova E.V., Aranovich L.M.
Organization: Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky
Summary:

The goal was to determine psychological predictors of reproductive attitudes among medical students. Material and Methods. The survey of 84 students (of the 3rd and the 5th year of medical faculty of Saratov State Medical University n.a. V. I. Razumovsky) was carried out using a combination of methods (questionnaire, testing) aimed to achieve the research goal. Results. Features of reproductive attitudes and reproductive intentions of students, as well as psychological characteristics of youth, such as personal maturity, belief in people and value orientations were studied. Psy- chological predictors of reproductive attitudes among medical students were determined. Conclusion. It was revealed that reproductive attitudes among students of the 5th year were higher than those of the 3rd year. There were gender differences in psychological predictors of reproductive attitudes among students. It was experimentally established that existence of faith in people, high level of personal maturity, high importance of personal values, altruistic values and values of acceptance of others had a positive impact on reproductive attitudes among young people. Based on the results of the study, recommendations were developed with the aim to improve reproductive attitudes and psychological readiness for parenting of medical students.

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An elderly person in the attitudes of medical students and medical residents: an ethical aspect

Year: 2017, volume 13 Issue: №2 Pages: 300-302
Heading: Sociology of Medicine Article type: Original article
Authors: Fakhrudinova E.R., Vashchenko I.S., Andriyanova E.A., Alenin P.N., Ermolaeva E.M.
Organization: Saratov State Medical University
Summary:

The objective of the study: to identify the attitudes towards elderly among the students and residents of SSMU n.a. V. I. Razumovsky. Material and Methods. Students of 3d and 6th courses and interns of 1st and 2d years (N=85) enrolled in the SSMU n.a. V. I. Razumovsky were involved in the research. The average age of respondents was 21 ±1.8 years. We used the technique of unfinished sentences, which allowed us to measure emotional load of the semantic field of the phenomenon of old age. Results. Among the respondents, most commonly old age is associated with responsibilities in the upbringing of grandchildren, wisdom and pension. The main reasons that hamper the interaction with the elderly respondents emphasized the conflict of older people and a decrease in cognitive functions. Conclusions. In the researched population there is mainly a positive image of old age. Medical students should be prepared to work with older people and a tolerant attitude to old age should be formed

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Interdisciplinary approach to the study of pharmaceutical care in the problem field of sociology of medicine

Year: 2017, volume 13 Issue: №2 Pages: 295-299
Heading: Sociology of Medicine Article type: Review
Authors: Smolina V.A., Novokreshchenova I.G.
Organization: Saratov State Medical University
Summary:

The review analyzes the modern studies of domestic and foreign authors dedicated to the definition of the category of pharmaceutical care and study of its role in maintaining the health of the population. Pharmaceutical care has social, cultural and historical conditionality and can be considered as one of the essential elements of the public health system. Formation of market relations in the Russian society contributed to significant changes in the population attitude to their health, the conversion of existing objective laws of functioning of public health (traditionally non-market sector), and the conditions of activities of medical organizations and specialists.

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Public health determinants in social context

Year: 2017, volume 13 Issue: №2 Pages: 292-295
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Orlova M.M., Dolgova E.M., Chernyak M.D., Bochkareva G.N.
Organization: Saratov State Medical University, Saratov state university
Summary:

Demographic situation at the global and regional levels is designated by social context and social mechanisms. The probability of a certain pathological state may increase under the influence of factors, most of which can be considered as socially determined. Poverty and health care limited availability are considered by the authors in the context of the risk of the formation of a marginal situation for patients with chronic diseases, which is manifested in adaptation crisis, disability of the patient in a situation of chronic disease.

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The value of assessment of quality of life in realisation of medico-social rehabilitation of children-orphans in conditions of illness

Year: 2017, volume 13 Issue: №2 Pages: 288-291
Heading: Sociology of Medicine Article type:
Authors: Dubrovina M.S., Krom I.L., Chizhova V.M.
Organization: Saratov State Medical University, Volgograd State Medical University
Summary:

Purpose: interdisciplinary analysis of quality of life and objectifying strategies of medico-social rehabilitation of children-orphans in conditions of illness. Material and Methods. Included in the study on a random sample of 354 respondents aged 14-18 years of age (160 males and 194 female). The study of quality of life was conducted using the international questionnaire of WHOQOL-100. Statistical significance of differences of average indices of life quality of groups of respondents was determined by non-parametric Mann —Whitney test. Results. Analysis of the averages of quality of life in the group of clinically healthy respondents were allowed to define the indices on average significantly (p<0.01 — p<0.05) different in the group of children-orphans and children living in families. During the research it was found that the average quality of life of orphans in a situation of a disease in most points of questionnaire were significantly lower than in the control group. Statistically significant differences of average values of indicators of quality of life in the analysis of the quality of life of the respondents (orphans and children living in families) in the case of illness related to the effects of disease and child abandonment, somatically and socially determined. Conclusion. Established in the course of the study the statistical relationship between indicators of quality of life from disease and the effectiveness of re-socialization proves the possibility of the objectification of recovery strategies and the formation of personally identifiable medical and social assistance to children-orphans in conditions of illness.

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Forming value orientations on healthy lifestyle among students

Year: 2017, volume 13 Issue: №2 Pages: 284-288
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Bugaeva I.O., Kloktunova N.A., Kuligin A.V., Solovyova V.A.
Organization: Saratov State Medical University, Saratov state university
Summary:

This work contains the model of forming the students' value priorities on healthy lifestyle based on the following levels: influence of the government, influence of the educational institution, influence of surrounding community, and self-motivation. The analysis of government motivation system used in Russia is given as well as how this policy integrated into the activities of the educational institution (on example of Saratov State Medical University n.a. V. I. Razumovsky).

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