Saratov JOURNAL of Medical and Scientific Research

Shemetova G.N.

Saratov State Medical University n.a. V.I. Razumovsky Head of Department of Polyclinic Therapy, General Practice and Preventive Medicine, Professor, DSc

Assessment of behavioral risk factors for chronic non-communicable diseases among medical students

Year: 2019, volume 15 Issue: №2 Pages: 342-347
Heading: Sociology of Medicine Article type: Original article
Authors: Balashova М.Е., Shemetova G.N., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: assessment of risk factors for chronic non-communicable diseases in medical students to improve measures for the formation of a healthy lifestyle. Material and Methods. In order to identify risk factors for chronic non-communicable diseases, a questionnaire method was used. A survey included 80 frst- year students and 80 sixth-year students of medical school. The questionnaire included information about the sex, age, smoking and alcohol consumption, physical activity, and nutrition. Results. Respondents are characterized by a high frequency of risk factors for chronic non-communicable diseases (СNCD): low physical activity (60.0 %), poor diet (81.0 %), smoking (16.2 %). The combination of risk factors for the development of СNCD was revealed in 31.8 % of students. Conclusion. The high frequency of risk factors for CNS among students indicates the need to improve measures to increase the efectiveness of prevention, therapeutic measures and the formation of a healthy lifestyle.

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Medico-social performance of health centers to identify risk factors for major chronic non-communicable diseases

Year: 2019, volume 15 Issue: №1 Pages: 77-82
Heading: Health Service Organization Article type: Original article
Authors: Krasnikova N.V., Shemetova G.N., Kazban O.G., Кап А.О., Savinov T.Kh.
Organization:
Summary:

Objective: to study the frequency of occurrence of risk factors for cardiovascular disease among the working population of Saratov and to analyze the effectiveness of measures to promote a healthy lifestyle in the district health Center. Material and methods. The study was conducted on the basis of thehealth Center of the Saratov city polyclinic №17. For 2013-2017 surveyed 50301 patient of working age. The plan of the survey included the collection of anamnesis to identify risk factors for cardiovascular disease, physical examination with the implementation of anthropometry (determination of growth, calculation of body mass index), measurement of blood pressure, determination of total cholesterol and glucose in capillary blood. The total risk of fatal cardiovascular complications was assessed on the SCORE scale. Portable peripheral Doppler analyzer Smart Dop 30 EX with automatic measurement of systolic blood pressure and calculation of ankle-brachial index was used for angiological screening. Results: The most common risk factors were poor nutrition and physical activity, hypercholesterolemia, hyperglycemia, overweight and obesity. A decrease in the number of smokers since 2013 by more than 1.5 times: from 12.9 to 7.5%. The incidence of hypertension increased from 29.1 to 41.7%. Conclusion. It was found that more than 70% of patients who applied had risk factors for major chronic noncommunicable diseases. Overweight and obesity, irrational nutrition, low physical activity were detected in more than 50% of cases; hypercholesterolemia was determined in 45% of cases, hyperglycemia in 25%. Over the past 5 years, the incidence of hypertension among patients of working age has increased, primarily due to improved detection. It is important to carry out preventive programs, starting with students and young people, to inform citizens and motivate them to lead a healthy lifestyle.

Keywords: -
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Readiness to realize the skills of professional communication among senior students of a medical university

Year: 2018, volume 14 Issue: №4 Pages: 691-695
Heading: Sociology of Medicine Article type: Original article
Authors: Shemetova G.N., Sidorova N.V., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: to assess the readiness for effective communication of senior students of medical university. Material and Methods. A survey of 158 students of the 5th and 6th courses of the medical faculty of SSMU was conducted in February 2017 according to the original questionnaire aimed at assessing the theoretical knowledge in the field of communication and readiness to communicate with patients in practice. Results. The study revealed a number of problematic issues related to the communicative competence of senior students of the medical University. Most respondents (88%) rated their training in communication technologies as high and sufficient, and knowledge of theoretical issues does not always meet the requirements of today. Despite the support of the majority of students for a paternalistic approach to the relationship between the doctor and the patient (44% in general, 94,7% among sixth- year students), many respondents (85%) agreed with the involvement of the patient in the process of discussing the planned diagnostic and therapeutic measures, more than half of the students (57,6%) expressed a desire to undergo additional training on the basics of communication. Conclusion. In accordance with the new challenges in the native health care training of graduates of medical universities should include the formation and improvement of communicative competence with the realization that in the modern system of relations the Central person is a patient with his problems and

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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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The role of health centers in preventive care provision

Year: 2017, volume 13 Issue: №4 Pages: 803-805
Heading: Health Service Organization Article type: Original article
Authors: Shemetova G.N., Sidorova N.V., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: to assess the importance of the Centers of Health in the organization and provision of preventive care to the population, in the early detection of risk factors for the development of chronic non-communicable diseases and the development of a healthy lifestyle. Material and Methods. On the basis of the Health Center of Engels Center for Medical Prevention in the Saratov Region, the detection of risk factors for 2011-2015 was analyzed according to statistical reporting (form No. 68) and health cards (form025-CZ/y) of 207 patients. To assess the satisfaction of visitors with the work of the Center, a specially developed questionnaire was conducted, which included 22 questions that characterize the patient profile, his attitude to the organization and the results of the survey, and the motivation to modify the way of life. Results. The study confirmed the important role of the Centers of Health in the organization and provision of preventive care to the population, the formation of a healthy lifestyle and the early detection of diseases and risk factors for their development. Conclusion. Only joint efforts of medical institutions, authorities, educational organizations, mass media can lead to the formation of the population's responsibility for their health and readiness to modify the way of life.

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The importance of communicative competencies while training a general practitioner

Summary:

The aim of the article is to present the opinion of the authors on the development of the doctor-patient relations in recent years. The importance of communicative competence for the professional activity of a general practitioner, where communication acts as a diagnostic, preventive, treatment and rehabilitation tool. The role of clinical faculty in particular departments of outpatient therapy and general medical practice is determined in the formation of communicative skills of students. The proposed educational technology for the practical implementation of the tasks is considered in the article.

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The role of schools for patients in secondary prevention of arterial hypertension

Year: 2017, volume 13 Issue: №3 Pages: 481-483
Heading: Internal Diseases Article type: Short message
Authors: Shemetova G.N., Ryaboshapko A.l., Gubanova G.V.
Organization: Saratov State Medical University
Summary:

Aim: to study the effectiveness of in-depth preventive counseling as one of the forms of information and training technologies for prevention of hypertension. Material and Methods. On the basis of the district hospitals of the Saratov region the analysis of volume and quality of preventive work in the group of persons with risk factors under investigation in the study of prevention and patients with arterial hypertension trained in Health School. Results. Analysis of the effectiveness of Schools for patients with arterial hypertension showed an increase in the number of people achieving the target blood pressure level from 32 to 42% and reducing the number of patients hospitalized for hypertensive crises, in comparison with the previous year by 22%. Conclusion. Schools for patients with arterial hypertension teach patients to correct risk factors and to control their disease.

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Patterns in training primary care medical specialists: from traditional medicine to modern general practice

Year: 2016, volume 12 Issue: №3 Pages: 421-428
Heading: Scientific schools and memorable dates Article type: Review
Authors: Gubanova G.V., Shemetova G.N., Ryaboshapko A.l.
Organization: Saratov State Medical University
Summary:

Phases in the system of development of medical practices in Russia have allocated. The historical overview of the formation and development of traditional medicine has been presented in the article. The characteristic features that form the concept of the development of primary health care have been listed. The analysis of experience of traditional medical school has become necessary for improving organization of public medicine in Russia.

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The role of departments of polyclinic therapy in solution of primary healthcare matters

Year: 2016, volume 12 Issue: №3 Pages: 418-420
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shemetova G.N., Krasnikova N.V.
Organization: Saratov State Medical University
Summary:

Priority tasks concerning the improvement of the Russian health and the primary health care, restoring the primacy of prevention as a strategic line of health are impossible without highly qualified training of health personnel, particularly therapeutists and general practitioners (family doctors). Departments of polyclinic therapy play a crucial role in the training of specialists of primary health care.

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Training models of primary care medical specialists

Year: 2015, volume 11 Issue: №2 Pages: 202-206
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Gubanova G.V., Shemetova G.N., Ryaboshapko A.l.
Organization: Saratov State Medical University
Summary:

Conventional and innovative pedagogical technologies are two intercommunicative aspects of the common specialists' professional educational process and specific stages to highly professional skills. The role of pedagogues has been determined to be very significant as they should distinctly define each pedagogical technologies proportion ratio to promote stable work of graduates from higher medical educational institutions.

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