Saratov JOURNAL of Medical and Scientific Research

Saratov State Medical University

www.sgmu.ru

Formation of Academician A. N. Bakulev's personality at the Department of Hospital Surgery of Saratov Medical University (to the 130th birth anniversary)

Year: 2020, volume 16 Issue: №4 Pages: 992-996
Heading: Scientific schools and memorable dates Article type:
Authors: Tsarev О.А., Zakharov А.А., Gorokhov S.V.
Organization: Saratov State Medical University
Summary:

The article presents the bibliographic information about Academician A. N. Bakulev, which describes the stages of his development at the Department of Hospital Surgery of Saratov Medical University.

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Professor D.V. Sadchikov: The seventieth anniversary

Year: 2020, volume 16 Issue: №4 Pages: 989-992
Heading: Scientific schools and memorable dates Article type:
Authors: Kuligin A.V., Zeulina Е.Е., Lushnikov A.V.
Organization: Saratov State Medical University
Summary:

The publication traces the career path of Professor D. V. Sadchikov, along with his contribution to the development of domestic anesthesiology and intensive care medicine. Professor D. V. Sadchikov created a novel branch of anes-thesiology and intensive care medicine, which comprised of studying the mechanisms of a patient critical condition formation based on the concept of nervous system priority and a functional systemic approach in various branches of a medical science: obstetrics and gynecology, surgery, neurosurgery and internal medicine. The use of this field of study made it possible to approach both intensive care and the replacement of dysfunctions in leading functional systems of a patient in a critical condition from a fundamentally novel standpoint. Professor D.V. Sadchikov's principal directions of his active medical practice were the issues related to the critical condition of a patient in obstetrics and gynecology (primarily, pre-eclampsia and endotoxemia); pain relief in severe concomitant pathology; prevention of the development and intensive care of pulmonary complications in neurotrauma; intensive care in acute cerebrovascular accidents; as well as to the establishment of the anesthesia and intensive care service in Saratov Oblast. Having pursued a successful professional path, Dr. D. V. Sadchikov made a significant contribution to the development of the field of study in Anesthesiology and Intensive Care and the establishment of Anesthesiology and Intensive Care Service in Saratov Oblast.

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Contribution of the house of sanitary education to the fight and prevention of tuberculosis in the Saratov region: basic milestones of history

Year: 2020, volume 16 Issue: №4 Pages: 984-989
Heading: Scientific schools and memorable dates Article type:
Authors: Kazimirova N.E., Zavyalov A.I., Basova A.V., Chulochnikov A.A.
Organization: Saratov State Medical University
Summary:

The article reveals the contribution of the Saratov House of Health Education to the organization of control and prevention of tuberculosis in the Saratov region. The various forms and methods of public health education with the public, conducted by the House of Health Education throughout its activities, based on the social and economic conditions of society are described. The authors come to the conclusion that the House of Health Education plays an important role in preventing the spread of tuberculosis in the Saratov Region.

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G.I. Chibrikov as a Deputy Director of Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University n. a. V. I. Razumovsky (to the 75th anniversary)

Year: 2020, volume 16 Issue: №4 Pages: 979-983
Heading: anniversary Article type:
Authors: Grishin S.E., Ulyanov V.Yu., Puchinyan D.M., Ostrovsky V.V.
Organization: Saratov State Medical University
Summary:

The study follows the career progress of a professional trauma orthopedist and a resourceful healthcare manager Gennadiy I. Chibrikov who started his way as a Junior Research Assistant and became Head Physician of the Saratov Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery. He designed the surgical management method for the complicated fractures of the ankle joint, suggested improvements to osteosynthesis for the lower third of lower-leg bones now used in dozens of the Russian Federation regions. During his 29 years as a Head Physician in the Institute he arranged efficient clinical care that also resulted in the enhancement of the researches.

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Professional characteristics of a pharmaceutical specialist in chemist's

Year: 2020, volume 16 Issue: №4 Pages: 968-973
Heading: Sociology of Medicine Article type: Original article
Authors: Smolina V.A., Novokreshchenova I.G., Novokreshchenov I.V.
Organization: Saratov State Medical University
Summary:

Purpose: to characterize pharmaceutical specialist in a pharmacy as a professional group based on the formation of a social portrait. Material and Methods. A survey was conducted in the form of a questionnaire of pharmaceutical specialists in a pharmacy (n=407). The author's questionnaire included 2 blocks of questions to identify the social and professional characteristics of the respondents. Results. The main characteristics of the social portrait of a pharmacy employee are: female (96.1±0.5%), average age 30.8±0.5 years, secondary pharmaceutical education (74.7±0.4%), work experience in the specialty 8.63±0.5 years. The specialist carries out professional activities in chain pharmacies (84.3±0.5%) and holds the position of "pharmacist" (77.9±0.4%). A pharmaceutical specialist rarely changes his job (80.6±0.4%), is satisfied with his job (77.1 ±0.4%), is confident in the right choice of profession (71.0±0.4%), and feels the social significance of the work performed (88.7±0.5%). Conclusion. The socio-professional group of pharmaceutical specialists in a pharmacy is homogeneous in its cha.acteristics; working in a pharmacy environment affects the formation and implementation of a pharmaceutical specialist as a professional.

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Analyzing strategies for overcoming personnel crisis in regional healthcare settings: the results of a focus group study

Year: 2020, volume 16 Issue: №4 Pages: 963-967
Heading: Sociology of Medicine Article type: Original article
Authors: Erugina M.V., Krom I.L., Eremina M.G., Kovalev E.P., Bochkaryova G.N., Dolgova E.M., Grigoryeva E.A.
Organization: Saratov State Medical University, Azerbaijan Medical University
Summary:

The purpose of the study is to substantiate the directions of overcoming the personnel crisis, which is relevant to the professional group of doctors, in the regional health care system. Material and Methods. To form an objective understanding of the characteristics of the personnel crisis in the regional health care system and the directions for improving the medical personnel potential of the Saratov region, the authors conducted a sociological focus group study in which 8 experts-organizers of health care took part. In the conditions of the marginalization of professional groups in the regional health care system, a shortage and suboptimal structure of medical personnel, a systematic approach was used to solve the problem of developing the personnel potential of the region. Results. Based on the study, the main directions of development of the medical personnel potential of the regional health care system were formed: targeted training of specialists for regional health care; elimination of age and financial deprivations of a professional group of doctors; the formation an attractive professional environment for doctors; implementation of individual and organizational practices to minimize the risks of professional activity; organization of mentoring for young professionals; the formation of «social elevators» for doctors in primary care; overcoming the shortage and suboptimal structure of medical personnel in regional health care. The guide scenario for the focus group study included discussion by experts of the characteristics of the personnel crisis relevant to the professional group of doctors, and ways to overcome it. Conclusion. Verification of the main risk factors for a personnel crisis relevant to the professional group of doctors, eliminating personnel imbalances and solving the problem of developing the personnel potential of regional healthcare is a condition for increasing the availability and quality of medical care for the population.

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Technology for optimizing medical decision-making

Year: 2020, volume 16 Issue: №4 Pages: 944-949
Heading: public health Article type: Original article
Authors: Korshever N.G., Pomoshnikov S.N.
Organization: Saratov State Medical University
Summary:

The objective of the study is the development of optimization techniques for making management decisions in healthcare institutions. Material and Methods. We combined the research findings obtained earlier and interviewed two groups of healthcare managers (49 set the optimization principles for making management decisions, 79 tested the technology we designed). Methods of analytical, logical, sociological, content-analysis of official and medical documentation, flow charts, organizational experiment, statistical were used. Results. We established the optimization principles for making management decisions in healthcare institutions: goal orientation, system approach (isomorphism and multiparameter interaction), prospectivity, use of adequate criterial and diagnostic apparatus, flexibility, differentiation, competence, democratization. These enabled designing and testing of the optimization technology guided by the authors' automated multicriterial assessment of successfulness for the studied approach; it provided making and implementing the management decisions that were the most appropriate for achieving results of the medical institution (number of institutions) performance. Conclusion. The technology considered in the study enables setting the trend and implementing goal-oriented measures for optimization of the management decisions in healthcare institutions.

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Потенциальный риск для здоровья сельского населения, связанный с потреблением местных продуктов питания, содержащих остаточные количества тяжелых металлов

Year: 2020, volume 16 Issue: №4 Pages: 934-939
Heading: Hygiene Article type: Original article
Authors: Chekhomov S.Yu., Eliseeva Yu.V., Pichugina A.A., Eliseev Yu.Yu.
Organization: Saratov State Medical University
Summary:

Purpose: hygienic assessment of the potential health risks of consuming local food products produced in ecologically poor areas and containing residual amounts of heavy metals. Material and Methods. Based on the established concentrations of heavy metals (HM): lead (Pb), cadmium (Cd), mercury (Hg) and arsenic (As) in local food products of the Saratov region, the potential risk to the health of the rural population associated with their consumption was assessed. The median and 90th percentile of HM content in local foods were used to calculate exposure, hazard coefficient (HQ), total hazard indices (HI), individual carcinogenic risk (CR), and population carcinogenic risk (PCR). Results. Indicators of the HQ values calculated at the level of the median HM content in food products of the regional districts indicated the acceptable level of their impact. In some areas of the region at the concentration of HM at 90 percentile calculated HQ and total HI of contamination of the HM exceeded the value of 1.0, which required in-depth evaluation of the exposure. Bread and dairy products made the greatest contribution to the level of HM contamination in the majority of the studied areas. Conclusion. High level of CR forthe health of the population of some districts of the Saratov region was associated with contamination of food products As calculated at the 90th percentile. The high PCR forthe population of the same regions of the region, associated with contamination of local food products As, was due to a specific level of the carcinogenic potential factor (SFo=1.5), which sharply increased the likelihood of cancer development with oral exposure to this carcinogen.

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Complex hygienic assessment of labor conditions in the modern production of dairy products

Year: 2020, volume 16 Issue: №4 Pages: 927-934
Heading: Hygiene Article type: Original article
Authors: Novikova Т.А., Lutsevich I.N., Baregamyan L.A., Aleshina Yu.A.
Organization: Saratov Hygiene Medical Research Center of Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, Saratov State Medical University
Summary:

Aim: to conduct a comprehensive hygienic assessment of working conditions of the main professional groups of workers in the modern production of dairy products. Material and Methods. The object of the research icluded labor conditions of the workers of the dairy plant typical for modern milk processing enterprises. The factors of the working environment (microclimate, illumination, noise, vibration) and the labor process were studied using standard methods, equipment and measuring instruments. A total of 3740 studies of working environment factors, 39 professional studies were carried out. Results. Working conditions in the production of dairy products are harmful with varying degrees of deviation from the current hygiene standards. Take place increased (27.5-28.8°C in the cold and 29.5-29.8°C in the warm seasons) and low (4.5-18.35°C) air temperatures, exceeding the maximum permissible level (MPL) noise (by 1.6-9 dBA), insufficient artificial and natural lighting, physical overloads due to excessive dynamic and static physical load, lifting and moving loads manually (one-time 20 kg), maintaining uncomfortable and forced working positions (up to 50% and up to 25% shift time, respectively), body inclinations (440±28 times per shift). The overall assessment of working conditions corresponded to classes 3.1-3.3. Conclusion. Harmful working conditions pose a low to high health risk to workers. Priority measures have been identified to improve working conditions and prevent health disorders of workers: normalization of the microclimate and light environment, noise reduction, and a decrease in labor severity.

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Social and hygienic aspects of doctors' access to health care (review)

Year: 2020, volume 16 Issue: №4 Pages: 917-923
Heading: Hygiene Article type: Review
Authors: Bochkov M.M., Shelekhova T.V., Lutsevich I.N., Ruta A.M., Zaitseva M.R.
Organization: Saratov State Medical University
Summary:

We come across the regular publications that identify the importance of improvement of doctor's access to health care by the way of reducing various kinds of barriers. However, despite a wide range of expert opinions in this, the existing barriers are not clearly defined. The purpose of our review work is to systematize the accumulated materials in this area, 44 sources of foreign literature were analyzed in the electronic databases MEDLINE® (1981-2016) and CINAHL (1982-2010). Analysis of the literature shows that there is not enough information, despite the importance of studying the adherence of doctors to treatment in order to establish cause-and-effect relationships and scientific justification of preventive measures. When studying the compliance of foreign doctors, it is likely to extrapolate the results of research to the doctors of our country.

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