Saratov JOURNAL of Medical and Scientific Research

№3, 2018, volume 14

Professor I.Ya. Livshits and his contribution to the development of national neurosurgery

Year: 2018, volume 14 Issue: №3 Pages: 466-469
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Ulyanov V.Yu., Ninel V.G., Norkin I.A., Grishin S.Ye., Bazhanov S.P., Fedonnikov A.S., Chibrikov G.l., Puchinyan D.M.
Organization: Saratov Branch of the Private Institution of the Educational Organization of Higher Education of the «Medical University «Reaviz», Saratov Socio-Economic Institute of Plekhanov Russian University of Economics, Saratov State Medical University

The article traces the professional path of Professor Lev Yakovlevich Livshits, assesses his scientific contribution to the development of national neurosurgery. The concept of minimally invasive surgical treatment of trigeminal nerve neuralgia, developed by L. Ya. Livshits, allowed developing an original method of puncture surgical treatment of pain syndrome by directed hydrothermal destruction of the sensitive trigeminal root. The concept of "growing radicalism" created by Professor L. Ya. Livshits allowed his students elaborating algorithms for treating severe chronic pain syndromes of any localization and etiology.

Keywords: history of medicine, pain problem, professor L. Ya. Livshits

Professor Natalya Grigoryevna Astafyeva (to the birth anniversary)

Year: 2018, volume 14 Issue: №3 Pages: 464-465
Heading: anniversary Article type: Short message
Authors: Erugina М.V., Abyzova N.V., Zavyalov A.I.
Organization: Saratov State Medical University

The article is devoted to the 75th birth anniversary of the Honoured Doctor of the Russian Federation Professor Natalya Grigoryevna Astafyeva.

Keywords: anniversary, N.G. Astafyeva

Modern approaches to the work of student scientific society at the Department of Hospital Therapy of Saratov State Medical University n.a. V.I. Razumovsky

Year: 2018, volume 14 Issue: №3 Pages: 461-463
Heading: Pedagogics and Education Article type: Short message
Authors: Sergeyeva V.A., Gaydukova I.Z., Rebrov А.Р.
Organization: North-West State Medical University n.a. I.I. Mechnikov, Department of Neuropathology Assistant Professor, Candidate of Medical Science, Saratov State Medical University

The article describes the perspective forms of the student scientific society sessions. Interdepartmental and inter-university conferences open new opportunities for a comprehensive interdisciplinary approach to a particular scientific problem, broadening the knowledge horizon and facilitating the acquisition of the students' discussion and speech experience. Intellectual game as one of the new active forms of the student scientific society sessions was developed at the Department of Hospital Therapy in order to increase the interest to the discipline "Internal Diseases" and involve new students in the scientific activity of the department.

Keywords: intellectual game, interdepartmental and interuniversity conferences, student scientific society

Principles of education of students at a highe medical school

Year: 2018, volume 14 Issue: №3 Pages: 457-460
Heading: Pedagogics and Education Article type: Short message
Authors: Bugaeva I.O., Andronova Т.А., Durnova N.A., Berezutsky M.A., Sheremetyeva A.S.
Organization: Saratov State Medical University

The article considers the issues of organization of the educational process at the Department of General Biology, Pharmacognosy and Botany of Saratov State Medical University named after V. I. Razumovsky. The most important component of the educational process at higher schools is education. Teaching and educational process at the department is carried out with the observance of the basic principles of didactics. The analysis of the main directions of educational work is carried out: professional, civil and patriotic, moral, cultural and aesthetic, ecological, medical-prophylactic (promotion of healthy lifestyle) and supervision.

Keywords: civil-patriotic education, ecological education, healthy lifestyle, professional skills, screening, supervision

The estimation of biocompatibility of polycaprolactone matrices mineralized by vat-erite in subcutaneous implantation tests in white rats

Year: 2018, volume 14 Issue: №3 Pages: 451-456
Heading: Physiology and Pathophysiology Article type: Original article
Authors: Ivanov A.N., Kurtukova М.О., Kozadaev M.N., Tyapkina D.A., Kustodov S.V., Saveleva M.S., Bugaeva I.O., Parakhonsky B.V., Galashina E.A., Gladkova E.V., Norkin I.A.
Organization: Saratov National Research University n.a. N. G. Chernyshevsky

Aim: to estimate biocompatibility of matrices produced from polycaprolactone (PCL) and mineralized by vaterite (CaC03) by studying local and systemic manifestations of inflammatory reaction in subcutaneous implantation tests in white rats. Material and Methods. The experiment was conducted on 40 rats divided into four equal groups: control, comparison (rats with imitation of implantation), negative control (rats with implanted non-biocompatible matrices) and experimental group, comprised of animals with implanted PCL/CaC03-matrices. Local inflammatory manifestations were analyzed by morphological assay of implantation area tissues. Systemic inflammatory manifestations were estimated by TNF-a concentration and interleukin-lp (IL-1) in blood serum by ELISA. Results. The changes in cellular population content demonstrate that a PCL/CaC03-matriceonthe21 day after the implantation to rats is evenly colonizing by fibroblast cells and vascularizing. This type of matrices does not provoke intense inflammatory reaction seen in negative control animals and accompanied by systemic manifestations such as statistically significant rise in TNF-a and IL-1 concentrations. Conclusion. The data obtained in the study proving the biocompatibility of PLC/CaC03-scaffolds experimentally substantiate the potential for their use in tissue engineering.

Keywords: biocompatibility, regeneration, scaffolds, vaterite

Application of financial motivation factors for organ donors: foreign experience and Russian attitude

Year: 2018, volume 14 Issue: №3 Pages: 448-450
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Romanov S.V.
Organization: Volga District Medical Center of FMBA

The purpose of the article was to analyze the world practice of the means of financial motivation for organ donors as well as the attitude of Russians towards it. As the results have shown, means of financial stimulation are widely applied to living organ donors in the world. Such means are mainly illegal, most often targeting the most vulnerable social groups and current attempts to stop such practices are not successful. Among all nations, Iran is the only one country whose system of organ transplantation includes the idea of rewarding a living donor. Such practice has been supported by several specialists, some of them from the US. In the world, the ways of financial support of the families of posthumous donors also exist. Such practice has evoked controversial responses in Russia. In conclusion, it has been highlighted the necessity to conduct more informative works with different social groups with the aim to develop and support the principles of humanity and altruism of organ donation.

Keywords: financial motivation, organ donation

Patients interviewing — an effective method of forming social competencies of medical students

Year: 2018, volume 14 Issue: №3 Pages: 445-447
Heading: Sociology of Medicine Article type: Original article
Authors: Skryabina E.N., Aleksandrova O.L., Korneva Yu.M., Pasechnaya N.V., Kats Z.V.
Organization: Saratov State Medical University

The professionalism of a doctor is determined not only by scientific knowledge, but also by high moral qualities. Aim is the formation of the social competencies of the students of the medical university, concerning the personal qualities of the doctor. The authors used a self-developed questionnaire, which included questions relating to patients' characteristics (gender, level of education, disease origin and its duration) and to attending physician (work experience, theoretical and practical skills, moral qualities). Material and Methods. Questioning of 100 patients of the rheumatologi-cal department of the State Regional Hospital of Saratov was performed by students of the Saratov Medical University. Results. The survey showed that most patients considered the moral qualities of a doctor to be very important and they determined the successful treatment of patients. The ineffectiveness of treatment is largely due to loss of confidence in doctor. Conclusion. Questioning of patients allowed students to be convinced of the importance of formation of high moral qualities of a doctor as they help mutual understanding of a doctor and a patient, increase treatment efficiency.

Keywords: forming social competencies, interviewing of patients

Health care supervisors' opinion on prophylactic work in medical organizations

Year: 2018, volume 14 Issue: №3 Pages: 438-444
Heading: Health Service Organization Article type: Original article
Authors: Korshever N.G., Sidelnikov S.A., Yakhina R.R.
Organization: Saratov Regional Centre of Medical Prophylaxis, Saratov State Medical University

 The aim: to investigate the condition of prophylactic work in medical organizations and to determine the directions for optimization of this process. Material and Methods. There has been carried out an anonymous questioning 92 of health care supervisors of the Saratov region, as well the analysis of data obtained from Saratov Regional Centre of medical prophylaxis. It was found that there were significant shortcomings in the individual items in the preventive work of medical organizations. Results. There has been determined the awareness of health care supervisors about normative-legal acts regulating prophylactic work; use of corresponding informational-methodical materials; management of registration documents and submission of reporting documents; performance of primary, secondary and tertiary prophylactic measures; realization of means and methods of hygienic upbringing and education of patients; activities of offices (departments) of medical prophylaxis. It has been established that the condition of prophylactic work in medical organizations of the Saratov region is at the satisfactory level but needs to be optimized. The directions of optimization are determined by the necessity to raise the levels of a number of characteristics analyzed. None of the considered measures of the first prophylaxis has been evaluated with the mark "good", (> 4,0 points); some measures of the secondary prophylaxis (purposeful sanitary-hygienic education of patients and members of their families in skills of care associated with a certain disease or with a group of diseases, etc.) (2 points) have been evaluated with the mark "unsatisfactory"; the state of the tertiary prophylaxis has been evaluated on the whole with the mark "satisfactory", i.e. 3,4 points. Conclusion. The obtained materials may be useful in daily practice of medical organizations.

Keywords: health care supervisors, prevention

Methodology of advanced medical information registries design

Year: 2018, volume 14 Issue: №3 Pages: 434-437
Heading: Health Service Organization Article type: Original article
Authors: Fedonnikov A.S., Kolesnikova A.S., Rozhkova Yu.Yu., Kirillova I.V., Bessonov L.V., Ulyanov V.Yu., Kossovich L.Yu.
Organization: Saratov State Medical University

Aim: development of information exchange methodology between the main participants of health branch in providing of medical care for traumatology and orthopedic patients at the base of specialized registers design. Material and Methods. Analysis and systematization of 31 registers of medical information in the field of traumatology and orthopedics functionality placed in Federal Institute of Industrial Property, European Patent databases, developers' web-sites were made. Search depth was designated from 1979 and was defined by the date of the earlier found information source. Results. Analysis of specialized registries has shown that most of it (70.9%) are mono-nosological and contain information about diagnostic and treatment measures provided at the level of a medical institution. It was developed a methodology of specialized registry of medical information functionality including the information of applied medical devices, pharmaceutical preparations, medical technologies, rehabilitation programs, medical care evaluation results methodology which let operate with the data forming in information systems of the main health branch participants. Conclusion. Proposed information exchange methodology determines the necessity of integrated target-oriented registry development. Its practical use let increase management decisions quality influencing the achievement of health branch participants objectives.

Keywords: health information, health management, patient registry, registry design

Analysis of working conditions of employees of Samara medical institutions

Year: 2018, volume 14 Issue: №3 Pages: 427-433
Heading: Hygiene Article type: Original article
Authors: Tupikova D.S.
Organization: Samara State Medical University

Objective: an analysis of the conditions and nature of the work of public health workers in the city of Samara, according to their own research and the results of a special assessment of working conditions for the development of preventive measures. Material and Methods. The study analyzed the results of assessing the factors of the production environment, such as microclimate and illumination in 70 rooms of two large medical institutions of the city of Samara. An estimation of the qualitative and quantitative microbial composition of the air medium in the analyzed rooms was carried out. The analysis of registration cards for a special assessment of the working conditions of workplaces in the same organizations was carried out between 2012 and 2017. Results. In analyzing the conditions and nature of the work of medical workers, it was revealed that the final class of working conditions for doctors and nurses of surgical departments was 3.3, therapeutic 3.2 as a result of biological factors. At the same time, the air in the working area of the study rooms of the surgical and therapeutic sections differed significantly in the structure of the conditionally pathogenic microflora. Physical and chemical factors did not exceed the level of class 3.1-3.2. Conclusion. An analysis of the results of the studies showed the need to optimize ventilation in the residents and nurses, as well as the need to improve the quality of natural and artificial lighting. The expediency of standardization of the conditionally pathogenic microflora of the air environment in class «B» premises is shown.

Keywords: doctor, factors of the working environment, medical organization, nurse, special assessment of working conditions, working conditions