Том 2: Клинические лекции
Издательство: Медгиз, 1-я типография Трансжелдориздата
Год выпуска: 1950
Серия, номер выпуска: Т. 2
Количество страниц: 590 с.
Издательство: Академия медицинских наук СССР
Год выпуска: 1953
Серия, номер выпуска: Т. 3
Количество страниц: 250 с.
Количество страниц: 6 с.
National and international responses to women’s health problems tend to be fragmented and limited. The adoption of a separate target for maternal health highlighted the lack of progress in this area and provided both political and financial support to accelerate change. The addition of the target on universal access to reproductive health helped broaden the scope of this target. To study the fact and degree of influence of the level of education on health self-assessment. Materials and methods. Data on health self-assessment were obtained through an anonymous survey of 566 women aged 18 to 49 years who were under observation in women’s clinics. To achieve the research goal, a subgroup with a high level of education (higher and incomplete higher education) and a subgroup with a lower level of education (secondary and incomplete secondary) were identified. The health self-assessment was conducted on a five-point scale, where 5 points - the highest level of health, 1 point - the lowest indicator of health. Results. It is shown that a higher level of education in women of reproductive age determines higher indicators of health self-assessment throughout the reproductive period of a woman’s life, and age dynamics does not depend on the level of education, but women with higher educational status in all age groups had higher self-assessment indicators than women with a lower level of education
Черкасов, С. Н. Влияние уровня образования на самооценку здоровья женщин репродуктивного возраста / С. Н. Черкасов, И. Л. Сопова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 67-71.
Количество страниц: 6 с.
Unintentional pregnancy and abortion are experiences shared by people all over the world. These effects on reproductive health occur regardless of the country’s income level, region, or legal status of abortion. Modern methods of contraception are the safest for women’s reproductive health. However, only 25 % of women in Russia use such methods, which contributes to an increased number of abortions. The article deals with the medical and social aspects of artificial termination of pregnancy in Magadan Oblast, and analyzes these aspects. The scientific novelty of the study is to identify qualitatively new factors affecting the termination of pregnancy in Magadan Oblast. The aim of the work is an integral analysis of medical and social aspects of artificial termination of pregnancy on the example of Magadan Oblast. Most women experience at least some negative emotions related to their experience of abortion. For many, abortion is a stress that provokes, exacerbates, or complicates mental illness. There is no doubt that women with a history of abortions have higher rates of mental disorders. The analysis of reproductive losses reveals the degree of adaptability of the existing system of maternal and child health protection, as well as the effectiveness of demographic policy in the field of fertility, which allows women to optimally realize their maternal function
Павлов, Я. Н. Интегральный анализ медико-социальных аспектов искусственного прерывания беременности на примере Магаданской области / Я. Н. Павлов // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 62-66.
Количество страниц: 8 с.
At the moment, providing the population with affordable and high-quality health care is acquiring special social significance in Russia. Finding an effective solution for this challenge requires the development and implementation of new methodological and methodical approaches to planning, organizing, and financing of the health care system, and, first of all, studying and monitoring the quality of health care provided to the population. Patients’ satisfaction is one of the major criteria used when evaluating the quality of health care. A survey was conducted among the parents of child patients treated at Magadan Regional Children Hospital to assess their satisfaction with the health care provided to their children. The survey assessed the following criteria: the period of waiting for admission to hospital; nourishment; availability of medications and medical products; availability of medical and diagnostic equipment; frequency of receiving medical services on a fee basis; satisfaction with the conditions of hospital stay and the attitude of medical personnel towards the patients. The survey of Magadan Regional Children Hospital patients’ parents showed that the respondents were satisfied with health care in 97.3 % of the cases, out of which 78.5 % were satisfied, 12.3 % - more satisfied than dissatisfied, 6.5 % - not fully satisfied. 1.5 % of the respondents were not satisfied with the quality of health care
Маркова, С. В. Оценка удовлетворенности родителей медицинской помощью детям в Магаданской области (на примере ГБУЗ "Магаданская областная детская библиотека") / С. В. Маркова, Е. А. Петухова, А. А. Мунхалов// Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 55-61.
Количество страниц: 10 с.
The article provides an overview of non-invasive tests for diagnosing the activity and stage of fibrotic changes in liver tissue. Despite the high information content of biopsy, this invasive procedure has its drawbacks. The most common complication is bleeding, which occurs in 0.1-4.6 % of biopsies performed. Therefore, the availability and greater acceptance of non-invasive tests is now increasing. There are direct and indirect markers of liver fibrosis, the latter being used for NIT based serum markets. Of these, the most studied are the FibroTest group of tests, APRI index, FIB-4, AST / ALT ratio (AAR). In addition to the named NITs, there are other non-proprietary tests: the Lok index, which uses the level of platelets, AST, ALT, and INR; Fornes index - cholesterol, GGT, platelet count and age; King’s scale - age, AST, INR, platelet count; AAR is the ratio of AST and ALT, as well as other predictive models. The article also discusses ultrasound techniques: shear wave elastography, transient elastography (TE), point shear wave elastography (pSWE), multivariate shear wave elastography (2D-SWE). Considering the low specificity of NITs based on serum markers, the invasiveness of biopsy, there is a tendency to search for innovative diagnostic methods with high sensitivity. These methods include MRI elastography and T1 mapping of the liver
Соловьева, Ю. А. Неинвазивные методы диагностики фиброза печени / Ю. А. Соловьева // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 45-54.— DOI: 10.25587/SVFU.2020.21.4.005.
Количество страниц: 6 с.
Vaccinal prophylaxis is one of the most effective and cost-effective medical interventions currently available. In carrying out vaccination, a large role is played by medical personnel in terms of organization and public awareness. The purpose of this study was to study the awareness of parents and medical staff about vaccination issues and their attitude to vaccines. Materials and methods: we conducted a survey among parents and medical staff. The survey involved 27 employees of the nursing staff, 35 narrow specialists, 55 district pediatricians and 204 parents when they visited the children’s clinic. The questionnaire contains 8 questions concerning the awareness of parents and medical personnel about their awareness and attitude towards vaccine prevention. The results of the survey showed that most parents are well aware of vaccination issues. Many get information about vaccinations from health professionals. However, some respondents refuse to vaccinate their children. According to the results of the survey of medical personnel, it is worth noting that a large proportion of respondents receive information on vaccination issues from their colleagues. Doctors in second place with approximately the same share indicated in the questionnaires with sources of information special literature, medical representatives and certification cycles. The survey showed that among pediatricians there is a share of those who are against vaccination
Дмитриева, Т. Г. Осведомленность населения и медицинских работников о вопросах вакцинопрофилактики инфекционных заболеваний у детей в г. Якутске / Т. Г. Дмитриева, А. О. Острелина, А. А. Полятинская // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 40-44.
Количество страниц: 6 с.
Congenital hypothyroidism (CH), a violation of the secretion of thyroid hormones, is one of the most common congenital diseases of the endocrine glands, leading to severe disability without timely diagnosis and treatment. The incidence of CH ranges from 1 case per 4000-5000 newborns in Europe and North America to 1 case per 6000-7000 newborns in Japan. In addition, in children with the Down syndrome, the risk of developing CH is 35 times higher compared to the general population. In girls, the disease occurs 2-2.5 times more often than in boys. Currently, there is no doubt that CH in its prevalence and medico-social significance occupies an important place among childhood endocrine pathologies. The neonatal screening program for the determination of congenital hypothyroidism allows for early diagnosis and adequate treatment of children, which can help to avoid complications associated with a lack of hormones. Most newborns have no hypothyroidism clinic at birth because maternal hormones even in late pregnancy penetrate the placenta, and cord blood contains from 25 to 50 % of hormones of maternal origin. Most often, the clinical picture of congenital hypothyroidism in newborns develops gradually and is not clearly manifested in all children in the neonatal period. If obvious symptoms are noted already in the first week of life, a severe form of hypothyroidism due to aplasia or severe thyroid hypoplasia can be suspected. Hypothyroidism due to moderate hypoplasia, ectopia of the thyroid gland, or hormonal abnormalities may not have clinical manifestations during the neonatal period and may even manifest after 2-6 years of age. Screening programs may skip cases of congenital hypothyroidism (early discharge, laboratory error, severe illness, prematurity, low birth weight, transfer to another hospital, etc.), therefore, with clinical signs of hypothyroidism, a second hormonal examination is necessary. This article presents a clinical case of congenital hypothyroidism in a newborn baby in the Sakha Republic (Yakutia)
Егорова, В. Б. Клинический случай внутри врожденного гипотиреоза у новорожденного / В. Б. Егорова, В. П. Афанасьева, Н. А. Потапова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 35-39.
Количество страниц: 6 с.
Currently there persists a high incidence of infections specific for the early neonatal period, among which fetal infections predominate. Infections of the fetus and the newborn infant play a significant role in the development of infectious inflammatory diseases. The relevance of the problem of fetal infections is due not only to the severe course in the neonatal period, but also to the risk of developing serious diseases in the future. The true incidence of congenital infections has not yet been established. This article analyzes the prevalence of the main pathogens of fetal infections in newborns and pregnant women. The frequency of implementation of intrauterine infection has significant differences in etiology. Transmission of CMV, Chlamydia trachomatis, Mycoplasma pneumoniae was observed as often as possible, and in the case of Ureaplasma urealyticum in pregnant women, the active process took place three times more often than in newborns. An active infectious process of Toxoplasma gondii was not observed in any newborn. Assessment of the frequency of detection of intrauterine infections in patients in the intensive care unit made it possible to conclude that the severity of the condition is not determined by any one infectious agent, but is the result of a complex effect. Infection with Candida albicas is rarely diagnosed. This is apparently due to insufficient diagnostics. In the vast majority of cases, the source of infection for the fetus is the mother. Fetal infections are considered one of the most pressing problems of modern medicine, the solution of which is possible only with an interdisciplinary approach and joint work of medical specialists of various profiles (obstetricians-gynecologists, infectious disease specialists, neonatologists, pediatricians, epidemiologists)
Маркеры внутриутробных инфекций у беременных женщин и новорожденных / Т. Г. Дмитриева, С. Н. Алексеева, Е. И. Белолюбская [и другие] // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 29-34.
Количество страниц: 8 с.
The state of the hemostasis system was assessed by the thrombodynamic characteristics of the blood in 75 patients with pathology of the cardiovascular system, who were treated in the Cardiology Department of the Clinical Hospital “Russian Railways-Medicine” in the city of Saratov. Two groups were distinguished: Group 1 - 32 patients without an oncological history, Group 2 - 43 patients with a cardiac pathology registered in the oncological dispensary. Hypercoagulable changes in the thrombodynamic properties of blood were detected in most patients in both groups: in 53 % of the cardiac patients without a burdened oncological history and in 72 % of the cardiac patients with a burdened oncological history (no significant difference between the groups). The phenomenon of spontaneous thrombus formation was also equally often observed in both study groups. The structure of hypercoagulable changes differs in patients of the two groups. Velocity parameters of thrombodynamic characteristics of blood were increased in patients of the both groups. However, the addition of a burdened oncological history in cardiac patients aggravates hypercoagulable disorders due to the addition to the pathology of the speed indicators of the clot germ of the pathology of qualitative characteristics - an increased size of the fibrin clot
Рамазанова, З. Г. Состояние тромботической готовности у пациентов с патологией сердечно-сосудистой системы и отягощенным онкологическим анамнезом / З. Г. Рамазанова, С. С. Паршина // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2020. — N 4 (21). — С. 22-28.