Количество страниц: 4 с.
The day patient department is a medical-diagnostic department of the polyclinic, which has become common nowadays and has a number of economic and psychological advantages in comparison with the traditional hospital. There are 17 day patient departments in Yakutsk City. In order to study the indicators of the day patient department in Polyclinic1 of Yakutsk City, a retrospective analysis of case histories of 76 patients, 36 men and 40 women, an average age of 52 years, was conducted. The analysis revealed most common diseases in men and women coming to the day patient department. Women had musculoskeletal system diseases (52 %), while men had circulatory system diseases (35 %) and digestive organs (47 %). The average length of stay of the patient on a daily bed in the clinic was 10-12 days. The patients had a comorbid condition, the presence of 2 to 4 diseases, which always adversely affected the patient’s condition. Modern methods of diagnosis and treatment in the day patient department allows reducing the number of hospitalizations in the in-patientdepartment and provides an opportunity to receive full-fledged treatment of diseases without interruption of work
Бессонова, Н. Г. Показатели лечебной работы дневного стационара ГБУ РС(Я) "Поликлиника N 1 г. Якутска" / Н. Г. Бессонова, П. П. Бессонов // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 23-26.
Количество страниц: 6 с.
This article presents the results of the study of depressive disorders among patients of psychiatric clinic. We determined the urgency of this problem, identified the importance and significance of the studying depression among various population groups with the aim of creating effective measures of primary prevention. The present work was performed in the Yakutsk Psycho-neurological Clinic. We examined psychiatric patients of the two male and one female wards for the period 2014-2016. Over this period, the mental hospital treated 104 patients who were diagnosed with the depressive disorder. The article describes the clinical and social characteristics of the patients; comparative characteristics depending on gender; the age of the patients at the time of the study and age at primary admission, place of residence of the patients, as well as employment history and education level; the evaluation of the main symptoms of depression; the dynamics of depressive disorders. The frequency of hospitalizations, the manifestation of the disease, the presence of re-hospitalization are established, as well as the average time of treatment of depressive disorders, depending on the etiological facilities. We specified the etiological identity of the depressive syndrome, depending on a variety of mental disorders. We described six clinical groups: patients with depressive reactions, organic delusional disorder, bipolar affective disorder, depressive episode, recurrent depressive disorder, schizoaffective disorder and schizophrenia. Depression is considered in three ways: melancholic, anxious, and apathetic. The author makes a conclusion about the relationship of the variants of depression and various psychiatric disorders, which also determines the further tactics of treatment and psychotherapeutic approach. We studied suicidal activity of patients with depressive disorders, depending on the variants of depression and different diseases. The analysis of the administered treatment was made. It was found that the patients were treated with classical psychotropic drugs, drugs of new generation applied in isolated cases, due to irregular supply of medicines and a limited budget. These data indicate the necessity of creating a differentiated rehabilitation programs for the prevention and treatment of depressive disorders
Бекенева, Л. В. Депрессивные расстройства в психиатрической практике / Л. В. Бекенева // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 17-22.
Количество страниц: 6 с.
Acute respiratory infections (ARI) is a leader in the structure of general diseases of the population. Annually, Russia has about 70 thousand ARI cases per 100 thousand of the child population. The maximum frequency of acute respiratory infections is noted in age from 6 months to 6 years; in this group, the highest incidence of acute respiratory infections is observed in preschool age children. In the causes of acute respiratory disease, viral infections take a lead (90 %) and bacterial pathogens account fot only a minor part. Despite this, almost 25-85 % of pediatricians prescribe antibiotics for their patients with acute respiratory infections. Aim. Analysis of the spectrum of antibacterial drugs used for acute respiratory infections in preschool children in the outpatient tratment. Methods. The study was formed by a representative group in the amount of 1,248 outpatient preschool children. Results.In the period 2009-2010, the structure of ARI was dominated by the incidence of acute nasopharyngitis at over 60 %. The pharmacoepidemiological analysis showed frequent use of systemic antibiotics for children with acute nasopharyngitis on the outpatient basis. It was found that the antibiotic therapy was applied in 43 % (2009) and 37 % (2010) ARI cases. Aminopenicillins, combined penicillins, macrolides, cephalosporins of the 3d generation were used most often. Conclusion.Given the prevalence of acute nasopharyngitis cases among the nosological forms of ARI, it should be noted that most of them have an uncomplicated form, which sould serve as the basis for strict adherence to the approved standards of ARI treatment in outpatient care
Акимова, Л. С. Анализ назначений системных антибиотиков при острых респираторных инфекциях детям дошкольного возраста в амбулаторных условиях / Л. С. Акимова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 12-16.
Количество страниц: 4 с.
Recently, numerous studies have confirmed the existence of a certain relationship between Helicobacter pylori (HP) - associated gastroduodenal diseases and gastroesophageal reflux disease (GERD). HP is found in the gastric mucosa in patients with GERD in 52.4 %, which is significantly lower than in the general population: 73-91 % [2, 5]. In adults with chronic gastritis (CG), HP is detected in over 80 % cases, peptic ulcer of the stomach - 70-85 %, peptic ulcer of duodenum (PUD) - 90-95 % [1, 3, 4]. Attention was drawn to the fact that after successful eradication of HP infection, the number of patients with HP-associated PU decreased, and the number of patients with GERD, in contrast, significantly increased by about 2 times [7, 8]. The clinical picture of GERD is very diverse and variable: it can be typical and atypical, with characteristic clinical “masks” (coronary, pulmonary, otolaryngological mask, etc.) Chronic gastritis with dyspepsia syndrome caused by Helicobacter pylori infection should be regarded as a manifestation of functional dyspepsia. According to the Roman Criteria IV (2016), there are two criteria for the functional dyspepsia syndrome: postprandial distress syndrome and epigastric pain syndrome. Peptic ulcer is a systemic gastroenterological disease with a multifactorial pathogenesis, and HP infection is one of the important but locally predominant factors in its pathogenesis and the indicator of relapses of HP-associated forms
Клинико-эндоскопическая характеристика ГЭРБ, хронического гастрита и язвенной болезни у различных этнических групп больных, проживающих в условиях Севера / Н. В. Аввакумова, Л. Г. Чибыева, К. М. Николаева [и другие] // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 8-11.
Количество страниц: 6 с.
- Общественные науки. Образование > Народное образование. Воспитание. Обучение. Организация досуга > Организация воспитания и образования. Школоведение,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Гигиена. Санитария,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Гигиена. Санитария,
- НАУКА ЯКУТИИ > ОБЩЕСТВЕННЫЕ НАУКИ > Народное образование. Воспитание. Обучение. Организация досуга.
Health as a category is one of the main elements of the national wealth of each state and serves as one of the indicators of the effective operation of the state, social and economic structures, affects all aspects of the society and is simultaneously determined by them. The urgent task of the society and medicine is to study social problems of children and adolescents, the relationship between health indicators and the way of life of children and adolescents. The article presents the results of case follow-up according to the medical examination of 9th grade schoolchildren in Yakutsk. The children’s health condition was tested with the use of a the hardware and software complex and a comprehensive examination. Based on the results of the comprehensive survey, a group of children with risk factors for the development of non-communicable diseases was identified, they were given recommendations on maintaining a healthy lifestyle and were covered by recreational activities. The case follow-up of the children with risk factors showed a positive dynamics in their health condition
Саввина, Н. В. Анализ состояния здоровья школьников г. Якутска по данным динамического наблюдения за 2016-2017 / Н. В. Саввина, В. И. Еремеева, Т. В. Егорова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 3 (08). — С. 31-35.
Количество страниц: 8 с.
In recent years, the problem of adaptation of the organism to the severe natural and climatic conditions of the Far North has been intensively developed. The Sakha Republic (Yakutia) is the most northern republic within the Russian Federation. In this cold part of the Earth, each ethnic group has created their own unique way of life, language, original culture and have carried them through the centuries. This unique experience has been accumulated over many centuries, formed in a natural habitat, and passed down from generation to generation. The results of environmental-physiological and medical-demographic research have revealed the most important factors affecting the health indicators of people living in ecologically unfavorable regions of the North and make it possible to scientifically substantiate the health condition of the population for the timely development and formation of medical and social measures for its restoration
Анализ основных факторов риска сердечно сосудистых заболеваний у жителей западной экономической зоны (на примере Нюрбинского района) / П. Г. Петрова, Н. В. Борисова, С. В. Маркова [и другие] // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 3 (08). — С. 23-30.
Количество страниц: 8 с.
Human health depends on a number of the factors affecting the body: heredity, climatic, socio-economic, and inductrialfactors, and nutrition. Under the industrial exploration of a territory, the pathogenic effect of technogenic and anthropogenic pollution of the environmenton human increases. We conducted a survey of children and adolescents living in Aldan District the SR(Ya), which included an analysis of the information about the condition of children and adolescents,an identification of the elemental composition in biological substrates, and a questionnaire on nutrition. We diagnosed that the most common diseases in children and adolescents are those of the respiratory tract, gastrointestinal disorders and visual impairment. It was revealed that inadequate provision of macro- and micronutrients may lead to the development of various pathologies. The nutrition of the children and adolescents is moderately rational; in addition to natural products, they consume unhealthy foods. According to the results we gave practical recommendations
Состояние здоровья детей и подростков южной экономической зоны Республики Саха (Якутия)(на примере Алданского района) / С. В. Маркова, А. М. Аммосова, П. Г. Петрова, Н. В. Борисова // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 3 (08). — С. 17-22.
Количество страниц: 4 с.
This article is devoted to a topical issue in modern pediatrics, the incidence of allergic rhinitis in children living in the Far North. The aim of the survey was to study the trends in primary morbidity of allergic rhinitis (AR) in the child population of the Sakha Republic (Yakutia) according to the statistics of the Yakut RepublicInformation and Analytical Center for the period 2008-2014 and to analyze the results of allergy testing of school-age children with allergic rhinitis and living in the north of the republic, 100 patients in total at the National Center of Medicine, Yakutsk.The survey revealed an increased primary incidence of allergic rhinitis (AR) in children.The causes of developing allergic rhinitis (epidermal, household, pollen)were studied. When analyzing the results of allergy testing of school-age children with AP, we revealed a high level of sensitization to household allergens (42 %), dermatophagoides (38 %), and animal hair (cats, dogs) in 20 % of the patients.School-age children with AP are very susceptible to pollen(41 %),including Artemisia (30.1 %), birch(49.8 %) and meadow grass(20.1 %). Given the increased primary incidence of AR in children and adolescents of the Sakha Republic (Yakutia) in the recent years, it is necessary to implement regional programs on prevention and early detection of this disease
Иванова, О. Н. Анализ показателей заболеваемости аллергическим ринитом среди детей Республики Саха (Якутия) / О. Н. Иванова// Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 3 (08). — С. 12-15.
Количество страниц: 8 с.
The article presents a historical review of the literature on urethral pressure profilometry in men, reflecting the evolution of the views on interpretation of urethra profiles for prostate adenoma. It describes the methods of urethra profile analysis from the times of Brown and Wickham to modern researches. It also describes the advantages and disadvantages of the profilometry methods with the use of carbon dioxide and pressure sensors that have not been introduced into practice. The evolution of profilometry methods is considered taking into account the changing views on nosogenic mechanisms of infravesical obstruction development. The authors indicate the changes in prostatic urethra profiles after operative therapy of patients with prostatic adenoma. Through the basic law of hydrodynamics, they explain the mechanism of urine flow forming, noting the decisive role of outward urethral sphincter and pelvic bottom muscles dysfunction in this process. They also note that the improvement of profilometry methods through making them more sophisticated did not result in receiving clinically significant information. They bring the reasons shy profilometry has not become the Һgolden standardһ of infravesical obstruction diagnostics. Basing on the literature analysis, the authors make a conclusion about potential clinical application of urethral pressure profilometry for men with prostatic adenoma
Исторический обзор развития метода профилометрии уретального давления при аденоме предстательной железы / В. В. Данилов, К. С. Осинкин, В. В. Остобунаев [и другие]// Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 3 (08). — С. 5-11.
Количество страниц: 8 с.
The of adaptation of international students for studying in Russian universities is one of the most relevant problems. In the Northern extreme climate, foreign students have to adapt not only to the educational, cultural and social, but also complicated natural conditions that require increased mobilization of resources for adaptation. This article is a fragment of a longitudinal study on the cardiovascular system (Harvard step test, cardiorhythmography) of first-year NEFU studentscoming from countries with a hot climate and in the process of adaptation to the extreme conditions of Yakutia. We studied the functional response of the body to the test graduated exercise, indicators of heart rate (HR), standard deviation (SDNN), Mode (Mo), Mode Amplitude (AM), the stress index of Baevsky (SIB), High Frequency (HF), and Low Frequency (LF). At the time of the study, all participants had no signs of disease and were found to be practically healthy. It was revealed that the cardiovascular parameters in rest between the representatives of the main and control groups showed no statistically significant differences, except for a higher heart rate in the group of foreign students. When assessing the state of physical performance by IGST, most representatives of the both groups were on average or below the average state of physical working capacity. When assessing the parameters of heart rate variability in the main group, the activity of stress-limiting systems predominates, in the control group optimal parameters of adaptation are noted. It is established that the adaptive capabilities of the organism, estimated by the power of slow and fast waves, are characterized by low and moderate levels of mobilizing and recovery potential
Борисова, Н. В. Сравнительная оценка вегетативного статуса студентов при адаптации к условиям Якутии / Н. В. Борисова, А. Г. Карпова, С. М. Дмитриева // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 2 (07). — С. 36-43.