Pages Navigation Menu
Submit scientific paper, scientific publications, International Research Journal | Meždunarodnyj naučno-issledovatel’skij žurnal

MEDICINE

ISSN 2227-6017 (ONLINE), ISSN 2303-9868 (PRINT), DOI: 10.18454/IRJ.2227-6017
ПИ № ФС 77 - 51217, 16+

CORRELATION BETWEEN SUGAR-REDUCING PHARMACOTHERAPY AND DEPRESSION LEVEL IN COMORBID PATIENT WITH DIABETES MELLITUS TYPE 2

Posted in 2020, Issue № 03(93) March 2020, MEDICINE | 0 comments

The data from the pharmacological and epidemiological study of FORSAIT-SD2 show that patients with diabetes mellitus (DM) type 2 have an average of 2 to 6 concomitant pathologies, and global statistics also indicate that depressive have an increasing share among comorbid pathologies. The lack of identification and timely correction of psychoemotional disorders in patients with diabetes mellitus type 2 affects not only the patient’s quality of life but also the effectiveness of sugar-lowering pharmacotherapy. In turn, hypoglycemic pharmacotherapy can affect the development or progression of depression. This paper discusses the aspect of daytime sleepiness and depressive disorders in patients with diabetes mellitus type 2 with metformin therapy as part of multicomponent pharmacotherapy.

Read More

FEATURES OF EMERGENCY SURGERY OF SEVERE TRAUMATIC BRAIN INJURY

Posted in 2020, Issue №2(92) February 2020, MEDICINE | 0 comments

Based on the analysis of the clinical database of 202 patients operated on for a severe traumatic brain injury treated in the Republican Scientific Centre for Emergency Medicine, a number of features of the operative technique for traumatic cerebral compression were identified. Recommendations on the implementation of individual stages of interventions are given, which are important for improving the treatment outcome for the most severe cohort of neurosurgical patients.

Read More

OLD “FALSE PASSAGE.” CLINICAL CASES. HOW TO AVOID INTRAOPERATIVE COMPLICATIONS?

Posted in 2020, Issue №2(92) February 2020, MEDICINE | 0 comments

The paper describes 2 clinical cases of an earlier formed false passage in the myometrium in patients with concomitant intragenital pathology. Analyzing 421 hysteroscopic interventions for 2019 conducted on the basis of the short-term stay department of the Municipal Clinical Hospital named after M.P. Konchalovsky, Department of Health of the city of Moscow, the false passage was determined in 0.415% of cases. This pathology is quite rare, but especially relevant since it has been little studied and almost always leads to serious complications during surgical and diagnostic hysteroscopy. Based on this experience, recommendations on possible measures to reduce intraoperative complications in these patients were suggested: pre-operative assessment of the risks of complications, pre-hospital preparation of the patient, full visual control during surgery, refusal from “blind” manipulations, reduction of surgical aggression.

Read More

EXPERIENCE OF SUSPENSION OF VESICAL CERVIX STUMP AFTER RADICAL OPERATIONS ON PELVIC ORGANS FOR THE PREVENTION OF PROLAPSE RELIEF

Posted in 2020, Issue №2(92) February 2020, MEDICINE | 0 comments

Pelvic prolapse is currently acquiring the latent epidemic nature. Increasingly, complaints related to this pathology are starting to be experienced by women of reproductive and working age. Despite the long history of the existence of surgical treatment for prolapse, until now, we have not found a universal and absolutely safe correction method that gives a minimum of relapse. In this regard, based on the Department of Obstetrics and Gynecology FSBEI of HE “Ryazan State Medical University named after Acad. I.P. Pavlov”, the Ministry of Health of the Russian Federation, proposed a method for the prevention of prolapse recurrence after radical surgery on the pelvic prolapse using mesh implants.

Read More

SURVEY FINDINGS ON EVALUATION OF MEDICAL PROFESSIONALS WORKLOAD, LABOR STANDARTS

Posted in 2014, Issue June 2014, MEDICINE | 0 comments

Introduction

Greater part in functioning health sector reform directs to allocate workload of health sector’s professionals in proper way and to carry accurate evaluation and to increase organizational productivity. High working load of health sector’s professionals affects to job performance and safety of health care service. Due to stresses caused by workload and job negative consequences such as improper use of drugs, depression, worry, became reluctant from job, take off time, decrease clients’ satisfaction, mistakes in treatment and diagnosis are commonly occurred among health sector professionals.

Purpose

To study workload of medical professionals and analyze legal documents and materials relevant to medical professionals’ workload and labor standards.

Methods

Research model of cross sectional study was utilized. In order to study workload of medical professionals working at primary, secondary and tertiary health organizations, we used organization based observation and questionnaires to (1) define core job structure with types of works of medical doctors by observation, (2) to evaluate skills, responsibility, experience, effort and work condition by questionnaires with indicators of “Job evaluation”.

Results

Average daily working hours for medical doctors were 454.3 minutes which is by 69.3 minutes more than expected time. Medical doctors spend 78.2% of their working hours for provision of health care services, 13.8% for public health care service and 18.2% for filling initial formats. According to the indicators of the “Job evaluation”, medical doctors’ workload scored to V-IX levels.

Average daily working hours for nurses were 452 minutes which is by 67 minutes more than expected time. Nurses spend 79% of their working hours for provision of health care services, 8% for public health care service and 16% for filling initial formats. According to the indicators of the “Job evaluation”,nurses’ workload scored to III levels.

Conclusion

Medical doctors who work in pediatrician, allergist and surgery working with higher workload. Nurses such as bagh feldsher, cosmetologist nurse, neurologist nurse, dermatologist nurse and OTL nurse working with higher workload.

Read More

ANTHROPOMETRIC PARAMETERS OF PATIENTS WITH IRRITATED BOWEL SYNDROME

Posted in 2014, Issue June 2014, MEDICINE | 0 comments

To study the effect of anthropometric indices at abdominal sonography results in patients with irritated bowel syndrome the comparative analysis of pancreatic, hepatic proportions and body mass index (BMI) was performed. The conclusion was done that anthropometric indices haven’t an influence on abdominal organs sonography results. The data obtained should be taken into account in routine clinic examination.

Read More

TREATMENT METHODS OF GASTRIC AND DUODENUM ULCER DISEASE – HISTORICAL ASPECT

Posted in 2020, Issue № 01(91) January 2020, MEDICINE | 0 comments

Treatment of patients with gastric and duodenum ulcer disease is an urgent problem of modern medicine. Despite the achievements of pharmacotherapy, there is no significant decrease in the number of patients with complications such as bleeding and perforation. With a decrease in the number of planned operations for gastric and duodenum ulcer, the number of urgent surgical interventions stably remains at the same level and even increases. The paper provides information on trends in the treatment of gastric and duodenum ulcer. The evolution of views aimed at finding the causes of pathology and methods for its elimination is presented in this work. This review discusses current ideas about the etiology of gastric ulcer and topical issues of its therapy.

Read More

ERROR ANALYSIS OF PRIMARY ENDODONTIC DENTISTRY WITH CHRONIC PERIODONTITIS

Posted in 2020, Issue № 01(91) January 2020, MEDICINE | 0 comments

The authors provide a literature review on the need for repeated endodontic treatment of teeth with chronic periodontitis: features of the anatomy of the root system, iatrogenic errors, errors associated with the selection of sealers for obturation of a root system. The stability of the primary and secondary microflora, as well as creating a biofilm that does not allow achieving aseptic conditions in the channels of the teeth are described in this work.

Read More

VEGETATIVE HOMEOSTASIS AND PHYSIOMETRIC INDICATORS OF STUDENTS

Posted in 2020, Issue № 01(91) January 2020, MEDICINE | 0 comments

The author has conducted the study of physiometric indicators and heart rate variability parameters in 22 girls studying at the university. According to the results, anthropometric indicators correspond to relative standards in terms of the level of physical development of girls; however, they significantly differed from the data obtained in other regions of Russia. The decrease in the adaptive potential of the studied persons was established, it is confirmed by a decrease in the power index, the level of somatic health, and the increase in the tension of adaptive mechanisms. The author shows the possibility of the use of the correlation relationships dynamics of the studied indicators to assess the functional reserves of the student’s body.

Read More

COMPARATIVE ANALYSIS OF CHILDHOOD VACCINATION AND ATTITUDE OF PARENTS TO VACCINAL PREVENTION, DEPENDING ON PLACE OF RESIDENCE

Posted in 2020, Issue № 01(91) January 2020, MEDICINE | 0 comments

The article assesses and compares the attitude to child vaccination of parents living in the city and the regions, and identifies factors influencing the formation of their opinions. The authors conducted a survey of 160 respondents. It was found that the majority (40%) of parents have a negative attitude toward vaccination. The respondents expressed the most negative attitude towards influenza prevention. This is particularly typical for rural areas (56% versus 49%). Media and social networks are of greatest importance (45%) in the formation of a negative attitude of parents. The vaccination of 424 children attending kindergartens in urban and rural areas was analyzed. It was found that almost a quarter of children (25%) had deviations from the vaccination calendar or were not vaccinated at all because of their parents’ voluntary refusal to vaccinate (15%), the share of refusals from vaccinations against influenza was 72%. A comparative analysis of vaccination among rural children showed a higher percentage of refusals from both mandatory vaccinations (17 versus 12%) and from influenza prophylaxis (74% versus 69%).

Read More

STATE OF PRO-AND ANTICOAGULATION SYSTEMS OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS

Posted in 2014, Issue May 2014, MEDICINE | 0 comments

The aim of this work was to study the state of the pro-and anticoagulant systems in pregnant women with gestational diabetes mellitus structure and methods of delivery complications in this group of pregnant women.

Read More

THE EVALUATION TOOLS OF THE CNS IN CARDIAC SURGICAL PATIENTS

Posted in 2014, Issue May 2014, MEDICINE | 0 comments

The article discusses the possibility of thermal telemetry studies of cerebral vessel . Found significant correlations between brain activity and thermal picture of the corresponding projections of cerebral vessels in cardiac patients, which allows the use of thermography as a method of informative method for timely diagnosis predictors of critical states.

Read More

CEREBRAL PALSY: NEW IN REHABILITATION QUESTIONS

Posted in 2014, Issue May 2014, MEDICINE | 0 comments

Cerebral palsy belongs to group of permanent disturbances of development of movements and position of the body, generating restriction of activity and caused by an improgressive lesion of a developing brain of a fetus or the child. At cerebral palsy there is no universal method of rehabilitation, thus it is necessary to unite to different forms and treatment methods in a complex to correctional psychological and pedagogical work. Such methods, as use of system of intensive neurophysiological rehabilitation, a reflexotherapy combination with cortexin and neuroprotective treatment about which speech in this article will go became most widespread.

Read More

PLACENTAL MALFUNCTIONS DURING PREGNANCY AFTER RECONSTRUCTIVE OPERATIONS ON UTERUS

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

The problem of the development of placental insufficiency during pregnancy takes a special place in obstetric practice. The goal of this work is to study the features of the development of the placental disorder during pregnancy that occurred after the surgical correction of uterine malformations.

The authors conducted a survey of 30 patients who became pregnant in a natural way after corrective operations on the uterus. The control group consisted of 40 pregnant women with an uncomplicated course and normal uterine anatomical structure. The leading complications of pregnancy after undergoing operations on the uterus are as follows: a compensated form of placental insufficiency and the threat of miscarriage.

Read More

DRUG EFFECT ON LABORATORY TEST RESULT ON NARCOTIC AND PSYCHOTROPIC SUBSTANCES

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

A wide range of specialties is subjected to laboratory testing for the presence of narcotics and psychotropic substances in biological fluids according to the laws of the Russian Federation. In most cases, an immunochromatographic analysis is used for that, but a significant drawback of this method is the possibility of a false-positive test result. The reason for this may be in cross-reactions occurring in a body due to the use of drugs that are not related to the groups of narcotics and psychotropics. Studies show that false positives for amphetamines are most common. So, the goal of this study is a detailed consideration of this phenomenon, as well as a review of drugs that can imitate the appearance of a metabolite of a psychotropic substance in a human body. The data obtained can be used both in research and in practical activities of biologists, pharmacists, pharmacologists and clinicians of various specialties.

Read More

COMPLEX DIAGNOSTICS OF REPEATED VOMITING

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

Cyclic vomiting syndrome is a pathological state in which a patient experiences at least three separate attacks of vomiting, each of which is accompanied by more than four vomiting episodes at the height of the disease. In typical cases, no more than two episodes per week are observed. The average duration of an attack is 24-48 hours (minimally 2 hours), but it can last for 10 days or more. The duration of the intervals when a patient is free from vomiting and is practically healthy is different. Isovaleric acidemia has similar symptoms.

Read More

TEAM EFFECTIVENESS PROGRAMS FOR MEDICAL PERSONNEL OF NON-EMERGENCY ASSISTANCE

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

The paper presents the overview of foreign programs intended to improve the quality of teamwork of medical personnel on an outpatient basis, in long-stay patients and primary health care departments, as well as rehabilitation clinics. It is shown that the basis of most programs are theoretical and practical seminars, during which great attention is paid to the development of “non-technical” skills of staff: setting common goals for the team, effective communication, mutual assistance in decision making, leadership, situational awareness, and self-confidence. The high efficiency of the practical use of methodological developments and interactive courses in various countries and areas of medical care is shown in this work. At the same time, many courses are adapted for just a strictly defined medical field, while there are still very few programs tested in the clinical setting and suitable for workers in different medical fields. In this regard, it is relevant to expand the profile of programs to improve the quality of teamwork of medical personnel and apply the already gained experience with the adaptation of the programs considered in work for Russian healthcare.

Read More

TREATMENT OPTIONS FOR ASEPTIC NECROSIS OF FEMORAL HEAD

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

Aseptic necrosis of the femoral head is one of the most important problems in traumatology; it causes a gradual deformation of the femoral head at the places where the greatest load is applied to it. The disease is the cause of disability in 7% of the total number of orthopedic patients with dysfunction of the lower extremities. There are various surgical and conservative approaches to the treatment of this pathology. This article presents an overview of the available data on the use of these methods for the correction of osteonecrosis of a hip joint.

Read More

THE ACTIVITY OF METABOLIC PROCESSES IN THE MANDIBULAR BONE TISSUE OF WHITE RATS USING COORDINATION COMPOUNDS OF ZINC (EXPERIMENTAL STUDY, STAGE 1)

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

To determine the functional state of mineralized tissues in the simulation of experimental periodontitis, markers of formation and resorption were studied, lysozyme activity of enzymes, indicators of adenylic nucleotide metabolicity, glucose and dehydrogenase activity of the Krebs cycle, as well as the content of deoxyribonuleric acid, calcium and phosphorus. The study of the effect of 11 coordination compounds of zinc on osteoregenerative processes under normal physiological conditions was conducted on 96 rats weighing 180–220 g. The most biologically active was the coordination compound of zinc — an adduct of zinc trifluoroacetate with y-picoline with the general formula Zn(CF₃CO₂)₂(γPic)₂. The optimal dose for administering Zn trifluoroacetate Adduct with γ-picoline was analyzed on 36 rats, divided into 5 groups, and control (0.25 mg; 0.5 mg; 0.75 mg; 1 mg; 1.25 mg Zinc in weight 100 g) Biochemical results showed that the most optimal was 1.0 mg Zn / 100 g corp. weight). The use of zinc trifluoroacetate adduct with y-picoline in animals that were used to simulate experimental periodontitis has a positive effect on the intensity of the formation and resorption of bone tissue of alveolar apophysis, which is manifested in a decrease in the number of sectors of alveolar apophysis of the lower jaw with resorption relative to the control group for radiovisiographic of the lower jaw of the animals included in the study. In experimental periodontitis, there are significant changes in the lipid peroxidation system – antioxidant protection, which is characterized by an increase in the level of lipid hydroperoxidants and malonic dialdehyde, a decrease in the overall antioxidant activity and ca-talase. Excessive development of reactive oxygen species and the apparent lack of anti-acidic factors is a solid support for the suggestion that oxidative stress plays an important role in the pathogenesis of experimental periodontitis.

Read More

STUDY OF ADSORPTION OF PURE AND MODIFIED SUPERCRITICAL CARBON DIOXIDE BY POLYETHYLENE OF MEDICAL PURPOSE

Posted in 2019, Issue № 12(90) December 2019, MEDICINE | 0 comments

This paper considers the effect of pure and modified supercritical carbon dioxide on 5118 polyethylene in order to determine the possibility of using supercritical fluids as a sterilizing agent for medical devices made of polymer materials. The authors also describe the instrumentation and the technique of an experiment to study the adsorption of supercritical CO2 by polyethylene. They revealed the lack of solubility of the test polymer material in the sterilant.

Read More