No 66 (2016)

Articles
The ANALYSIS OF THE EPIDEMIOLOGICAL SITUATION OF TUBERCULOSIS IN VORONEZH FOR THE FIRST HALF of 2016ON THE OUTPATIENT STAGE
Lozovaya N.N., Ostroushko N.I., Muravitskaya M.N.
Abstract
This article examines the problems of tuberculosis epidemiology in the Russian Federation and Voronezh for the first half of 2015 and 2016 at outpatient clinics. Analyzed the amount of anti-tuberculosis activities for the first half of 2016, according to a statistical report of ambulatory medical institutions: we studied the incidence of tuberculosis per 100 thousand adult population determined the proportion of advanced cases of tuberculosis, the coverage of fluorographic inspection, inspection, if not examined for tuberculosis more than 2 years, inspection of high-risk groups, ordered groups, identification of individuals with active tuberculosis when conducting routine inspections, determined by the number of sputum smear for acid-fast Mycobacterium tuberculosis.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):3-10
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ANALYSIS OF CARDIOVASCULAR MORBIDITY IN OUTPATIENT RECEPTION
Nemtseva A.A., Hanina E.A.
Abstract
This study investigates the structure of patients with chronic heart failure (CHF) IIa FC I/II/III/IV, the quality of life in those patients with the help of the CHF patients register, the kinds of arrhythmias present in patients with CHF and diabetes mellitus and peculiarities of their course. We found out that diabetes mellitus worsens the course of CHF and arrhythmias and tends to correlate with the higher FC of CHF.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):11-16
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DYNAMICSOFINCIDENCEWITHTEMPORARYDISABILITYINTHE TERRITORY FIXED THE VORONEZH CITY POLICLINIC №2"
Mankov A.V., Belozerova E.V., Krutskikh M.Y.
Abstract
Analysis of morbidity with temporary disability in the territory assigned to the Voronezh city polyclinic№2. The authors studied the incidence of temporary disablement in the territory assigned to the Voronezh city polyclinic№2 for the period from January 2011 to January 2016. Studied indicators of morbidity with temporary disability, established and analyzed the relationship nosological reasons with the degree of risk of temporary loss of health, identified and analyzed the relationship between nosological reasons for the temporary loss of working capacity and their prevalence among persons, male and female. Identified and analyzed the relationship between nosological reasons for the temporary loss of working capacity to the total number of days loss of efficiency. Identified and analyzed the relationship between nosological causes of loss temporary disability and age groups of persons temporarily lost work capacity. A number of solutions to the studied problems, both on a local and national level.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):17-22
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ANALYSIS OF CANCER INCIDENCE FOR OUTPATIENT-POLYCLINIC STAGE
Semenova A.V., Zuykova A.A., Krasnorutckaya O.N., Kopylov E.N.
Abstract
The authors show the results of analysis of cancer morbidity in the example of territorial medical district city polyclinic. Established nosological structure of cancer incidence, age and sex structure and the structure of cancer patients to ensure federal and regional benefits. Malignant neoplasms of the skin and breast cancer occupy the first position in the structure of cancer incidence. The largest number of registered patients aged 60-80 years. Most cancer patients are provided with regional benefits.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):23-26
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ANALYSIS OF CANCER INCIDENCE OUTPATIENT AT RECEPTION ON THE EXAMPLE OF WORK CITY POLYCLINIC № 2 STARY OSKOL
Deryaeva A.G., Zujkova A.A., Dobrynina I.S.
Abstract
In this article, the authors present the results of analysis of cancer incidence in the different localization medical district city polyclinic town of Stary Oskol.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):27-31
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THE PREVALENCE OF MYOCARDIAL INFARCTION AND FEATURES TO ASSIST PATIENTS WITH THIS PATHOLOGY CLINICS IN THE CITY OF VORONEZH
Vorontsova A.D., Ostroushko N.I., Khokhlov A.R.
Abstract
Аnalyzed statistics on the prevalence of myocardial infarction in the city of Voronezh with the register of acute myocardial infarction. The peculiarities of care for patients with this pathology in the territorial polyclinics.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):32-37
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ANALYSIS OF THE TREATMENT OF HYPERTENSION IN PATIENTS WITH CONCOMITANT CHRONIC LIVER DISEASE IN OUTPATIENT LEVEL
Stepanov A.E., Strakhova N.V.
Abstract
In the article the results of evaluating the effectiveness of treatment of hypertension in patients with concomitant chronic liver disease in outpatient conditions are presented. It has been shown that angiotensin-converting enzyme (ACE) took first place in the frequency of administrations in the clinic in hypertensive patients with and without chronic liver disease. It was found that in patients with concomitant chronic liver disease ACE inhibitors, which are active drugs and do not require the conversion of the acting metabolites in the liver, are most expedient to be prescribed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):38-42
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THE ROLE OF THE HEALTH CENTER IN THE SYSTEM OF SCREENING DIAGNOSIS MONITORING OF HEALTH STATUS AND PRIMARY AND SECONDARY PREVENTION
Alimkhanova Z.Z., Babkin A.P., Tsvirkun I.V.
Abstract
The aim of this study was to assess the amount of activity, structure, key risk factors, their dynamics, their distribution in men and women in the age aspect and the effectiveness of preventive health activities health Centre on the basis of BUZ VO UGK No. 4.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):43-47
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EVALUATION OF MORBIDITY WITH TEMPORARY DISABILITY IN A THERAPEUTIC DISTRICT OF VORONEZH CITY LOCAL POLICLINIC
Atapina I.E., Posmetyeva O.S.
Abstract
Indicators of morbidity levels are very low according to Notkin’s scale in the examined district. In the structure of morbidity with temporary disability dominate diseases of respiratory tract, musculoskeletal diseases, injury and poisoning.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):48-53
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WAYS OF OPTIMIZATION OF ACTIVITY OF THE DOCTOR ON DUTY
Yuryeva V.N., Strakhova N.V.
Abstract
Now in health sector much attention is paid to reorganization of medical care at the level of an outpatient and polyclinic link. So, the first innovation in the city of Voronezh became the problem resolution of queues on appointment. Within the crowdsourcing project "Voronezh. My polyclinic" it was offered to enter into the state of polyclinics a position "Doctor on duty". Work of this specialist caused positive reviews from the population, but requires optimization for more effective results.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):54-58
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ANALYSIS OF THE FACTORS DETERMINING THE COMMITMENT OF ANTIHYPERTENSIVE THERAPY ON OUTPATIENT STAGE
Maslova V.U., Krasnoruckaya O.N., Bugrimov D.Y., Kucheruk G.M.
Abstract
Тhis work is dedicated to one of the most common diseases of the 21st century - hypertension. It is important not only to study the etiology and pathogenesis, but to be able to correctly assign treatment, taking into account compliance of patients. And for that you need to know the factors influencing adherence to therapy, part of the key to successful management of patients with this nosology. On the basis of the ongoing studies identified the leading regulated and unregulated factors.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):59-63
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EVALUATION OF REFERENCE PATIENTS WITH HYPERTENSIONTHERAPEUTIC SITE
Goryagina M.A., Dobrynina I.S.
Abstract
This article examines the issues of risk factors and prevalence of comorbid diseases in patients with cardiovascular disease in 14 out-patient department of Voronezh. Were evaluated to achieve target levels of the main parameters (blood pressure, total cholesterol) in these diseases, as an indicator of the effectiveness of tactics district physician of the patient with this pathology. Revealed and proved the need for new methods of informing the public on the prevention of cardiovascular disease.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):64-68
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THE ANALYSIS OF QUALITY OF PROVIDING NARCOTIC ANALGETIKAMIMI OF PATIENTS WITH 4 STAGE OF THE ONCOPATHOLOGY AT THE STAGE OF OUT-PATIENT AND POLYCLINIC SERVICE
Ivanova D.V., Zuykova A.A., Krasnorutckaya O.N., Gotcak I.V.
Abstract
Authors submitted the analysis of providing oncologic patients with narcotic analgetics with the 4th stage at an out-patient and polyclinic stage. The analysis of the used agents, a release form, a daily dose, the number of days of use is carried out. Deficiency of use of adjyuvantny therapy and peroral forms of narcotic analgetics is noted.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):69-73
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N.V. Darmograeva, O.S. PosmetyevaSTUDY ON EFFICIENCY OF DISPENSARY WORK ON THE THERAPEUTIC AREA OF VORONEZH CITY
Darmograeva N.V., Posmetyeva O.S.
Abstract
In the therapeutic area under study revealed the prevalence of cardiovascular disease, diabetes and cancer in a group of dispensary patients. The effectiveness of dispensary work is confirmed by the achievement of targets.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):74-77
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EFFICIENCY IN BUZ CLINICAL EXAMINATION IN "VORONEZH CITY POLICLINIC №10»
Derkach M.I., Kotova Y.A., Bokareva M.A.
Abstract
In this paper we analyzed the data about groups of dispensary patients , as a treatment for patients with chronic diseases and the effectiveness of the clinical examination of a particular area .
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):78-81
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THE INFLUENCE OF COMORBID PATHOLOGY ON CLINICAL-AND-PSYCHOLOGICAL STATUS OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Kozhevnikova S.A., Budnevskiy A.V., Burlachuk V.T., Ovsyannikov E.S., Goncharenko O.V.
Abstract
The results of comparative analysis of the clinical-and-psychological status of patients with chronic obstructive pulmonary disease (COPD) and patients with COPD and concomitant ischemic heart disease, the data of correlation analysis showing extent of ischemic heart disease influence on current, COPD clinical picture and the psychological status of patients - the level of anxiety and depression are presented. The negative role of concomitant ischemic heart disease in current and progression of COPD is shown.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):82-88
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DRUG-FREE MODALITIES AND PREVENTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CONCOMITANT PATHOLOGY - THE ROLE OF PULMONARY REHABILITATION
Kozhevnikova S.A., Budnevskiy A.V., Burlachuk V.T., Ovsyannikov E.S., Goncharenko O.V.
Abstract
60 people with chronic obstructive pulmonary disease (COPD) of moderate severity and ischemic heart disease were examined, 2 groups are created: 1 group - 30 people who along with medication of diseases passed the program of pulmonary rehabilitation (PPR) - group training, a course of physical exercises; 2 group - 30 people received only medication. As a result of application of PLR for 1 group patients in 12 months positive dynamics of the researched indicators were reliable in comparison with 2 group patients. Thus, it is reasonable to use PLR developed taking into account of concomitant pathology as drug-free modalities and prevention of COPD to increase deliver medical care quality, improvement of clinical-and-psychological status and quality of patient’s life.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):89-95
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY ON THE TERRITORIAL MEDICAL DISTRICT
Diordieva M.D., KotovaYuA Y.A., Bugrimov D.Y.
Abstract
The article gives the analysis and comparison of nosology, sex and age structure of morbidity with temporary disability on the territorial medical district on the base BUZ IN GKP №8 for the first half of 2015 and 2016 and proposes measures for its reduction.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):96-100
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ANALYSIS OF RISK FACTORS IN AMBULATORY PATIENTS WITH THE CHRONIC HEART FAILURE
Belozorova E.A., Zujkova A.A., Strakhova N.V.
Abstract
On the example of selection of 62 patients who are under dispensary observation of the therapist of territorial site №22 of Voronezh policlinic №3 prevalence of risk factors of development and advance of the chronic heart failure (CHF) in patients of an out-patient link of health care is analysed. The most widespread among them were arterial hypertension, an obesity, a hyperglycemia on an empty stomach. The nosological structure of the accompanying pathology is defined, at the same time high level a polimorbidnost at this group of patients is taped. The komplayentnost of patients with CHF to treatment is subjected to separate assessment, causes of failure from drug intake are established.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):101-108
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY ON THE TERRITORIAL MEDICAL DISTRICT
Korniyasova E.A., Dobrynina I.S.
Abstract
The main content of the research is the analysis of morbidity with temporary disability (MTD) on the territorial medical district. The author analyses the accounting and reporting documents, based on which conclusions are drawn about the prevalence of diseases, sex ratio, average age, ratio of days of disability. Based on these results the author offers practical recommendations aimed at the prevention of diseases in the studied two specific months.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):109-115
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY ON THE TERRITORIAL MEDICAL DISTRICT NUMBER 304 DEPARTMENT OF POLYCLINIC THERAPY AND GENERAL MEDICAL PRACTICE
Litvinova E.A., Blashchenko E.Y., Vetochina I.B.
Abstract
The research and the analysis of incidence with temporary disability has huge social, economic and medical value, in communication with this one of the main directions of work of the Government of the Russian Federation the accruing health care role in the solution of tasks and problems on decrease in incidence and death rate, strengthening of health and growth of population of the country, increase in life expectancy, especially working-age persons is predetermined. An object of research is studying and the analysis of incidence with VUT of citizens of efficient age on the medical territorial site.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):116-122
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EVALUATION OF EFFICIENCY OF THE TREATMENT OF ARTERIAL HYPERTENSION IN OUTPATIENT SETTING
Roshchupkina E.V., Strakhova N.V.
Abstract
The study established the frequency of the appointment of different groups of antihypertensive drugs in the outpatient setting: 56% of patients taking beta-blockers and angiotensin converting enzyme inhibitors, 54% - diuretics, 16% - calcium channel blockers, and 14% - angiotensin II receptor blockers. As it was shown that 40% of outpatient hypertensive patients included in the study, received antihypertensive treatment does not fully take into account modern standards and recommendations based on the principles of evidence-based medicine. The clinical efficacy of the treatment of hypertensive patients in the outpatient reception is insufficient, which may be due not only to inadequate therapy, but with the failure of the doctor's recommendations (low compliance of patients).
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):123-128
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INPATIENT FORMS OF MEDICAL CARE IN THE DISTRICT HOSPITAL
Durneva E.I., Dobrynina I.S.
Abstract
The article raises the task of studying the structure and forms in-patient care replacing forms of medical care. The author analyzes the accounting and reporting documents, questionnaires for the study of satisfaction of citizens clinic work, on the basis of which the conclusions are drawn in terms of assistance, the structure prevailing nosology in the day hospital. Also during the study, the economic impact in-patient care replacing forms of medical care, which is undoubtedly important in conditions of insufficient funding of medical institutions.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):129-134
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FEATURE MORBIDITY WITH TEMPORARY DISABILITY ON THE TERRITORIAL MEDICAL DISTRICT
Ivleva E.L., Krasnorutckaya O.N., Ziborov D.V., Bevzginova G.V.
Abstract
The authors show the results of analysis of morbidity with temporary disability population on the example of territorial medical district city polyclinic. The dependence of diseases with temporary disability from the cause of the disease, sex, age, submitted pharmacoeconomic value of individual nosology. Diseases of the respiratory, circulatory and locomotor system in the lead in the number of cases of temporary disability. The highest average duration of one case has been disabled for cancer.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):135-139
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PSYCHOEMOTIONAL RISK FACTORS IN AMBULATORY PATIENTS WITH CORONARY HEART DISEASE
Bulavina E.S., Strakhova N.V.
Abstract
In a research results of questioning of 50 ambulatory patients with the established diagnosis of coronary heart disease are analysed. With use of psychometric scales of Spilbergera-Khanin and Tsunga high prevalence of alarm and a depression at paitsent in an out-patient department is established. Definition of a depression and alarm on these psychometric scales is available in out-patient conditions and can help the doctor of an out-patient department to correct in due time available psychoemotional risk factors, having increased efficiency of treatment and prophylactic actions and a komplayentnost of patients with an ischemic heart disease to treatment.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):140-146
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ANALYSIS OF RISK FACTORS DOPROKACHESTVENNA GIPERPLAZII OF THE PROSTATE GLAND
Yesin A.V., Yesina E.Y.
Abstract
Prevalence of a good-quality hyperplasia of a prostate is enlarged with aging of male population of the planet. At an out-patient and polyclinic stage of health care early detection and correction of risk factors of a good-quality hyperplasia of a prostate is necessary.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):147-150
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EVALUATION OF PROLONGED STRESS EFFECT ON DAILY VARIABILITY OF BLOOD PRESSURE INDICATORS IN WOMEN
Chukaeva I.I., Plotnikova N.A., Drugova E.A.
Abstract
The goal of research is to evaluate the performance of daily blood pressure monitoring (ABPM) in women, mothers of children with severe diseases at the stage of hospital treatment. Materials and methods. 40 women was examined (a treatment group consisted of 23 patients, mothers of children with serious diseases, a control group consisted of 17 women without prolonged stress impact) with ABPM, laboratory studies and questionnaires for hospital anxiety and depression scale (HADS). Results. Average daily values of SBP and DBP in the main group: 109 (103-113) mm of mercury and 68 (65-74) mm of mercury. In the control group: 114 (105-119) mm of mercury and 74 (66-80) mm of mercury (P> 0.05). Average nighttime SBP and DBP in the main group: 102 (96-106) mm of mercury and 61 (58-64) mm of mercury, in the control group: 101 (93-107) mm of mercury and 57 (52-66) mm of mercury (P> 0.05), accordingly. The women from the main group revealed a strong positive correlation between stress duration and daily average diastolic blood pressure (r = 0,827), between stress duration and average value of a night DBP (r = 0,79). It was detected a strong positive correlation between cortisol level and diurnal variability in the magnitude of SBP (r = 0,898), blood triglyceride level and weighted average daytime SBP (r = 0,713). Conclusions. Prolonged stress influences the daily profile of blood pressure in a group of mothers of children with serious diseases. ABPM should be considered as mandatory study to assess the daily blood pressure profile, in particular, the assessment of BP night as a prognostic indicator of cardiovascular risk.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):151-156
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ROLE OF THE CENTRE OF HEALTH IN HEALTH PREVENTION
Kashchenko I.S., Zuykova A.A., Esina E.Y.
Abstract
Analyzes the work of "Health" center BUZ TO VGP number 16 "Voronezh city polyclinic № 16" for 2015. The effectiveness of preventive work in outpatient care Municipal Health.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):157-160
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ROLE OF THE ACTIVITIES OF THE CENTRE OF HEALTH IN MEDICAL PREVENTION AT HEALTH PRIMARY
Korzhov A.A., Dobrynina I.S.
Abstract
The authors of this article, we discuss the issue of preventive evaluation in the "Health" activity center BUZ TO VGP number 16 "Voronezh city polyclinic № 14" in the period from 2014 to 2015. The analysis of screening and preventive aspects of the work at the level of outpatient health care.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):161-167
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«KEY PERFORMANCE INDICATORS GOOSE «LIPETSK CITY POLYCLINIC №2» THERAPEUTIC SITE»
Kotova O.A., Khanina E.A.
Abstract
The structure of the population of this unit, age structure of the population were defined, results of medical examination wereanalysed, the infectious case rate was identified, preventive activity and activities for strengthening of health of the patients assigned to this departmentwas studied.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):168-173
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CARDIOVASCULAR DISEASE AND RISK FACTORS FOR THE STAGE OUTPATIENT MANAGEMENT OF PATIENTS
Degtyarenko L.V., Krasnorutckaya O.N., Belozerova E.V.
Abstract
The authors studied the cardiovascular disease (CVD) for 2013-2015. in BUZ TO VGP №1 «Voronezh city polyclinic №2». The estimation of efficiency of detection of diseases of the cardiovascular system during the medical examination and clinical examination, as well as recommendations on the prevention and reduction of cardiovascular level.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):174-178
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY AT THE TERRITORIAL MEDICAL STATION № 31 «VORONEZH CITY POLYCLINIC №10»
Lebedinskaya V.A., Kolesnikova E.N., Kopylov E.N.
Abstract
This article describes the morbidity with temporary disability at medical station of the Voronezh city hospital №10, 2015. Shown sex, age, the disease structure of morbidity with temporary disability, the average number of days of temporary disability for each disease to-case basis.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):179-183
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ORGANIZATION, STRUCTURE AND KEY INDICATORS OF THE OUTPATIENT DEPARTMENT IN USMAN, LIPETSK REGION
Ushakov M.A., Zuykova A.A., Vasilchenko I.L., Srtakhova N.V.
Abstract
This article presents the results of the analysis of the organization and activities of the outpatient department in Usman Lipetsk region. You will find here a brief description of the demographic situation in this town, staff problems and organizational structure of the outpatient department and the main reasons to the treatment of the local population.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):184-189
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EFFICIENCY EVALUATION OF PHYSIOTHERAPEUTIC TREATMENT IN THE POLYCLINIC
Spakhov M.V., Kopylov E.N., Ziborov D.V., Anufrieva E.I.
Abstract
Аrticle is devoted to determination of efficiency of rehabilitation in a polyclinic on the basis of work of a physiotherapeutic office, types of the held events are analysed. Relevance of article doesn't raise doubts as for this time rehabilitation takes the important place in structure of medical care and gains the increasing development.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):190-193
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PROBLEMS of MEDICINAL MAINTENANCE OF CITIZENSIN OUT-PATIENT CARE
Popov M.N., Ziborov D.V., Krasnorutckaya O.N., Anufrieva E.I.
Abstract
One of the important areas of health care provision in the outpatient setting is a drug security of citizens. Its implementation is aimed at strengthening the health of the population, to achieve real quality of life and its duration, as a major socio-economic value of the state. Monitoring of drug security of citizens allows timely identification of urgent problems and propose ways to improve the program to ensure preferential citizens.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):194-197
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EVALUATION OF THE EFFECTIVENESS OF DISPENSARY OBSERVATION OF PATIENTS WITH CHRONIC NON-COMMUNICABLE DISEASES AT THE OUTPATIENT LEVEL
Potamoshneva M.S., Krasnorutckaya O.N., Stroeva S.V., Stepanov V.V.
Abstract
One of the important aspects of the provision of medical care in the outpatient dispensary observation of patients is a chronic non-communicable diseases. It is aimed at improving the quality of life of patients, reducing the frequency of exacerbations, morbidity and mortality. Analysis of follow-up to evaluate the effectiveness of the clinics in this area and to propose measures for its improvement.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):198-202
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PECULIARITIES OF CHRONIC HEART FAILURE PATIENTS WITH DIFFERENT BODY MASS INDEX
Mukhortova M.S., Babkin A.P.
Abstract
The aim of this study is to analyze the structure of clinical manifestations, lipids and glucose plasma levels and LVEF in CHF patients with different BMI. We found out a significant difference in total cholesterol levels between the patients with normal weight and the ones with obesity. LVEF tends to decrease with the increase in BMI.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):203-207
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CLINICAL EXAMINATION OF CERTAIN POPULATION GROUPS OF THE VORONEZH CITY POLYCLINIC №8
Nazarova M.S., Kotova Y.A.
Abstract
The purpose of the article is to identify the risk factors for diseases, detection of diseases and timely take on dispensary registration of patients, which is required, the preparation and implementation of individual development programs to prevent diseases, increase motivation of the population to a healthy lifestyle. To this end, clinical examination was carried out of certain groups of the population, 58 people who are patients of the Voronezh city polyclinic №8 lot №5.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):208-212
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ANALYSIS OF THE STRUCTURE OF MORBIDITY WITH TEMPORARY DISABILITY IN OUT-PATIENT-POLYCLINIC
Novichikhina E.I., Esina E.Y.
Abstract
Reduction of losses of working time in connection with the disease that led to temporary disability is one of the most important tasks of the health system.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):213-216
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THE MORBIDITY OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ON THE OUTPATIENT STAGE
Kalinina O.I., Zuykova A.A., Krasnorutckaya O.N., Belozerova E.V.
Abstract
In this study, we investigated the incidence of diseases of the musculoskeletal system and connective tissue (Csist) in 2 categories of individuals: adults, 18 years and older working age adults working age (women 55 years, men 60 years) for 2013 - 2015 in BUZ VO VGP №1 polyclinic №2. Comparative analysis of primary morbidity of diseases Csist in the Voronezh region and Russia. The dependence of nosology age group. Proposed a number of measures, oriented on prevention, to reduce the overall morbidity among the adult population.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):217-223
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ANALYSIS OF THE INCIDENCE OF ENDOCRINE DISORDERS ON THE OUTPATIENT LEVEL
Demchenko O.S., Zuykova A.A., Krasnoruckaya O.N., Belozerova E.V.
Abstract
The article deals with the analysis of endocrine pathology at the outpatient level. Assesses the prevalence and incidence of diseases. Describes the structure of the endocrine pathology depending on the working age. The authors evaluated the rationality of power, as a risk factor for endocrine pathology.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):224-227
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ANALYSIS OF THE STRUCTURE OF THE INCIDENCE OF THE CHRONIC NONSPECIFIC LUNG DESEASE
Oganyan A.A., Kotova Y.A.
Abstract
The purpose of this article is to analyze the incidence of chronic nonspecific diseases of the bronchopulmonary system on the site of the Khrushchev out-patient clinic of the Lipetsk district, the comparative assessment of the incidence with other districts and evaluate the environmental situation in the region and developing preventive recommendations.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):228-231
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY IN EIGHT MEDICAL DISTRICTS VORONEZH CITY POLYCLINIC №8 FOR THE 1ST QUARTER 2016
Ozerov V.G., Kotova Y.A., Krasnorutckaya O.N.
Abstract
This article analyzes the structure of morbidity with temporary disability by the example of 8 medical stations in №8 SCE for the 1st quarter 2016 in order to identify the most common groups of diseases and individual nosology, sex and age structure of most meets nosology, recommendations for reduce morbidity with temporary disability.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):232-236
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ANALYSIS OF DISPENSARY WORK OF THE VORONEZH CITY POLYCLINIC №8 THE EXAMPLE OF A THERAPEUTIC DISTRICT
Ostrikova D.I., Kotova Y.A., Bugrimov D.Y.
Abstract
The aim of this work is to study the system of examination, the analysis of the clinical work at the site, the structure of groups of dispensary patients, identify the most common risk factors for the development of diseases and the most common diseases by nosology in groups of dispensary observation. As well as working with the public in the form of sanitary-educational work in organizations lectures on the topic of prevention of various diseases.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):237-241
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ANALYSIS OF CARDIOVASCULAR MORBIDITY ON AN OUTPATIENT POLYCLINIC RECEPTION
Potapova A.I., Posmetyeva O.S.
Abstract
Quantitative and qualitative analysis of cardiovascular diseases has produced in the therapeutic area. The most common pathology in the area is arterial hypertension. The predominant gender of patients is female. Gender differences has identified in the structure of cardiovascular diseases.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):242-245
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THE ANALYSIS OF THE REASONS OF MORTALITY OF THEPOPULATION OF THE RUSSIAN FEDERATION ACROSS THE VORONEZH REGION FOR 2015-2016YEARS
Dokuchayeva O.Y., Ostroushko N.I.
Abstract
In this work as authors mortality of the population of the Russian Federation across the Voronezh region for 2015-2016 has been analysed. The main reasons for growth of diseases of various nosology are established. Versions of the solution of problems in concrete medical institutions for decrease in growth of mortality of the population are proposed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):246-252
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ANALISIS OF MORBIDITY WITH PERMANENT DISABILITY AT HEALTHCARE AREA OF VORONEZH STATE HEALTHCARE FACILITY MUNICIPAL POLYCLINIC №18
Tikhonov R.V., Dobrynina I.S.
Abstract
The article sets a mission to study the dynamic and possible causes of changes in morbidity patterns with permanent disability over the period of the latter six months of year 2015 and the first half of year 2016. The author carries out a review of morbidity with permanent disability report documents of healthcare area and draws a conclusion about prevailing nosology patterns that cause permanent disability, possible causes of changes in morbidity, relevant activities to its decrease in outpatient care. Furthermore, implementable measures were evaluated during the study which is certainly important in functioning of medical facilities in today’s economic situation.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):253-257
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MODERN PROBLEMS AND PROSPECTS OF MEDICINAL MAINTENANCE OF PREFERENTIAL CATEGORIES OF CITIZENS ON AT LEAST THE THERAPEUTIC AREA OF THE MUNICIPAL POLYCLINIC
Polzikova A.V., Romanova M.M.
Abstract
The article deals with modern problems of medicinal maintenance of citizens of the Russian Federation on the example of the medical therapeutic area of the Lipetsk city polyclinic №7, further considered preferential provision of medicines, the analysis of the most commonly prescribed medications in their immediate connection with the nosological categories.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):258-263
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CHARACTER STUDY OF EATING BEHAVIOROF PATIENTS WITH OBESITY
Khatypov S.R., Strakhova N.V.
Abstract
During work 61 patients with obesity which middle age made 45,9 ± 6,5 years were examined. All patient made calculation of an index of body weight, measurement of a circle of a waist, level of arterial pressure, a research of a lipide range and level of a glucose of a blood. The analysis of nature of alimentary behavior was made by means of the Dutch questionnaire of alimentary behavior DEBQ. The analysis of types of alimentary behavior showed that 2,4 points and more concerning restrictive behavior had 100% examined, 78,7% had 2,7 points and more on the questions characterizing eksternalny behavior, 1,8 points and more concerning emotsiogenny behavior had 24,6% of patients. Values of points on three types of alimentary behavior were higher normal at 14,8% examined.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):264-268
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ANALYSIS OF MORBIDITY WITH PROOF DISABILITY ON THE TERRITORIAL MEDICAL DISTRICT №12 MBU " CITY POLYCLINIC №1» NOVOROSSIJSK FOR 2015 YEAR
Shkereda E.G., Kotova Y.A.
Abstract
This paper examines the incidence with proof disability on the territorial medical district , presents an analysis of the age and sex structure of persons with disability group .
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):269-273
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ANALYSIS OF CANCER INCIDENCE ON THE OUTPATIENT RECEPTION
Ivakhno S.A., Zuykova A.A., Romanova M.M.
Abstract
The article presents the results of a study of cancer incidence at the polling station № 406 of BUZ VO "City clinical polyclinic № 4" for the period from 2000 to 2015 as a result of the work assesses the dynamics of cancer at the outpatient clinic revealed leading localization of malignant tumors, the analysis of mortality attached to this area. The conclusions about a lack of careless in hospitals General medical network and practical recommendations to solve this problem.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):274-279
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DYNAMICS OF PREVALENCE OF CHRONIC NON-COMMUNICABLE DISEASES, FOR EXAMPLE, THERAPEUTIC AREA CLINICS BUZ IN BOGUCHARSKAYA RAJJONNAYA BOLNICA
Kalinichenko A.E., Romanova M.M.
Abstract
The article presents data and analysis of primary and total morbidity of non-communicable territorial therapeutic site No. 4 BUZ VO "Bogucharskiy RB for the time period from 2014 to 2016. The basic laws of cases of diseases in different organs and systems among the population.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):280-285
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ANALYSIS OF THE INCIDENCE OF CARDIOVASCULAR DISEASE AT THE OUTPATIENT POLYCLINIC RECEPTION
Kuvaldina Y.V., Romanova M.M.
Abstract
The article presents the results of a study based on clinic BUZ IN "Bobrovskaya RB". The study has been viewed 178 outpatient medical records of patients with diseases of the cardiovascular system. As a result of this work revealed the prevalence of hypertension and coronary heart disease in the structure of cardiovascular disease, as well as studied the risk factors of these diseases.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):286-290
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MODERN PROBLEMS AND PROSPECTS OF MEDICINAL MAINTENANCEOF PREFERENTIAL CATEGORIES OF CITIZENS ON AT LEAST THE THERAPEUTICAREA OF THE MUNICIPAL POLYCLINIC
Polzikova A.V., Romanova M.M.
Abstract
The article deals with modern problems of medicinal maintenance of citizens of the Russian Federation on the example of the medical therapeutic area of the Lipetsk city polyclinic №7, further considered preferential provision of medicines, the analysis of the most commonly prescribed medications in their immediate connection with the nosological categories.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):291-296
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ANALYSIS OF MORBIDITY ON A TERRITORIAL MEDICAL DISTRICT IN THE WORKING POPULATION
Roslikova R.S., Kotova Y.A.
Abstract
This paper examines the incidence with proof disability on the territorial medical district , presents an analysis of the age and sex structure of persons with disability group.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):297-301
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THE INFLUENCE OF HYPERGLYCEMIA AND HYPERCHOLESTEROLEMIA ON THE CLINICAL COURSE AND EFFECTIVENESS OF THE DRUG THERAPY OF HYPERTENSION AMONG OUTPATIENTS
Rudyak E.A., Kolesnikova E.N., Belozerova E.V.
Abstract
The article presents the results of a study of the effect of hyperglycemia and hypercholesterolemia on the clinical course (examines the main associated clinical condition) and efficiency of drug therapy (for re-appearances) of hypertension among outpatients in the polyclinic of Voronezh city.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):302-307
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CHARACTER STUDY OF EATING BEHAVIOROF PATIENTS WITH OBESITY
Khatypov S.R., Strakhova N.V.
Abstract
During work 61 patients with obesity which middle age made 45,9 ± 6,5 years were examined. All patient made calculation of an index of body weight, measurement of a circle of a waist, level of arterial pressure, a research of a lipide range and level of a glucose of a blood. The analysis of nature of alimentary behavior was made by means of the Dutch questionnaire of alimentary behavior DEBQ. The analysis of types of alimentary behavior showed that 2,4 points and more concerning restrictive behavior had 100% examined, 78,7% had 2,7 points and more on the questions characterizing eksternalny behavior, 1,8 points and more concerning emotsiogenny behavior had 24,6% of patients. Values of points on three types of alimentary behavior were higher normal at 14,8% examined.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):308-312
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EFFICIENCY EVALUATION OF TACTICS OF MAINTAINING PATIENTS WITH COMORBID PATHOLOGY ONOUT-PATIENT AND POLYCLINIC STAGE
Skrynko A.S., Muravitskaya M.N., Vetochina I.B.
Abstract
This article deals with the problems of comorbid diseases (hypertension, type 2 diabetes, chronic kidney disease). The study evaluated the effectiveness of the tactics of management of patients with comorbid pathology to the outpatient stage. We analyzed the prevalence of comorbid pathology, studied the risk factors of its formation. The data on the dynamics of blood pressure (BP) in patients with comorbid disorders (GB, type 2 diabetes, CKD) during 2015-2016. Studied the multiplicity of local therapist visits to patients with comorbid pathology.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):313-320
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ANALYSIS OF CARDIOVASCULAR DISEASE IN THE MEDICAL DISTRICT №18 «AMBULATORY №1 NOVOROSSIYSK» FOR 2015 YEAR
Soroka A.M., Kolesnikova E.N.
Abstract
This article explores the primary cardiovascular morbidity in the outpatient area, it presents an analysis of the structure revealed pathology by age and gender.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):321-325
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ANALYSIS OF CANCER INCIDENCE IN OUTPATIENT CLINICS
Osinova T.A., Krasnorutckaya O.N., Bugrimov D.Y.
Abstract
The authors examined the rates of cancer incidence and mortality, appreciated the timely treatment of patients and the main reasons for running the course of cancer pathology, has established the nosological structure of diseases for the period from 1.01.2016 till 30.06.2016. On in stage 1 and 2 initially revealed 76% of cases, with 3 and 4 stages of 23.9%. The most common causes of neglect of the disease: latent period, delayed treatment and refusal of medical examination. Malignant neoplasms of skin, breast and lung occupy a leading position in the structure of oncological pathology.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):326-329
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DISODER OF BREATHING DURING SLEEP IN CLINICAL PRACTICE OF THE THERAPIST
Chukaeva I.I., Larina V.N., Mironova T.N., Rusakova M.V.
Abstract
The aim of the study was to evaluate clinical and laboratory parameters in outpatients of therapeutic profile, depending on the presence or absence of disorders of breathing during sleep according to Computer pulse oximetry. Methods: the study included 94 outpatients aged 30 to 70 years. Exclusion criteria: obstructive pulmonary diseases, acute violation of cerebral circulation, chronic heart failure III and IV functional class, severe pathology of ENT-organs, anemia. Patients were interviewed on the presence of clinical symptoms of disorders breathing during sleep, carried out laboratory examination, computed pulse oximetry (CPO). Results: CPO was held on 30 of 94 (32%) outpatients. Chronic hypoxemia according to the manual CPO was identified in 20 (66.7%) patients. Medium and high risk of nocturnal hypoxemia was registered in 16 (53,3%) patients. Patients with hypoxemia were older; pulse blood pressure, BMI and waist circumference were higher than in patients without hypoxemia. Conclusion: overweight, metabolic syndrome, CAD, high level of cholesterol, erythrocytes, NT pro-BNP should cause suspicion among internists/general practitioners in relation to the presence of nocturnal hypoxemia with the purpose of further examination to identify disorders of breathing during sleep.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):330-335
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SCIENTIFIC ANALYTICAL REPORT: DISTRICT DOCTOR WORK'S EFFECTIVITY DURING MEDICAL TREATMENT IN HOUSE
Shatalova N.A., Kotova Y.A., Kopylov E.N., Krasnorutskaja O.N.
Abstract
In this work, considered questions about medical treatment in house. There are number of calls, their distribution by months, contingent of patients who asked for medical help, structure of calls in БУЗ ВО «ВГКП№10» from 1.01.2016 till 7.01.2016.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):336-340
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THE MORBIDITY OF RESPIRATORY DISEASESON THE OUTPATIENT STAGE
Shevelyukhina O.V., Krasnorutskaya O.N., Belozerova E.V., Anufrieva E.I.
Abstract
The authors studied the incidence of respiratory diseases of persons of working and retirement age for 2012-2015 in BUZ VO VGP №1 «Voronezh city polyclinic №2». The dependence of nosology age group. Evaluate the effectiveness of the detection of diseases of broncho-pulmonary system in conducting prophylactic examinations, the clinical examination and fluorographic studies and proposed a number of measures, oriented on prevention, to reduce the overall morbidity among the adult population.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):341-346
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CARDIOVASCULAR MORBIDITY IN OUTPATIENT POLYCLINIC APPOINTMENT
Karandeev Y.A., Strakhova N.V.
Abstract
Cardiovascular pathology occupies one of the leading places among the reasons of a mortality and an invalidism of the population. Identification of the prevailing nosologies in structure of CVP, among the patients belonging to the therapeutic site focuses the general practitioner on development of the optimum plan of the prevention of emergence of CVP, on their well-timed diagnostics, on improvement of the carried-out therapy of these patients, for depression of a case rate on this nosology on this site. Identification of the leading accompanying pathological states is necessary for holding preventive actions, for the purpose of decrease of emergence and advance of CVP.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):347-351
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ANALYSIS OF MORBIDITY WITH TEMPORARY DISABILITY TO MEDICAL SITES
Rybina J.U., Khanina E.A., Belozerova E.V.
Abstract
In this paper I have read and appreciated the morbidity structure in the therapeutic area №7. Compared the incidence rates with VUT on the scale E.L. Notkinu. It has revealed a very low level of disease in the 2nd quarter.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(66):352-357
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