No 68 (2017)

Articles
ROLE OF MEDICAL ETHICS AND DEONTOLOGY IN SHAPING ATTITUDES OF DOCTORS TO THEIR PROFESSIONAL DUTY
Grechkin V.I., Pertsev A.V., Sapronov G.I.
Abstract
Ethics is traditionally considered one of the philosophical sciences. The real ethical and moral phenomena of human activity appeared much earlier ethics as a science, the formation of which is related to the emergence of a system of scientific knowledge about morality. In contrast to the moral ethics as a philosophical theory of morality does not arise spontaneously, but on the basis of conscious, theoretical work on the study of morality.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):3-7
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EXTERNAL RESOURCES IN THE PROCESS OF TEACHING BIOETHICS
Inyutin V.V., Makerova S.Y., Satina I.V.
Abstract
The article presents some aspects of out-of-class work with students of junior courses of teachers of the Department of Philosophy and Humanitarian Training of the VSMU. N.N. Burdenko. Choosing a profession of a doctor, most freshmen do not think about the spiritual and ethical side of their future profession, considering it as something not essential. At the same time, it is at the junior courses, when studying the subject of "bioethics," that students are forced to give ethical assessment to the most complex bioethical problems, which causes considerable difficulties on their part. To help students of the VSMU. N.N. Burdenko the Orthodox club "Lekar" was created, within the framework of which the teachers and curators of the club give an opportunity for a deeper analysis of complex problems.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):7-15
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ETHICAL FEATURES OF LIFE-LONG MEDICAL EDUCATION
Popov S.V., Petrosyan S.L., Popova V.P.
Abstract
In work the problems connected with implementation of the concept of life-long medical education to the practice are discussed. The attention of authors is concentrated on ethical aspects of transition to a new training system, necessary amendments in traditional approaches to educational process in case of a post-qualifying education program implementation. Listeners of educational cycles are characterized by special orientation in relation to professional activity and educational practice, relatively the wealth of experience gained during the solution of the special tasks and changes reached at the previous stages of professional development and also the characteristic psychological features requiring accounting and productive use. All this needs to be meant in case of enhancement of the organization of system of life-long medical education which already became a reality for domestic health care.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):16-21
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ELECTRONIC AND CLASSICAL TRAINING - DOES THE POINTS EXISTCROSSINGS
Yakovenko N.S., Kuz'menko N.Y.
Abstract
The publication is devoted to the background and the main stages of the automated information system development for the management of educational process of different faculties. These advantages of remote e-education, such as the efficiency of information exchange between teacher and student, a variety of forms of presentation of teaching materials; the convenience of the online documentation and statistics on taught courses; objective monitoring of students' knowledge are shown in the study. The standards and the structure of learning management system is discussed in detail in the article, the structure of tasks for students within the Moodle system for the two departments of the university are concerned. In conclusion the authors suggest possible solutions to the main problems arising during operation of the system.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):22-27
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MEDICAL EDUCATION IN THE FORMATION OF VALUESORIENTATIONS OF THE MODERN DOCTOR
Belenova I.A., Smirnova T.A.
Abstract
The current situation in the sphere of higher education in general and medical education in particular can be considered as a crisis. Because of the commercialization educational institutions lose the autonomy. Nowadays medical institutions are not only scientific organizations. Students of medical universities treat patients cynically. One of the causes of the crisis is the lack of education on social and human issues. In the 19th century N.I. Pirogov notices the need of the synthesis of education and upbringing. The way to overcome the crisis is a humanistic model of education that proved its effectiveness in the 15th century. It is called "studia humanitatis" and it includes science and human issues as well. An upbringing and formation of attitudes and values is also very important.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):28-33
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SOME ASPECTS OF TEACHING OF INTERNAL MEDICINE AT CLINICAL DEPARTMENTS OF THE MEDICAL SCHOOL
Grechkin V.I., Sapronov G.I., Pertsev A.V.
Abstract
The teaching of clinical disciplines, such as internal medicine, is a very complex task of teaching. Traditionally in our country, a doctor training in higher medical schools is carried out on 3 departments: Internal Medicine Propaedeutic, faculty and hospital therapy. It is widely acknowledged that the study of internal medicine plays a major role in shaping the outlook of the doctor of any specialty.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):34-38
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ORGANISATION OF SOCIAL PROTECTION OF MATERNITY AND CHILDHOOD IN THE AREAS OF CENTRAL BLACK EARTH IN 1950-1980-IES
Pertsev V.A.
Abstract
The article reveals the peculiarities of social protection of mothers and children in the territory of regions of the Central black earth in 1950-1980-ies. On the basis of archival sources, analyzes the process of the restoration and expansion of a network of institutions providing care to children, pregnant women. Detailed the measures to provide financial assistance to single mothers raising children, providing pre-schools children. Investigation the factors that influenced the working conditions of workers in large industrial enterprises of the region.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):39-49
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SOCIAL ASPECTS OF POSTDEGREE EDUCATION OF DOCTORS
Popov S.V., Petrosyan S.L., Popova V.P.
Abstract
In work questions of the organization, methodological providing, a social context of post-qualifying education of doctors are considered. Authors of article show that productive training substantially depends on social activity of the student. Being purposeful at a postdegree stage of medical education, it involves the accompanying information and skills, creates new installations, understanding and values. Importance of forming of social conditions of full implementation of system of life-long medical education in life is especially noted. It is emphasized, problems on this way are surmountable only through common efforts of the practicing specialists and teachers of the medical schools realizing postdegree training of doctors.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):51-56
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M.I. Chubirko, N.M. Pichuzkina, E.V. Mikhal’kova
Chubirko M.I., Pichuzkina N.M., Mikhal’kova E.V.
Abstract
In the article discussed problems of the harmful effects of environmental factors on population health. Anthropo- technogenic environmental pollution contributes to the formation of civilization diseases, which include environmentally caused diseases. Shows the priority of air pollution to the dose action and possible biological effects for the health of the population. Presents an assessment of the relationship of child morbidity with the level of air pollution. Discussed the issues of prevention of environmentally related diseases. Implementation of state policy in the field of chemical safety helps reduce to an acceptable level the risk from the negative effects of hazardous chemical factors on the population.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):56-61
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MICHAEL TOOLEY'S ARGUMENT IN DEFENSE OF ABORTION: A CRITICAL EVALUATION
Gasparov I.G.
Abstract
I consider Michael Tooley's argument in defense of abortion. He claims that only persons are subjects of the right to life. Thus an embryo, according to his claim, lacks that right because of it has nor a self-concept neither an interest in the continuing of its conscious life. I provide some objections to Tooley's claim.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):61-65
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IMPORTANCE OF EXERCISE IN THE MODERN SOCIETY
Gridneva I.V., Harina M.V.
Abstract
Scientific and technological progress of civilization change characteristic and course of disease connected with strain of the psychiatric state of man in the society. New and nonpharmacolgy methods are very necessary for treatment of this diseases. In the modern society are wide spread medical and physical rehabilitation. Exercise is one of the main methods using in the rehabilitation «diseases ofcivilization».
Научно-медицинский вестник Центрального Черноземья. 2017;(68):65-69
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OPPORTUNITIES AND THREATS OF SO-CALLED “FOLK MEDICINE”
Shchavelev S.P.
Abstract
In the scientific and especially educational synopsises of the history of medicine there is exaggeration of historical and cultural significance of the so-called folk or traditional medicine. They concentrate attention upon its separate rational elements that have been taken from scientific medicine and medical technologies. In fact, in terms of modern civilization a small part of medical practices of different peoples of the world was proved itself. These are the field of herbal medicine, physiotherapy (steam bath, etc.), the manual methods. All other ways of folk healing are palliative at best, and the medical occult of primitive sense at worst. This point of view is confirmed by the objective of anthropologists and archaeologists about diseases and life expectancy of people of Stone Age and Early Metal and by ethnologic information about the degree of infection of all archaic societies of the Earth without exception.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):69-80
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CONCEPT "HEALTH" IN PHENOMENOLOGICAL INTERPRETATION
Inyutin V.V., Boldyreva I.I.
Abstract
The article analyzes the origins of the concept based on the conceptual apparatus of phenomenology and psycholinguistics, which is the basis of the concept of "health". Two types of representation have been identified and their interaction in the formation of this concept has been analyzed. It is shown how cognitive processes are related to the physical state of the human body. On the basis of the psycholinguistic concept of a universal objective code, the universality of the results obtained during the analysis of the concept "health" proposed in the article is demonstrated. In general, an attempt has been made to combine the approaches of social phenomenology and psycholinguistics to the problem of studying concepts.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):80-85
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Yu. N. Kashkin EVOLUTION of METHODS of EXHIBITION WORK of the MILITARY and MEMORIAL MUSEUM of the village of GREMYACHE of MUSEUM COMPLEX. VSMU N. N. BURDENKO 2009-2016g.g
Kashkin Y.N.
Abstract
Experience of interaction of the rural museum and museum of history in educational institution on the basis of joint exhibition activity is generalized. Development of forms and methods of the organization of the exhibitions directed to patriotic education of students is shown.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):85-89
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COLLECTION OF THE MUSEUM OF HISTORY VGMU AS A SOURCE OF STUDY HISTORY OF MEDICINE
Markova S.V.
Abstract
Collections of historical medical museums medical schools can be seen as one of the sources subject reveal problems in the history of medicine. On the basis of historical and cultural heritage is possible to recreate the temporal continua understand the level of development of medicine and researcher to uncover the country's contribution to the development of medicine and health.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):89-93
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MATERIALS OF THE RUSSIAN GEOGRAPHICAL SOCIETY ON THE HEALTH STATUS AND TREATMENT OF PEASANTS AND RESIDENTS OF THE COUNTY-LEVEL CITIES OF VORONEZH PROVINCE IN THE MIDDLE OF THE XIX CENTURY
Puhova N.F.
Abstract
In the second quarter of XIX century. Russian Geographical Society collected information about folklore and ethnography of the Russian people in all provinces of Russia. From Voronezh province were sent to the relevant materials that have never been published, and only now become available for study. Among these materials, there is information about health, disease and treatment of farmers and residents folksy county-level cities of Voronezh Province. 40-50-ies. XIX century-the period when there was serfdom, with gross forms of oppression of the peasantry. Capitalist relations and communication with large cities have not affected the patriarchal rural life. The customs and folklore preserved come from the past performances and ceremonies including those relating to the conservation of health and treatment of diseases. The study of the medical aspects of folklore and ethnographic materials RGS is the aim of this publication.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):93-101
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MEDICAL CINEMA OF THE LATE USSR
Kuznetsov D.P.
Abstract
The article deals with the phenomenon of a sharp rise in the number of Soviet films on medical subjects in the 60's early 80's. of the last century. The author attributes this phenomenon to the growing number of doctors in the structure of employment. However, the structure of the films allows also to consider the medical film of that time as a special way to the legitimation of medical activity in which there was major "ideological" change: replacing the medicine which was rigidly connected with the command of the state by medicine of private human space. The image of the human health as a resource of state was gradually replaced by way of health as a result of personal effort.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):101-109
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SUBJECT-OBJECT RELATIONSHIP OF BIOLOGICAL EXPERIMENT
Shetinkina N.A., Velichko L.G., Myachina O.V.
Abstract
Features of modern biological knowledge reflect the general trend in biology - an increase in the activity of the knowing subject and the role of logical thinking. Using the methods of the exact sciences is the possibility of objective evaluation of the experimental results, it raises the level of requirements for his production, with reliable general biological point of view of interpretation and connection with the verification of theoretical concepts. Also, there is an increase in activity of the subject in molecular biology. All this contributes to the transition problem of the subject-object relationship from the philosophical in problem of everyday experimentation.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):109-113
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MORPHOLOGICAL FEATURES OF EPONYMS
Varnavskaia E.V., Efimova T.V.
Abstract
The article presents a brief analysis of one-word medical terms - French and Russian languages eponyms. The different processes of the formation of terms in professional vocabulary are considered. Relevance of the work due to the need for a comparative study of the formation of terminological vocabulary as a means of professional intercultural communication. The results of the analysis can contribute to medical translation practice to Russian students of medicine.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):113-120
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PRAGMATONYMSINMEDICALTERMINOLOGY
Varnavskaia E.V., Yakovenko N.S.
Abstract
The problems of the semantics of the proper name in medical terminological lexis of the Spanish and English languages are considered in this article. A subclass of terms-neologisms formed according to the eponymic model based on pragmatonyms is revealed, their brief structural and grammatical analysis is presented. Linguistic and extralinguistic factors influencing the appearance and formation of a given category of terminological vocabulary (in Spanish and English languages) are described. The article is illustrated by examples of linguistic assimilation of the indicated terms. The necessity of studying this type of lexis both in the context of comparative study and within the framework of historical terminology is determined.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):120-126
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CRITERIA FOR PUBLIC HEALTH SERVICES EFFICIENCY
Alekseyeva O.I., Malikova A.A.
Abstract
The paper focuses on performance evaluation problems in the sphere of public health services. On the basis of a number of publications by different authors it is concluded that assessment of public health services efficiency needs a multifaceted approach.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):126-130
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HEALTH AND HEALTH CARE - ISSUES OF INTERACTION
Smirnov A.V., Smirnova E.V.
Abstract
The article examines the complexity and ambiguity of development of scientifically grounded concept of human health, and the problems and contradictions. The authors substantiate the reorientation of health on the health strategy, on maintaining and protecting human health.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):130-135
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THE USE OF INNOVATIVE METHODS OF MEDICAL-GEOGRAPHIC FORECASTING IN THE ANALYSIS OF PUBLIC HEALTH (THE CASE OF OREL REGION)
Saurina O.S., Shapovalova M.M.
Abstract
The article describes the study of the health status of residents in the Orel region, which used the method of medical-geographical analysis and forecasting. The result of the study are the medical-geographic maps of the region, clearly demonstrating the distribution of levels of population morbidity, which allows further analysis of ecological and other environmental factors affecting health of the population and to develop targeted preventive measures to eliminate unfavorable conditions.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):135-139
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WAYS OF IMPROVING SERVICES MEDICAL GENETIC SUPPORT DURING PREGNANCY PLANNING
NA K.A., II Y.I., OS S.S., ES D.S.
Abstract
The article presents the results of a questionnaire survey of 250 women who turned to a medical and genetic consultation to identify the hereditary and congenital pathology of the unborn child. The main group of patients in the age range of 26-35 years (62.4% ± 3.0%) who do not have children (57.6% ± 3.1%) who are married (75.6%), satisfied with housing Conditions (67.2%). The reasons for the treatment were changes in blood parameters of biochemical screening of pregnancy (55.2% ± 3.1%). The analysis of the results allowed to form a medical and social portrait of the patient, thus from the position of evidence-based medicine to justify the conduct of medical genetic counseling at the stage of pregnancy planning.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):139-145
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EXPERIENCES RUSSIAN TRAINING PROGRAMMES FOR MANAGERS IN CHARGE OF FINANCIAL AND ECONOMIC ACTIVITY OF MEDICAL ORGANIZATIONS IN VSMU THEM N.N. BURDENKO
Sushenko A.V., Kosolapov V.P., Chaikina N.N.
Abstract
The article deals with the experience of VSMU in them N.N. Burdenko training programs for managers in charge of financial and economic activities in health organizations; the program is aimed at formation of professional competences in the field of financial management and health economics in view of the current socio-economic conditions with the use of peer learning videolekcij, debriefings, self-training listeners prom project based on analysis of financial activity of specific medical organization and aimed at developing mechanisms (activities) increase the efficiency of spending funds on the basis of the obtained knowledge in the learning process.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):145-154
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INVESTIGATION OF PREVENTIVE EFFICIENCY OF TILORON IN EXACERBATIONS OF CHRONIC OBSTRUCTIVE LUNG DISEASE
Lukashev V.O., Budnevsky A.V., Ovsyannikov E.S., Drobysheva E.S., Naumova Y.V.
Abstract
The effectiveness of the tilorone use for prevention of ARVI was assessed in two groups of patients with COPD II-III stage. In the first group, consisting of 23 people, the tilorone therapy allowed to reduce the incidence of ARVI, the incidence of exacerbations of COPD, the number of hospitalizations compared to a control group of 20 people. Also the use of tilorone helped to increase functional activity and quality of life in patients with COPD.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):154-161
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DIFFERENTIAL DIAGNOSTICS WITH ACUTE ANIMAL SYNDROME AT THE LEVEL OF THE RECEPTION DIVISION OF A MULTIDISCIPLINARY STATIONARY: THE POSSIBILITY OF THE ULTRASOUND METHOD OF RESEARCH
Grechkin V.I., Pertsev A.V.
Abstract
A analysis of the results of ultrasound examination of 139 patients with acute stomach syndrome (56 men, 83 women aged 27 to 85 years) was examined in the emergency department of the city clinical hospital No 1 for emergency care for the period from January to December 2016. All patients were disturbed by intense abdominal pains of various locations. In 49 patients, the pain was located in the right upper quadrant of the abdomen, in 35 in the right lower quadrant (PNA), in 17 in the left upper quadrant (LVK), in 19 in the left lower quadrant (LNC) and in 19 persons, pains were diffuse nature.
Научно-медицинский вестник Центрального Черноземья. 2017;(68):161-165
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