scholarly journals Analysis of results of cytological screening of cervix in persons living in Perm territory

2020 ◽  
Vol 37 (3) ◽  
pp. 66-74
Author(s):  
A. P. Schekotova ◽  
I. A. Bulatova ◽  
S. V. Paducheva ◽  
O. R. Shabieva ◽  
L. S. Pogrebnova ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cytological Study ◽  
Highly Qualified ◽  
Medical Institutions ◽  
Analysis Of Results ◽  
Cytological Method ◽  
Medical Examinations ◽  
Inflammatory Changes ◽  
The Village ◽  
Statistical Indicators

Objective. To analyze the results of cytological screening for cervical cancer in women, living in the Perm Territory. Materials and methods. The work is based on the results of a cytological study of 4670 women aged 29 to 70 years who underwent additional medical examinations in medical institutions of Perm and the Perm Territory for the period from 2017 to 2019. Results. It was established that regardless of the place of residence, normal cytograms prevail. Inflammatory changes were more often observed in the urban population than among women living in the village. As age increased, the number of neoplastic changes in the cervix increased with a peak incidence at the age of 50. Detection of cervical cancer in the Perm Territory was 0.03 % that corresponds to the average statistical indicators in Russia, although this apparently reflects the problems of hypodiagnosis in cytological screening, since in the country in recent years the incidence of cervical cancer and mortality from it has been increasing. Conclusions. The cytological method is a key step in cervical cancer screening, since it allows you to identify early pathological changes in case of adequate collection of material, correct staining of preparations, and a highly qualified cytologist.

DEVELOPMENT OF THE UKRAINIAN FORENSIC MEDICAL INSTITUTIONS IN THE ХХ CENTURY

2017 ◽  
Vol 17 ◽  
pp. 446-456
Author(s):  
V. V. Yusupov
Keyword(s):  
Forensic Medicine ◽  
Medical Examination ◽  
Public Health Care ◽  
Biological Research ◽  
The Public ◽  
Medical Institutions ◽  
Forensic Institutions ◽  
Post War ◽  
Medical Examinations ◽  
The Chairs

The issue of development of forensic institutions of Ukraine in the ХХ century was studied. Until 1917, forensic medical examinations were conducted in the medical compartments of the provincial administrations, at the departments of forensic medicine of universities and in hospitals - by police doctors. The chairs of forensic medicine existed in the St. Vladimir Kyiv University, Kharkiv, Novorosiisk and Lviv Universities. Real organization of Ukrainian forensic medical institutions began in 1919 with the creation of the Medical Examination Department at the People’s Commissariat of Health. In 1923, the Main forensic medical inspection, headed by M. S. Bokarius, was founded. In the provinces the positions of forensic medical inspectors were created. In 1927 the sections of biological research were established in the Kharkiv, Kyiv and Odesa institutes of scientific andforensic expertise,where separate forensic examinations were conducted. In 1949 the institutions of forensic medical examination of the USSR were merged into the Bureau of Forensic Medical Examination, in Ukraine it was held in 1951. It was proved that forensic medical institutions developed at the following chronological stages: 1) until 1917 - forensic medical service in the Ministry of Internal Affairs; 2) 1917-1941 - prewar formation of forensic medical institutions; 3) 1941-1949 -forensic medical institutions during the war and in the first post-war years; 4) 1949-1990s - period of development of the bureau of forensic medical examinations of the countries of the USSR; 5) since the 1990s - development of expert institutions in the public health care system in independent postSoviet states. It’s stressed that formation of the forensic institutions in Ukraine is closely related with the development of forensic medicine departments of higher educational establishments. Forensic medicine departments were the basisfor practicalforensic medicine, professors provided daily assistance to forensic medical experts.

scholarly journals Problems of formalization of the mentoring institute in healthcare and ways of solving them

2021 ◽  
Vol 65 (5) ◽  
pp. 461-466
Author(s):  
Yulia V. Burdastova
Keyword(s):  
Healthcare Sector ◽  
Highly Qualified ◽  
Structured Interviews ◽  
Sociological Study ◽  
Department Of Health ◽  
Medical Institutions ◽  
Long Time ◽  
Quality Of Medical Care ◽  
Mentoring System

Introduction. This study focuses on the formalization of the institution of mentoring in health care. The mentoring system in Russia has existed for a long time. Still, there is a particular interest in this topic since the requirements for the quality of medical care are changing, new challenges arise in the healthcare sector, and reducing staff turnover and retaining highly qualified specialists in the workplace arises. Targets and goals. The aim of the study is to clarify the need for institutional consolidation of the institution of mentoring. The tasks of the work included identifying factors motivating or demotivating medical workers to participate in the mentoring system, as well as the search for problems of formalizing the institution of mentoring. Material and methods. The author conducted a sociological study in Moscow: a mass questionnaire survey among doctors and nurses in 6 medical institutions subordinated to the Department of Health of the city of Moscow and a series of in-depth structured interviews with representatives of medical organizations in charge of mentoring in their organizations (17). Analysis of quantitative data was carried out using the construction of classification trees using the CHAID method. Results. The main issue that experts propose to spell out when formalizing mentoring is the skills and abilities. Employee willingness to become mentors varies. The study found that physicians over the age of 27 are most likely to become mentors convinced of the need to introduce and expand mentoring in the workplace. Young doctors under the age of 27 are less likely to take on the mentoring function due to a lack of confidence in their qualifications, as well as older colleagues who are dissatisfied with the working conditions in the workplace and do not consider it necessary to introduce or expand a mentoring system in their organization. Conclusion. The study showed that experts have a positive attitude to formalizing the institute of mentoring, noting that there should be a single document of a recommendatory nature.

scholarly journals The implementation of tuberculosis examination of potential employment migrants in the country of departure: evaluation of possibilities

2019 ◽  
Vol 61 (1) ◽  
pp. 51-56
Author(s):  
Boris I. Sergeev ◽  
I. E. Kazanets
Keyword(s):  
Risk Groups ◽  
International Experience ◽  
Medical Examination ◽  
Reliability Of Results ◽  
Scientific Publications ◽  
Economic Significance ◽  
Medical Institutions ◽  
High Degree ◽  
Medical Examinations ◽  
Preventive Examination

The migration situation in Russia is characterized by presence of significant number of foreign citizens, including those who are working without official registration and evidence of examination for tuberculosis and other infections. In connection with that, attention is to be paid to propositions concerning organization of preventive examination for tuberculosis in the departure country i.e. medical examination of potential migrants according Russian standards on the basis of local medical institutions. The article presents review of data of official statistics concerning migration and prevalence of tuberculosis including scientific publications about analysis of international experience of organization and implementation of preventive examinations in the departure countries. The experience of implementation of medical examinations of migrants in number of departure countries demonstrates that these programs permit focusing efforts on diagnostic of tuberculosis in one of risk groups hence achieving comparatively high degree of reliability of results and providing economic significance. In the context of conditions in Russia and accounting international experience two scenarios are proposed of implementing preventive examinations for tuberculosis in departure countries: with and without introduction of requirement of preliminary medical inspection of working migrants.

scholarly journals THE CURRENT CONDITION OF HOME VIOLENCE ISSUES AGAINST WOMEN IN UKRAINE AND FORENSICS ASPECTS

2020 ◽  
pp. 729-738
Author(s):  
O. Babkina ◽  
A. Tkachov
Keyword(s):  
Domestic Violence ◽  
Women Victims ◽  
Social Services ◽  
Violence Against Women ◽  
Criminal Liability ◽  
Psychological Trauma ◽  
Law Enforcement Agencies ◽  
Medical Institutions ◽  
Restrictive Measures ◽  
Medical Examinations

The article is devoted to the analysis of the aspects of providing legal assistance to women victims of domestic violence in Ukraine. Due to our analysis, we have demonstrated that in Ukraine, legislative documents have been developed at the legislative level to prevent domestic violence and the observance of women’s rights, and forms of domestic violence have been identified (psychological, physical, sexual). The main standards of the regulatory framework of Ukraine are consistent with the Istanbul Convention. In practical work, law enforcement agencies interact with social services, medical institutions, forensic medical examinations and many others to provide timely, fullfledged assistance to women in cases of detected domestic violence, and in each case develop a system of measures to prevent, promote and prevent domestic violence. A positive aspect in the modern legislation of Ukraine was the establishment of restrictive measures for persons who committed domestic violence in the form of a ban on staying in a place of cohabitation with a person who suffered from domestic violence; prohibitions of approaching a place or person who has suffered from domestic violence, etc. Attention is drawn to the fact that for the first two violations, the person who committed domestic violence can be held administratively liable, and for the third time, criminal liability. Recommendations are given on conducting a forensic examination in cases of domestic violence against women, in which, in addition to the mandatory points reflected in the Rules for the Examination of Victims, Accused and Other Persons, aspects of an ethical approach are noted to reduce the psychological trauma of women during examination. It was emphasized that the issue of beatings, torment and torture falls within the competence of the bodies of pre-trial investigation/court and is not the competence of forensic medical examination.

scholarly journals Perspectives of Development and Enhancement of the Efficiency of the Functioning of Small Forms of Business on the Village

2019 ◽  
Vol 19(34) (3) ◽  
pp. 108-115
Author(s):  
Vadym Tkachuk ◽  
Oksana Vitriak
Keyword(s):  
Negative Impact ◽  
Infrastructure Development ◽  
State Support ◽  
Manufactured Products ◽  
Low Education ◽  
System Improvement ◽  
Resource Support ◽  
The Village ◽  
Statistical Indicators ◽  
Significant Factors

The article substantiates the prospects for the development and increase of the functioning efficiency of small farming forms in the countryside. Particular attention is paid to the study of factors that have a negative impact on the farms and households functioning. Based on the analysis of statistical indicators, it has been established that the most significant factors that have a negative impact on the functioning of small farming forms in the countryside are the difficulty of manufactured products realization, insufficiently effective state support, lack of developed infrastructure, low education level of households' heads. In order to minimize the negative impact of the identified range of problems, it is proposed to introduce preventive measures in the following areas: the state support system improvement, infrastructure development, the production base and resource support improvement, integration relations development.

scholarly journals Modeling improvement of the administrative-territorial device for sustainable development of the territory (the case of Zaporizhzhia region)

2020 ◽  
Keyword(s):  
Cluster Analysis ◽  
Sustainable Development ◽  
Regional Level ◽  
Financial Capacity ◽  
Territorial Structure ◽  
Administrative Units ◽  
Cluster Cores ◽  
The Village ◽  
Statistical Indicators

The aim of the article is substantiation of directions, models, mechanisms and priorities of reforming the administrative-territorial structure of the country at a subregional level on the basis of decentralization. Main material. The article substantiates the economic and geographical process of reforming the administrative-territorial system at the sub-regional level, using the example of Zaporizhzhia region. Cluster analysis was used to determine the level, capabilities, and perspectives of creating United Territorial Communities (UTCs) clusters. The following were chosen as the clustering criteria: income per person; own income for one person; infrastructure subsidy for one person. According to the results of the analysis and their mapping, the clustering of UTCs of Zaporizhzhia region was carried out taking into account the expediency of joining the clusters of village and town councils. Clustering of UTCs in Zaporizhzhia region was carried out according to financial capacity, using statistical indicators. The expediency of reforming the administrative-territorial system at the sub-regional level on the cluster principle around cluster cores that are financially viable and self-sufficient UTCs has been proved. Conclusions and further research. The economic and geographical substantiation of the reform of the administrative-territorial system at the sub-regional level in the example of Zaporizhzhia region is conducted in the work. The cluster approach to determine the boundaries of new zoning in the Zaporozhie region, has been proposed. The cluster analysis was carried out according to the main socio-economic indicators of the UTCs of Zaporizhzhia region. They were own income per person, infrastructure subsidy per person and basic / reverse subsidy per person. According to the results of the analysis, the possibilities of creating clusters of UTCs with simultaneous annexation of territories in which the UTCs were not created (within the village councils) were identified and mapping of the obtained results of cluster analysis is given. Clustering of UTCs of Zaporizhzhia region was carried out according to the financial capacity using statistical indicators (relative frequency and frequency with further determination of the confidence interval for medium). On the basis of econometric and cartographic modeling it has been proved that it is expedient to carry out the cluster principle improvement on the reform of the administrative-territorial system at the sub-regional level. According to the results of clustering, on the example of Zaporizhzhia region, the centers of gravity of clusters (kernels of clusters) are identified, which are financially viable and self-sufficient UTCs. Therefore, it is proposed to form basic territorial administrative units around such nuclei as a basis for sustainable development of territories at the sub-regional level. According to the study of a specific administrative region of Ukraine, the formation of self-sufficient UTCs should be implemented taking into account the centers of gravity, which will be useful when discussing decisions on administrative delimitation of territories in order to achieve their sustainable development.

Cellular composition research of serous pleural effusion fluids. Conceptual issues of preanalytics

2021 ◽  
Vol 66 (2) ◽  
pp. 95-98
Author(s):  
S. V. Smetanina ◽  
E. Y.U. Uskova ◽  
A. A. Khusiyanova ◽  
M. B. Danyaeva ◽  
S. B. Korol’kova ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Cytological Study ◽  
False Negative ◽  
Cellular Composition ◽  
Pleural Effusions ◽  
Research Results ◽  
Modern Methods ◽  
Complete Study ◽  
Cytological Method ◽  
Cytological Diagnostics

The purpose of this work was to show the effectiveness of the cytological method on a small number of observations, excluding all possible errors of the preanalytical stage. The paper presents several simple and easily reproducible algorithms for the cytological study of serous pleural effusions with small cellular content. On the example of 20 observations of the study of the cellular composition of serous exudates, a direct dependence of the research results on the preanalytical stage is shown. A complete study of effusion fluids in compliance with all stages of preanalytics and the use of modern methods of cytological diagnostics makes it possible to nullify the options for false-negative.

scholarly journals The Pursuit of Social Justice in Kavery Nambisan’s The Hills of Angheri

2020 ◽  
Vol 8 (3) ◽  
pp. 49-53
Author(s):  
M Daya Bhagya Sherin
Keyword(s):  
Health Care ◽  
Social Justice ◽  
Economic Status ◽  
Well Being ◽  
Indian Society ◽  
Highly Qualified ◽  
Rural Villages ◽  
Core Concepts ◽  
Rural Places ◽  
The Village

This paper critically examines Kavery Nambisan’s novel The Hills of Angheri under the lens of Dr. Amartya Sen’s Capability Approach. The core concepts of this approach serve as critical tools in assessing the social inequities existing in Indian society. Kavery speaks about the massive inadequacy of healthcare and basic amenities found in rural places, especially in the village Angheri. Both Sen and Kavery aspire for the enhancement of a person’s well-being. They truly believe that necessities such as education, health are requisite for an individual to achieve more in life. The unfavorable socio-economic conditions and the unavailability of the basic medical care within his reach create social insecurity. Kavery brings to light the dearth of hospitals in our rural villages and reinforces the need for well-equipped hospitals and highly qualified doctors in the village. She expresses her anguish that most of the doctors flock to cities and neglect the villages where seventy or seventy-five percent of the people live. She points out the need for facilitating health care amenities in the health-care deprived villages to ensure social justice in the society. The novelist wants better health-care conditions to be made accessible to all, irrespective of their socio-economic status. The health disparities in villages can be eliminated if socially-responsible persons like the protagonist Nalli volunteer to serve the less advantaged people.

scholarly journals Strengthening the Role of Cadres and Village Midwives to Support the Cervical Cancer Awareness Movement in Puhu Payangan Village, Gianyar, Bali, Indonesia

2021 ◽  
Vol 7 (1) ◽  
pp. 41
Author(s):  
Desak Putu Oki Lestari ◽  
Sri Ratna Dewi ◽  
Ni Wayan Armerinayanti
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Pap Smear ◽  
Local Community ◽  
Family Welfare ◽  
Cancer Awareness ◽  
Smear Examination ◽  
Pap Smear Screening ◽  
The Village

Cervical cancer is the most common type of cancer in Balinese women, and most of the cervical cancer patients came in advanced condition. The health survey conducted in the village of Puhu, Payangan, Gianyar, found that the coverage of cervical cancer screening is 12%, which is considered as low. Payangan’s sub-district health centers (Puskesmas) have made an effort to give free PAP smear screenings to the local community, but it still has not received a good response. This is related to the community’s lack of knowledge on cervical cancer, low awareness of cancer screening, and false stigma about PAP smear examination. To overcome this problem, an effort is needed to increase awareness about the need for PAP smear screening by shaping it into a cervix cancer awareness movement "Gardavi", involving village midwives and housewife members of Empowerment and Family Welfare Group (PKK) in Puhu Village as cadres. Methods that are used in this community service include training for midwives, activation of tiered information system involving midwives-cadres and the community, knowledge provision as well as motivating cadres. This event is done to increase the role of village midwives and cadres to actively participate in PAP smear screenings in their region, therefore, it may increase screening outcomes and lower mother morbidity and mortality numbers due to cervical cancer. This event results in increased midwives’ knowledge and skill on the technique of sampling PAP smear independently, increased visits to the Community Health Sub-Center (Pustu) for PAP smear examination, creation of a midwives-cadres-community coordination system, cadres independently playing an active role in motivating the village community to do screening, as well as increased cadres’ optimism.

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