scholarly journals Sachs-Georgi reaction at the site

2021 ◽  
Vol 25 (11) ◽  
pp. 1209-1209
Author(s):  
M. F. Kamaev
Keyword(s):  
Clinical Examination ◽  
Large City ◽  
Subsequent Treatment ◽  
Research Data ◽  
Laboratory Research ◽  
Scientific Medicine ◽  
Laboratory Environment ◽  
Daily Work ◽  
Medical Institutions ◽  
Methods Of Treatment

One of the difficulties in the work of a district doctor is the impossibility, for a number of reasons, to use even such laboratory research data, which, in the conditions of large city medical institutions, are an integral part of a patient's clinical examination. Forced, therefore, when making a diagnosis and subsequent treatment based solely on the existing picture of the disease and anamnesis, the district doctor is thus pushed back decades ago from his urban colleagues, who have the opportunity to use in their daily work many of the most valuable achievements of scientific medicine of the last decades requiring an appropriate laboratory environment. One such achievement is undoubtedly Wassermann's reaction, without which every doctor working in the countryside often has to spend a lot of work and try out methods of treatment before establishing the true etiology of the suffering he is using. The presence of such cases in district practice is all the more inevitable because, as can be judged on the basis of the literature, typical exvisit forms of syphilis in recent years have begun to occur much less frequently, giving way to various manifestations of visceral lues.

Proliferative processes an endometrium at women in postmenopause: optimization of diagnostics, treatment and rehabilitation

2018 ◽  
pp. 71-74
Author(s):  
O.Yu. Minina
Keyword(s):  
Biochemical Analysis ◽  
High Efficiency ◽  
Clinical Analysis ◽  
Laboratory Research ◽  
Sexual Hormones ◽  
Surgical Interventions ◽  
Post Menopausal ◽  
Quality Character ◽  
Methods Of Treatment ◽  
Increase Efficiency

The objective: to increase efficiency of diagnostics and treatment of proliferative processes an endometrium at women of post-menopausal age on the basis of improvement and introduction of algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions. Materials and methods. We surveyed 213 patients of the post-menopausal period with existence of proliferative processes an endometrium. To all patients carried out all-clinical (the clinical analysis of blood, the biochemical analysis of blood, hemostaziograma), laboratory (research of level of receptors to sexual hormones) and tool inspection. Results. The data received at performance of echography by all observed after ablyation an endometrium, confirmed high safety of such sparing method of low-invasive surgery. According to ultrasonic research of organs small to basin in the first two days after operation testified to lack of any complications, at control ultrasonic inspections of organs of genitalias in more remote terms taped existence at the kept centers surveyed existence an endometrium which had good-quality character. It confirms high efficiency, small injury and a good acceptability of ablyation and a hysterorezectoscopia. Dany methods of surgical interventions are alternative to traditional methods of treatment of patients of the senior age group with proliferative processes an endometrium, especially in cases burdened by accompanying somatic pathology and in the presence to expeditious abdominal operative treatment and hormonetherapy. Сonclusion. Use of advanced algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions allows to increase efficiency of treatment and prophylaxis development of recurrence. Key words: proliferative processes an endometrium, postmenopause, diagnostics, treatment, reabilitation.

scholarly journals Change Management in Medical Institutions: Implementation View

2021 ◽  
Vol 3 (2) ◽  
pp. 161-168
Author(s):  
Said Said Elshama ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical School ◽  
Health Care System ◽  
Change Process ◽  
Resistance To Change ◽  
Daily Work ◽  
Efficient Management ◽  
Medical Institutions ◽  
Suitable Climate ◽  
Care System

Change is a learning process modeling the attitudes and values of the involved staff to adapt and show the change in daily work life. Leading the change in medical schools or in the health care system is considered one of the assignments of successful leadership that can achieve an effective organizational change under complex conditions. This review aims to show an implementation view about how to manage the change in medical institutions and how to overcome obstacles, and how to face the challenges. The resistance to change represents a major obstacle to the change process in any medical school or health care system. Thus, it should address this resistance by creating a suitable climate for carrying out the change based on a flexible strategy that may be translated into practical steps during the implementation. Moreover, the change should be institutionalized wherein new behaviors are persisting and generalizing in the medical school or the health care system as a result of the change application. In addition, the successful management of change in any medical school or system requires a well-functioning and efficient management system for achieving the intended results. Therefore, many benefits may be gained as a result of the success of a change process in any organization wherein it improves the effectiveness and efficiency of organizational and staff performance besides creating an opportunity for getting the best practices.

scholarly journals FOLK MEDICINE OF THE LOWER TEREK COSSACKS (19th - EARLY 20th CC.)

2017 ◽  
Vol 13 (2) ◽  
pp. 119-132 ◽  
Author(s):  
M B Gimbatova
Keyword(s):  
Folk Medicine ◽  
Gunshot Wounds ◽  
Healthcare Personnel ◽  
Animal Origin ◽  
North Caucasus ◽  
The North ◽  
Medical Institutions ◽  
Children's Diseases ◽  
Ethnographic Data ◽  
Methods Of Treatment

The article deals with an underinvestigated problem of ethnography of the Lower Terek Cossacks - folk medicine. The author of the article considers the methods of treatment of the most common diseases among the Lower Terek Cossacks in the 19th-early 20th cc. - the diseases of heart, gastrointestinal tract, genitourinary system, head, musculoskeletal system, skin, as well as neuropsychic, children’s diseases and others. It is shown that using the medicines of vegetable and animal origin, hirudotherapy, diets, physical action and accumulated empirical knowledge, healers managed to treat many diseases, thereby compensated for a shortcoming of medical institutions and healthcare personnel. The analysis of the collected field ethnographic data testifies to the wide use of irrational methods of treatment in folk medicine. The popularity of healing magic is explained by the fact that in most cases it achieved the desired result and had a certain psychotherapeutic effect. Folk medicine of the Lower Terek Cossacks has much in common with that of the Dagestan peoples in the methods of treating various diseases and its close connection with the ecological characteristics of the environment. Ethnographic materials show that in extreme cases (bullet wounds, puncture wounds), the Lower Terek Cossacks sought treatment from mountain physicians who were skilled in treating gunshot wounds. Examples of interaction between the Lower Terek Cossacks and mountain peoples in various spheres, including folk medicine, indicate that the Lower Terek Cossacks have blended in with the North Caucasus cultural space and become an integral part of it though they were not the indigenous population of the region.

scholarly journals Towards a metadata-driven multi-community research data management service

2017 ◽  
Author(s):  
Richard Grunzke ◽  
Volker Hartmann ◽  
Thomas Jejkal ◽  
Ajinkya Prabhune ◽  
Hendrik Herold ◽  
...  
Keyword(s):  
Data Management ◽  
Research Data ◽  
Community Research ◽  
Generic Programming ◽  
Management Service ◽  
Web Interface ◽  
Daily Work ◽  
Is Research ◽  
Research Data Management ◽  
Programming Interface

Nowadays, the daily work of many research communities is characterized by an increasing amount and complexity of data. This makes it increasingly difficult to manage, access and utilize to ultimately gain scientific insights based on it. At the same time, domain scientists want to focus on their science instead of IT. The solution is research data management in order to store data in a structured way to enable easy discovery for future reference. An integral part is the use of metadata. With it, data becomes accessible by its content instead of only its name and location. The use of metadata shall be as automatic and seamless as possible in order to foster a high usability. Here we present the architecture and initial steps of the MASi project with its aim to build a comprehensive research data management service. First, it extends the existing KIT Data Manager framework by a generic programming interface and by a generic graphical web interface. Advanced additional features includes the integration of provenance metadata and persistent identifiers. The MASi service aims at being easily adaptable for arbitrary communities with limited effort. The requirements for the initial use cases within geography, chemistry and digital humanities are elucidated. The MASi research data management service is currently being built up to satisfy these complex and varying requirements in an efficient way.

Conceptualizing professional and public interest in the context of Turkey’s health care reforms

2019 ◽  
Vol 39 (7/8) ◽  
pp. 521-534
Author(s):  
Tuba I. Agartan
Keyword(s):  
Public Interest ◽  
Qualitative Methodology ◽  
Large City ◽  
Comparative Approach ◽  
Science Literature ◽  
Structured Interviews ◽  
Content Type ◽  
Daily Work ◽  
The Public ◽  
Material Interests

PurposeThe purpose of this paper is to investigate physicians’ response to reforms in Turkey on the basis of their experience of the changes in the daily work environment. It aims to bridge the gap between health policy and sociology of professions literatures to explain why some public-sector physicians have opposed the recent reforms.Design/methodology/approachThe research adopts a qualitative methodology including semi-structured interviews and content analysis. The fieldwork involves collecting information through written documents and interviews with 23 physicians working in public tertiary hospitals in one large city.FindingsPhysicians’ response combines a concern with material interests, previously conceptualized in terms of erosion of autonomy, with anxiety over damage to their professional image and social status. The particular reform discourse adopted by policymakers disrupts the existing constructions of harmony in the professional discourse between the public and professional interests, and between social value and material interests.Research limitations/implicationsOne major limitation of this paper is its exploratory nature and analysis based on one case study. Future studies that adopt a cross-country comparative approach could help addressing concerns of limited generalizability.Originality/valueEarlier social science literature on health reforms has explained physicians’ opposition in terms of protecting their professional self-interest and fighting against any regulation that could limit their income or autonomy. The paper adopts a broader definition of interests that goes beyond this materialist conception and includes subjective ideas about interests such as values and beliefs about how they serve the public interest. This definition allows us to unpack the relationship between interest and autonomy.

Essential oils and their use in aromatherapy

2021 ◽  
pp. 32-55
Author(s):  
Yulia Igorevna Emelyanova ◽  
Alla Viktorovna Komissarova ◽  
Natalia Vladislavovna Petrova ◽  
Anna Igorevna Marakhova
Keyword(s):  
Essential Oils ◽  
General Information ◽  
The Body ◽  
Alternative Methods ◽  
Psychological State ◽  
Scientific Medicine ◽  
Safety Issues ◽  
Plant Parts ◽  
Main Component ◽  
Methods Of Treatment

Today, the search for alternative methods of treatment and supplementing or accompanying drug therapy with the approaches and means of traditional medicine, such as aromatherapy, is becoming increasingly popular. Essential oils are used in aromatherapy as the main component for the treatment of a number of diseases. Essential oils are extracted from flowers, bark, stems, leaves, roots, fruits and other plant parts by various methods. Essential oils can penetrate the body when applied topically (percutaneously) or through inhalation and potentially influence an individual. In addition, such procedures are accompanied by pronounced pleasant sensations that have a positive effect on the emotional and psychological state of the patient. As soon as essential oils enter the body, biotransformation and effects on the body take place. Aromatherapy has various techniques for using essential oils, and mixing different oils is widely used to obtain a therapeutic effect. Aromatherapy techniques with essential oils are more effective when used in combination therapy with scientific medicine, changing the patient’s lifestyle. This review discusses general information regarding the therapeutic, cosmetic, psychological and safety issues of aromatherapy, as well as the various etheric compounds most commonly used in aromatherapy

THE COMPARATIVE CONTENT ANALYSIS OF THE NORMATIVE DOCUMENTS GOVERNING THE X-RAY MAMMOGRAPHY IN THE RUSSIAN FEDERATION

2019 ◽  
Vol 25 (5-6) ◽  
pp. 256-258
Author(s):  
A. Yu Vasil’ev ◽  
I. V Buromskiy ◽  
Tamara V. Pavlova ◽  
O. O Manuylova
Keyword(s):  
Mammary Glands ◽  
Subsequent Treatment ◽  
Medical Community ◽  
Unified Approach ◽  
X Ray ◽  
Daily Work ◽  
Normative Documents ◽  
The Russian Federation ◽  
Mammographic Examination ◽  
Comparative Content

The article discusses the normative documents in force in our country of the Ministry of Health that regulate the timing, order and age criteria for examining the mammary glands using x-ray mammography. A sufficient number of disagreements were revealed among the Orders, Letters, and Methodological and Clinical Recommendations that have not lost their legal force, which significantly complicate the daily work of clinicians and radiologists of mammography rooms. The lack of a unified approach to the standard of mammographic examination among the medical community inevitably leads to medical errors and increases the number of untimely diagnoses. In order to improve indicators of early diagnosis of breast cancer and minimize the amount of subsequent treatment, it is necessary to develop a single normative document that defines the algorithm for mammographic examination of the population.

scholarly journals ENDOVASCULAR METHODS OF TREATMENT POSTPANCREATECTOMY HEMORRHAGE AFTER PANCREATIC RESECTIONS

2020 ◽  
pp. 115-119
Author(s):  
V. M. Kopchak ◽  
L. A. Pererva ◽  
V. A. Kondratiuk ◽  
A. V. Duvalko ◽  
V. V. Khanenko ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Clinical Results ◽  
Subsequent Treatment ◽  
Interventional Angiography ◽  
Septic Complications ◽  
Stent Grafting ◽  
Postpancreatectomy Hemorrhage ◽  
Pancreatic Resections ◽  
Endovascular Methods ◽  
Methods Of Treatment

Summary. Aim. To evaluate of the endovascular treatment of patients with postpancreatectomy hemorrhage after pancreatic resections. Matherials and Methods. In the period 2009-2018 we performed 728 radical pancreatic resections in patients with pancreatic cancer. Postpancreatectomy hemorrhage was occurred in 38 (5,2 %) patients. Mortality was 6 (15,8 %). Postpancreatectomy hemorrhage gr. A st. А was occurred in 3 patients and was treatment concervatively. Hemorrhage gr. B or C were occurred in 35 patients. Results. Angiography was performed in 17 (48,6 %) patients among 35. In 14 patients postpancreatectomy hemorrhage was diagnosed. In 3 (17,6 %) patients the source of the bleeding wasn’t identified, this patients underwent a laparotomy with a subsequent treatment. Interventional angiography and treatment of hemorrhage were performed in 14 (82,4 %) patients: embolization was performed in 9, stenting in 5. Mortality was occurred in 1 (7 %) patient. There were no complications after stent grafting. Open surgery was performed in 18 (51.4 %) patients. Of the 18 patients, 6 (33.3 %) died of further septic complications. Conclusions. Endovascular techniques to treatment of postpancreatectomy haemorrhage have proven to be highly effective and safe with good technical and clinical results. Endovascular treatment of bleeding should be the first step in the treatment of postpancreatectomy haemorrhage with stent graft placement in haemorrhage of the main vessels.

scholarly journals IMPLEMENTASI UNIFIED APPROACH METHODE PADA TRANSAKSI PENYEWAAN FREEZER CV.BDR PADANG

2019 ◽  
Vol 1 (1) ◽  
pp. 74-80
Author(s):  
Ahmad Kamal ◽  
Renita Astri
Keyword(s):  
Decision Making ◽  
Data Processing ◽  
Programming Language ◽  
Visual Basic ◽  
Research Data ◽  
Laboratory Research ◽  
Unified Approach ◽  
Visual Basic 6.0 ◽  
New System

The author has conducted research at CV.BDR in order to know and departure information systemrental fleet in progress and further develop a system that is running in order to achieve a more optimallevel. In this study the author uses Visual Basic 6.0 programming language for programming. Fromthe data collected, then the writer uses the method of processing the results of laboratory research data computers. From the results of this study designed a rental application and departure of ships that can help job employees, where the data is done in the design of the development of the information generated from the old system and there is a way of working of the system itself by means of computeruse as a tool and replace the software that used in data processing. It is hoped that the authorsdesigned a new system could replace the old system in the form of a manual system, in order to achieve the level of effectiveness and higher efficiency. So that the design could be beneficial to CV.BDR inthe data processing to obtain rental information and a more accurate vessel departure and may assistin decision making.

scholarly journals Ética de las virtudes y medicina (II)

2018 ◽  
pp. 43-58
Author(s):  
Silvia L. Brussino
Keyword(s):  
Virtue Ethic ◽  
Scientific Medicine ◽  
Medical Institutions ◽  
Break Points ◽  
Set Up ◽  
Scientific Skills ◽  
Professional Ethos ◽  
The Relationship ◽  
Moral Requirements ◽  
The Ideal

El presente trabajo se propone establecer la actualidad de una ética de las virtudes de estilo aristotélico en el ámbito de la ética clínica. La relación establecida por Maclntyre entre las prácticas y los “patrones de excelencia” que rigen internamente su ejercicio, juntamente con el enfoque de Pellegrino y Thomasma de la medicina como “comunidad moral” en la que las habilidades técnico-científicas y la disposición moral del agente configuran una unidad indisoluble en el acto médico, son la base del análisis sobre la especificidad de la práctica médica y los consecuentes requerimientos morales de quienes la ejercen. La crisis de la medicina occidental que en los últimos treinta años provocó importantes puntos de fractura con la tradición hipocrática, ofrece una posibilidad de salida reinterpretando sus propios fines. De ello se sigue la necesidad de retomar líneas de la tradición que el ideal de la medicina científica, las reglas del mercado y la burocratización de la atención sanitaria parecieran haber obturado. En esta encrucijada es donde el énfasis puesto por la ética de las virtudes en el ethos profesional, anclado en el compromiso con las personas concretas cuyo beneficio da sentido a la actividad y a las instituciones médicas, resulta imprescindible para balancear las falencias de una ética fundada en principios, sin que ello implique renunciar a los efectivos logros del universalismo moral. AbstractThis work is meant to set up the present importance of the ethic of virtues, which follows the Aristotelian style in the field of clinical ethics. The relationship established by Maclntyre between the practices and the “patterns of excellence” which internally guides these practices, together with the view of Pellegrino and Thomasma about medicine as a “moral community” in which the technical-scientific skills and the agent’s moral dispositions shape an indissoluble link in the medical act, are the basis for the analysis on the specificity of the medical practice and the moral requirements of the practitioners. The crisis of western medicine that in the last thirty years has given rise to important break points with the hippocratic tradition, offers a possible resolution by the re-interpretation of its proper ends. Therefore, it is a need to return to traditional ways that seem to have lost vigour for the dominance of the ideal of a scientific medicine, for the market rules and bureaucratized health care. In this intersection, the emphasis on a virtue ethic on the professional ethos, grounded on the engagement with the patient whose benefit gives meaning to the activity and medical institutions, is indispensable for the balance of the failures of a principle-based ethic without renouncing to the effective achievement of moral universalism.

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