scholarly journals Hygienic estimation of the functional state of the organism of medical personnel of maternity hospitals

2016 ◽  
Vol 24 (1) ◽  
pp. 48
Author(s):  
E P Kotelevets ◽  
V A Kiryushin
Keyword(s):  
Functional State ◽  
Medical Personnel ◽  
Maternity Hospitals

scholarly journals Innovative analysis methods of the Perinatal pedagogy

2021 ◽  
Vol 273 ◽  
pp. 12120
Author(s):  
Elena Egorova ◽  
Anna Neydorf ◽  
Ekaterina Davydova
Keyword(s):  
Pregnant Women ◽  
Medical Personnel ◽  
Psychological Trauma ◽  
Emotional Reaction ◽  
Medical Intervention ◽  
Practical Training ◽  
Negative Experience ◽  
Medical Institutions ◽  
Maternity Hospitals ◽  
Psychological Pressure

The scientific discourse does not consider the possibilities of preparing pregnant women for interaction with medical personnel during childbirth by means of perinatal pedagogy. Purpose of the study: To determine the key problems of interaction between women in labor and the staff of medical institutions (maternity hospitals) and their causes, the elimination of which could be facilitated by perinatal pedagogy. The study was conducted by the method of content-analysis of interviews of 24 women. The main topics were identified that describe the negative experience of women in childbirth: neglect of medical personnel, ignoring requests for information on the state of the mother and child, psychological pressure and manipulation, compulsion to medical intervention, corruption, extortion. Also, 4 types of women’s emotional reaction to the situation were identified: positive, unemotional, negative (low and high intensity). Analysis gives reason to believe that the main cause of psychological trauma is not the experienced events, but the attitude towards them. Perinatal pedagogy can reduce the trauma of birth experience by increasing medical literacy and legal awareness of pregnant women, through training and practical training, irradiating the methods of communication with medical personnel. Psychological birth trauma in women is largely determined by negative experience of interaction with the staff of medical institutions. More detailed statistical studies of the factors that enhance the negative emotional reaction to this experience and the development of methods for preparing pregnant women for it are needed.

scholarly journals ADAPTIVE ABILITIES OF THE MEDICAL STAFF OF MATERNITY HOSPITALS

2020 ◽  
Vol 99 (1) ◽  
pp. 56-62
Author(s):  
Elena P. Kotelevets ◽  
V. A. Kiryushin ◽  
N. I. Prohorov ◽  
P. I. Melnichenko
Keyword(s):  
Preventive Measures ◽  
Low Frequency ◽  
Medical Personnel ◽  
Labor Process ◽  
Total Power ◽  
Autonomous Nervous System ◽  
Work Shift ◽  
Regulatory Systems ◽  
Adaptive Capabilities ◽  
Maternity Hospitals

Introduction. The aim is scientific planning of preventive measures based on the assessment of adaptive capabilities of the organism of medical personnel of maternity institutions in the dynamics of the work shift. Material and methods. With cardiointervalogram variation of the studied indices of the cardiovascular and autonomous nervous system in obstetricians-gynecologists, neonatologists, nurses - midwives, nurses - anesthetists, ward nurses of perinatal centers and maternity hospitals in cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and at the end of the work shifts. Results. The analysis of heart rate variability revealed significant statistical differences in a number of indices of the spectral region (the decline in values of sympatho-parasympathetic balance (LF/HF), the amplitude of very low-frequency waves (LFW), increase in the total power (TP), as well as an increase in the index of activity of regulatory systems (IARS) (p<0.05), established the relationship between the IARS at the end of the shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, nurses-anesthetists, and midwives of perinatal centers. Conclusion. The revealed direct correlation between the IARS at the end of the work shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, medical nurses-anesthetists, and midwives of perinatal centers confirms the results of hygienic studies of the labor process intensity and allows planning preventive measures.

PSYCHOPHYSIOLOGICAL ASSESSMENT OF THE LABOR OF MEDICAL WORKERS IN ORGANIZATIONS WITH COVID-19

2021 ◽  
Author(s):  
A.V. Zaitseva ◽  
◽  
V.V. Serikov ◽  
H.T. Oniani ◽  
Keyword(s):  
Cardiovascular System ◽  
Functional State ◽  
Statistical Processing ◽  
Medical Personnel ◽  
Systemic Arterial Pressure ◽  
The Body ◽  
Labor Process ◽  
Stress Factors ◽  
Hazard Class ◽  
Autonomic Index

Abstract. Introduction. High neuro-emotional stress among medical workers in organizations with the leading harmfulness of Covid-19 contributes to the formation of an unfavorable functional state, increases the risks of health disorders. The study of the characteristics of the psychophysiological reactions of the body will allow to substantiate the timing of work in a pandemic, which is quite relevant at the present time. The purpose of the research was, on the basis of comprehensive psychophysiological studies, to study the features of the formation of a functional state in medical personnel working in organizations with COVID-19 under the influence of stress factors of the labor process. Materials and methods. A physiological and hygienic assessment of the intensity of the labor process was carried out, psychophysiological changes were studied during 3 months of work in the «dangerous» zone. Statistical processing of the obtained data was carried out using the statistical programs Statistika 10, Microsoft Excel 2010. Results. The formation of neuropsychic stress in medical workers is reflected in changes in ECG indicators (prolongation of the QT interval, decrease in the voltage of the P and T waves) and systemic arterial pressure, an increase in the endurance coefficient (an indicator of detraining of the cardiovascular system), positive values of the Kerdo autonomic index (predominance of sympathetic influences) after 3 months of work in medical organizations with Covid-19. Conclusions. Nervous and emotional tension at work is the leading professional factor among nurses and doctors working in medical institutions with Covid-19 (hazard class 3, grade 3). Indicators of the cardiovascular system, reflecting the degree of adaptation of the body of medical workers to production activities, can be used to justify different periods of work in organizations with Covid-19.

scholarly journals Minister of Health of the RSFSR Vladimir Vasilievich Trofimov, first Editor-in-Chief of the journal «Health Care of the Russian Federation» – outstanding personality and healthcare manager

2021 ◽  
Vol 65 (1) ◽  
pp. 69-73
Author(s):  
Boris T. Velichkovsky ◽  
Roman S. Serebryany
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Financial Incentives ◽  
Medical Science ◽  
Editorial Policy ◽  
Medical Personnel ◽  
Joint Work ◽  
Maternity Hospitals ◽  
The Russian Federation

This article is devoted to V.V. Trofimov, Minister of Health of the RSFSR, an outstanding health care manager, who tried to introduce the modern methods of self-financing, automated information systems, etc., into the management of medical science during the period 1962-1983. At the initiative of V.V. Trofimov, for the first time in the country, the Main Department of research institutes and coordination of scientific research was established, the purpose of which was to ensure a scientific breakthrough in medicine through the development and implementation of innovative methods. The experience of joint work of health authorities, medical universities, and research institutions began to accumulate. It allowed solving problems of improving the quality of medical care according to united comprehensive plans. The material and technical base for public health protection was developed. During the tenth five-year plan alone, 20 large multi-specialty hospitals were built for 600-1200 beds, 88 polyclinics for 750-1200 visits per shift, 80 maternity hospitals and departments for 8849 beds were put into operation, 24 women’s consultations for 1000 visits per shift, and 13 multi-specialty children’s hospitals. The availability of medical personnel increased from 34.8 in 1975 to 40.0 in 1980 (per 10,000 population). The reform of the financing of medical institutions included the transfer of hospitals and polyclinics to economic accounting. The reform was introduced to enhance medical workers’ financial incentives to improve medical care, as savings increased doctors’ and nurses’ salaries. In essence, it was an anti-pod to the extensive, expensive way of conducting the national economy adopted in the country. As the first Editor-in-Chief of the journal “Health Care of the Russian Federation” and he prioritized innovative research in editorial policy for many years to come.

scholarly journals Conditions, determining timeliness of newborn vaccination at perinatal center

2019 ◽  
Vol 36 (5) ◽  
pp. 52-57
Author(s):  
O. A. Kuznetsova ◽  
A. A. Golubkova ◽  
N. V. Bashmakova
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Medical Personnel ◽  
Controlled Study ◽  
Individual Approach ◽  
Maternity Hospitals ◽  
Perinatal Center ◽  
Prospective Controlled Study

Aim. To assess the volume of immunopreventive work at the perinatal center. Materials and methods. In the cohort prospective controlled study, the coverage of newborn vaccination at maternity hospitals and the reasons of parents refusals from vaccination were evaluated Results. The specific features of vaccination of the newborns born from women with gestational diabetes mellitus and fetoplacental insufficiency were determined; sociological questioning was carried out to assess parents attitude to vaccination, Conclusions. The results of the study showed that the process of vaccination at perinatal center has its peculiar features. Each infant needs individual approach. The role of medical personnel in formation of loyalty to vaccination is undoubtful.

scholarly journals Medical aid to children in Western Siberia during the Great Patriotic War

2020 ◽  
pp. 22-30
Author(s):  
Elena Nikolaevna Semenova
Keyword(s):  
Western Siberia ◽  
Medical Personnel ◽  
Healthcare Services ◽  
Morbidity And Mortality ◽  
Medical Aid ◽  
Health Authorities ◽  
Maternity Hospitals ◽  
Great Patriotic War ◽  
Public Health Authorities

The subject of this research is the examination of focal areas of providing medical aid to children of Western Siberia during the Great Patriotic War. Leaning on the previously unpublished documents, the author analyzes the data on the adoption of measures for rendering medical and sanitary services to evacuated children, as well as development of the network of specialized childcare facilities under the jurisdiction of the People's Commissariat for Health: nurseries, orphanages, children's hospitals and polyclinics, consultations, maternity hospitals, etc. The article provides materials on the changes in staffing in the indicated medical facilities, and measures on improvement of qualifications of medical personnel. The author examines the nature of changes in the quality of medical care for children that was aimed at reduction of morbidity and mortality rates. The conclusion is formulated that in Western Siberia healthcare services for children, which faced a number of problems in the prewar period, failed to prepare for multifold increase of strain with the beginning of the Great Patriotic War. Shortage of resources led to degradation of the quality of medical services provided to children, which resulted in the increased morbidity and mortality among them. However, public health authorities undertook methodical efforts towards strengthening children's healthcare system, which in the 1943-1945 turned the tide in children mortality.

scholarly journals Assessing functional state of the body when wearing a reusable protective suit to minimize risks of contagion among medical personnel

2021 ◽  
pp. 152-161
Author(s):  
A.B. Yudin ◽  
◽  
M.V. Kaltygin ◽  
E.A. Konovalov ◽  
A.A. Vlasov ◽  
...  
Keyword(s):  
Functional State ◽  
Health Risks ◽  
Personal Protective Equipment ◽  
Thermal State ◽  
Medical Personnel ◽  
The Body ◽  
Protective Equipment ◽  
Negative Effects ◽  
Cardiorespiratory System ◽  
Psychophysiological State

Personal protective equipment has become the last line of protection for medical personnel during the pandemic of the new coronavirus infection since it allows minimizing risks of biological contagion. Given the existing staffing shortage, medical workers have to spend from 4 to 12 hours a day in the “red zone” where they necessarily wear personal protective equipment. Protective clothing is known to produce negative effects on functional state of the body and personnel’s working capacities. Assessment of up-to-date protective suits will allow developing recommendations on their suitable application bearing in mind a balance between necessary protection, providing favorable ergonomics, and reducing risks of adverse effects on functional state and working capacities. Our research aim was to hygienically assess health risks for medical workers who had to wear reusable protective suits. Our research object was a reusable suit made from polyether fabric with polyurethane membrane coating and antistatic threads. We performed an experiment aimed at evaluating thermal state of the body, psychophysiological state, and responses by the volunteers’ cardiorespiratory system in laboratory conditions during an 80 hour working shift under controlled microclimate. Participants in the experiment were questioned in order to assess suits’ ergonomics. Heat exchange dynamics and amount of changes in thermal physiological parameters caused by wearing a protective suit determined heat contents of volunteers’ bodies that conformed to optimal standard values. Data on psychophysiological and mental state taken in research dynamics didn’t have any statistically significant changes. Gas exchange indicators naturally grew during the “load” phase; however, there were no significant changes detected in any phase in the research. Hygienic assessment of the thermal state, functional state of the cardiovascular and respiratory systems, and psychophysio-logical indicators confirmed that wearing a protective suit was quite safe and didn’t involve any health risks for volunteers.

scholarly journals Functional condition of the central nervous system of medical personnel of maternity hospitals

2020 ◽  
Vol 28 (1) ◽  
pp. 37-43
Author(s):  
Elena P. Kotelevets ◽  
Valery A. Kiryushin
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Nursing Staff ◽  
Medical Personnel ◽  
Well Being ◽  
Functional Condition ◽  
Work Shift ◽  
Professional Groups ◽  
Maternity Hospitals ◽  
The Central Nervous System

Aim. Analysis of functional capacities of the central nervous system (CNS) of medical personnel of maternity hospitals in the dynamics of the work shift. Materials and Methods. Using the WAM method, the functional condition of the central nervous system of doctors (obstetricians, gynecologists, neonatologists), nurses (midwives, anesthesiologists, ward nurses) in perinatal centers and maternity hospitals in the cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and end of the work shift was studied. Results. Analysis of parameters of operational self-assessment of the functional state of the central nervous system (well-being, activity, mood) revealed the dynamics of reducing the levels of well-being and activity of the main professional groups by the end of the work shift. Calculation of the W+A/M index in the dynamics of the working shift showed its reduction in obstetricians-gynecologists and neonatologists of perinatal centers by 5.0% (p=0.024174) and 10.6% (p=0.026637), respectively; by 10.6% in maternity hospitals in both professional groups (p=0.037452 and 0.039579). Among the nursing staff of perinatal centers, the index decreased in midwives and nurses anesthesiologists by 5.3% (p=0.000752) and 10.6% (p=0.000752), respectively. In groups of nursing staff of maternity hospitals, decrease in the index was determined in anesthesiologists, midwives and ward nurses by 16.7% (p=0.006566), 10.6% (p=0.003385) and 11.2% (p=0.001059), respectively. Conclusion. Statistically significant differences were found in the analysis of well-being parameters of neonatologists and midwives of perinatal centers, in all the studied respondents of maternity hospitals; of activity in obstetrician-gynecologists, neonatologists and midwives of perinatal centers, in all surveyed respondents of maternity hospitals; of W+A/N index in obstetrician-gynecologists, neonatologists, midwives, in anesthesiologists of perinatal centers and in all studied professional groups of maternity hospitals. Reduction of the functional condition of the central nervous system by the end of the work shift may indicate developing fatigue.

Sign in / Sign up

Export Citation Format

Share Document