THE DEPENDENCE OF MEDICAL AND DIAGNOSTIC MEASURES CARRIED OUT IN GERIATRICS ON AGE, GENDER AND THE DOCTOR’S HEALTH STATUS

2021 ◽  
pp. 530-537
Author(s):  
В.С. Мякотных ◽  
А.П. Сиденкова ◽  
Т.А. Боровкова ◽  
В.Н. Мещанинов ◽  
М. Л. Ярославцева ◽  
...  
Keyword(s):  
Health Status ◽  
Continuing Education ◽  
Clinical Experience ◽  
Professional Training ◽  
Geriatric Patients ◽  
Clinical Recommendations ◽  
Diagnostic Measures ◽  
Clinical Thinking ◽  
Extensive Clinical Experience

В статье обсуждаются вопросы вероятной зависимости действий специалиста, работающего с пациентами гериатрического профиля, от возрастных, гендерных и иных характеристик данного специалиста. Такой, на первый взгляд, нетрадиционный подход к научным исследованиям в области геронтологии и гериатрии выявляет отчетливые различия в ряде аспектов клинического мышления и следования клиническим рекомендациям у врачей разного возраста, пола, при разном состоянии их собственного здоровья. На основе анкетирования 126 врачей и анализа 2 394 их мнений получены результаты, свидетельствующие об определенном консерватизме врачей старше 50 лет, особенно мужчин, имеющих большой клинический опыт. Обсуждаются случаи так называемого самоэйджизма пожилого специалиста, использующего в своих профессиональных действиях результаты диагностики и лечения той возраст-ассоциированной патологии, которой страдает он сам. Предлагается в процессе повышения квалификации или профессиональной переподготовки врачей-гериатров учитывать их возраст, пол и состояние здоровья, а также сопровождать занятия обязательным определением биологического возраста самого специалиста. The article discusses the probable dependence of the actions of a specialist working with geriatric patients on the age, gender, and other characteristics of this specialist. This seemingly unconventional approach to research in the field of gerontology and geriatrics reveals distinct differences in a number of aspects of clinical thinking and following clinical recommendations in doctors of different ages, genders, and in different states of their own health. On the basis of a survey of 126 doctors and an analysis of 2 394 of their opinions, the results were obtained, indicating a certain conservatism of doctors over the age of 50, especially men with extensive clinical experience. The article discusses cases of so-called self-ageism of an elderly specialist who uses in his professional actions the results of diagnosis and treatment of the age-associated pathology that he himself suffers from. It is proposed in the process of continuing education or professional training of geriatricians to take into account their age, sex and health status, as well as accompany classes mandatory determination of the biological age of the specialist.

scholarly journals Pulmonary Hypertension in Acute and Chronic High Altitude Maladaptation Disorders

2021 ◽  
Vol 18 (4) ◽  
pp. 1692
Author(s):  
Akylbek Sydykov ◽  
Argen Mamazhakypov ◽  
Abdirashit Maripov ◽  
Djuro Kosanovic ◽  
Norbert Weissmann ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
High Altitude ◽  
Clinical Experience ◽  
Current Knowledge ◽  
Hypoxic Pulmonary Vasoconstriction ◽  
Treatment Options ◽  
Right Heart Failure ◽  
Channel Blockers ◽  
The Right ◽  
Extensive Clinical Experience

Alveolar hypoxia is the most prominent feature of high altitude environment with well-known consequences for the cardio-pulmonary system, including development of pulmonary hypertension. Pulmonary hypertension due to an exaggerated hypoxic pulmonary vasoconstriction contributes to high altitude pulmonary edema (HAPE), a life-threatening disorder, occurring at high altitudes in non-acclimatized healthy individuals. Despite a strong physiologic rationale for using vasodilators for prevention and treatment of HAPE, no systematic studies of their efficacy have been conducted to date. Calcium-channel blockers are currently recommended for drug prophylaxis in high-risk individuals with a clear history of recurrent HAPE based on the extensive clinical experience with nifedipine in HAPE prevention in susceptible individuals. Chronic exposure to hypoxia induces pulmonary vascular remodeling and development of pulmonary hypertension, which places an increased pressure load on the right ventricle leading to right heart failure. Further, pulmonary hypertension along with excessive erythrocytosis may complicate chronic mountain sickness, another high altitude maladaptation disorder. Importantly, other causes than hypoxia may potentially underlie and/or contribute to pulmonary hypertension at high altitude, such as chronic heart and lung diseases, thrombotic or embolic diseases. Extensive clinical experience with drugs in patients with pulmonary arterial hypertension suggests their potential for treatment of high altitude pulmonary hypertension. Small studies have demonstrated their efficacy in reducing pulmonary artery pressure in high altitude residents. However, no drugs have been approved to date for the therapy of chronic high altitude pulmonary hypertension. This work provides a literature review on the role of pulmonary hypertension in the pathogenesis of acute and chronic high altitude maladaptation disorders and summarizes current knowledge regarding potential treatment options.

FLAGS AS A NEW ASSESSMENT OF MENTAL HEALTH STATUS

2003 ◽  
Vol 31 (6) ◽  
pp. 593-602
Author(s):  
Jawad A. Fatayer
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Clinical Experience ◽  
Mental Health Status ◽  
Arab Countries ◽  
Psychological Perspective ◽  
Social Psychological ◽  
Psychological Variables ◽  
New Instrument ◽  
Social Psychological Perspective

Mental health is examined from a social-psychological perspective based on years of clinical experience in the USAand some Arab countries. Three hundred and fifty-two participated to examine the validity and the reliability of this new instrument. Eleven social-psychological variables, integrated with five central emotions, make up the FLAGS assessment, which proved to have strength and dependability.

Committee on Drugs Attacked

PEDIATRICS ◽  
1974 ◽  
Vol 53 (6) ◽  
pp. 952-952
Author(s):  
Leon Oettinger
Keyword(s):  
Clinical Experience ◽  
Extensive Clinical Experience ◽  
Convulsive Threshold

I note Doctor Livingston's comments on the use of amphetamines in epilepsy and the Committee's reply. I would like to support Doctor Livingston's endorsement of the use of amphetamines in epilepsy. He and his colleagues wrote an article in the fifties on their use in petit mal. Laufer and Denhoff also indicated an increase in the convulsive threshold using a metrazol activation in hyperkinetic children. Although the Committee may not be aware of the literature concerning this, many of us who have had extensive clinical experience with epilepsy feel that the amphetamines are of value.

scholarly journals Molecular detection of Chlamydia psittaci and Chlamydia felis in human keratoconjunctivitis cases

2020 ◽  
Vol 23 (1) ◽  
pp. 130-137
Author(s):  
S. Jazi ◽  
A. Mokhtari ◽  
A. Ebrahimi Kahrizsangi
Keyword(s):  
Veterinary Medicine ◽  
Significant Relationship ◽  
Laboratory Tests ◽  
Molecular Detection ◽  
Chlamydia Psittaci ◽  
Diagnostic Measures ◽  
High Incidence ◽  
Low Efficiency ◽  
Low Rate

Given the high incidence of keratoconjunctivitis in Iran (approximately 3.6–53.9%) and low efficiency of clinical diagnostic measures, application of laboratory tests for detection of different keratoconjunctivitis/conjunctivitis causes and determination of their accurate prevalence is essential. In this research, conjunctival samples were collected from 100 patients with keratoconjunctivitis signs referred to an eye hospital of Iran. After DNA extraction, PCR was carried out for detection of Chlamydia psittaci and Chlamydia felis. PCR positive products were further subjected for DNA sequencing. In this study, one sample was Chlamydia psittaci positive and none was positive for Chlamydia felis. There wasn’t a statistically significant relationship between working in the field of veterinary medicine or keeping a pet and Chlamydia psittaci prevalence (P>0.05). This study showed a low rate of chlamydial keratoconjunctivitis and therefore further studies for detection of other causes are necessary.

scholarly journals Rhetorical culture as an integral component of pedagogical masterpiece

New Collegium ◽  
2020 ◽  
Vol 4 (102) ◽  
pp. 118-121
Author(s):  
O. Bielikova ◽  
S. Dytiuk ◽  
O. Tesalovskaya
Keyword(s):  
Professional Education ◽  
Professional Training ◽  
Role Expectations ◽  
Modern Trend ◽  
Language Training ◽  
Economic Changes ◽  
Measurement Analysis ◽  
Higher Professional Education ◽  
Diagnostics System

The article deals with structural compounds of lecturer's rhetorical culture, its role in forming of professionaly oriented person. Lecturer's cultural and language literacy forms a style of pedagogical communication, a culture of his speaking behavior, and that exerts influence on learning process, on forming students' skills, on their personalities. The theoretical bases of diagnostics and determination of the results of the formation of professional competencies of language training lecturer`s for foreign citizens as the actual pedagogical problem in universities of technical profile were investigated and substantiated. In the conditions of socio-economic changes in Ukraine, the improvement of higher professional education system, in the process of introducing new requirements and standards of education, there are significant transformations in the system "lecturer-to-student". Changes in the first place concern perception of lecturer, the system of role expectations regarding the leading qualities of the lecturer changes. Strengthening the attention to the issues of diagnosing the level of proficiency of language training lecturers of professional competences, as a modern trend requires not only scientifically based tools for continuous measurement, analysis and improvement of evaluation of educational results of students' professional training, but also a new look at the system of pedagogical diagnostics. System diagnostics based on a competent approach should become a key and crosscutting component of monitoring the quality of vocational training of language training specialists in universities of technical profile.

scholarly journals Organizing of Independent Cognitive Activity of Teachers in the Context of Didactics and Neuroscience

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Olena Tonne ◽  
◽  
Olena Varetska ◽  
Olena Khaustova ◽  
Victoria Tarasova ◽  
...  
Keyword(s):  
Decision Making ◽  
Professional Training ◽  
Cognitive Activity ◽  
Educational Institutions ◽  
Psychological Mechanisms ◽  
Scientific Substantiation ◽  
Necessary And Sufficient ◽  
External Stimuli ◽  
Self Learning

The article substantiates that in the context of organizing the independent cognitive activity of teachers in the post-Soviet space, the process of improving their qualifications, which takes place on the basis of their free choice of forms of education, programs and educational institutions, is of particular importance. At the heart of this choice, decision-making on independent cognitive activity and emotional-motivational resource are not only external stimuli, but also neurophysiological and psychological mechanisms. The purpose of the study is a scientific substantiation of the necessary and sufficient psychological and pedagogical conditions and models of organization of independent cognitive activity of teachers of secondary schools in the process of competence development. The analysis of the experimental data showed a noticeable difference between samples B3 and B4 at the end of the experiment for each of the defined criteria, as well as for the general indicator of the organizing of independent cognitive activity. The results obtained during the pedagogical experiment proved that the organizing of independent cognitive activity of teachers on the basis of the author's model helped to increase the effectiveness of this activity. During the discussion, it was proved that an important component of a person's professional training for any activity, especially in educational, is the development of neurophysiological and psychological potential for subjective self-determination of self-learning, self-improvement, and in micro-development - for independent choice and decision-making in a situation of cognitive or activity-related uncertainty. Therefore, decision-making is a basic component of any constructive activity.

scholarly journals Adult’s Participation in Work-related Training: The Balance between Improving Job and a Desire for Learning

2016 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Ana Inés Renta Davids ◽  
Manel Fandos-Garrido ◽  
José Miguel Jiménez-González ◽  
Ángel Pío González-Soto
Keyword(s):  
Factor Analysis ◽  
Quantitative Analysis ◽  
Continuing Education ◽  
Professional Training ◽  
Demographic Variables ◽  
The Other ◽  
One Dimension ◽  
Work Related ◽  
Different Types ◽  
Motivation To Participate

<p>The study draws on findings from a survey of adults in non-formal continuing education under the professional training for employment framework in Spain. Quantitative analysis was carried out to a sample of 425 respondents from three different educational providers. Firstly, a factor analysis was conducted to fourteen motives for participation items. A two-dimension model of motivation to participate was identified: one dimension oriented towards job-improvement and the other dimension oriented towards learning. Secondly, a variance analysis was conducted according to demographics variables. Results showed significant statistical differences in the first dimension according to demographic variables. This might indicates an instrumental motivation in participation in work-related training among different groups who try to cope with different types of drawbacks.</p>

scholarly journals Algorithm of Examination and Management of Patients in the Detection of Fibroadenomas of the Breast

2021 ◽  
pp. 31-40
Author(s):  
O. O. Manyilova ◽  
I. A. Solntseva
Keyword(s):  
Clinical Experience ◽  
Foreign Literature ◽  
Management Tactics

The article is devoted to the determination of the examination algorithm and management tactics for patients with various types of breast fibroadenomas based on a review of foreign literature and our own clinical experience.

Sign in / Sign up

Export Citation Format

Share Document