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  • Ernstsen Todd posted an update 6 days, 19 hours ago

    The chronic obstructive disease of lungs is considered as important problem of modern public health system. The disease is increasingly keenly reflected in agenda of our society, economic and social sphere of the state. The steadily progressing course of disease, disability and increasing economic costs assigns task of finding and improving diagnostic methods in real clinical practice. The purpose of the study is to assess the medical social significance of new approaches to studying functional status of patients with chronic obstructive disease of lungs in routine clinical practice. The sampling of 105 males were examined 64 patients with chronic obstructive disease of lungs and 41 volunteers from control group without any diseases of respiratory system. All examined patients underwent spirometry, sixth minute step test, analysis of heart rate variability and test with external peripheral vascular occlusion. The study results established high level of importance of complex assessment of functional status of patients in routine clinical practice. The patients with chronic obstructive disease of lungs with respiratory failure demonstrated persistent hyperactivity of ergoreflex during test with external peripheral vascular occlusion. Therefore, method of assessing ergoreflex according to heart rate variability indices is applicable in clinic and has perspectives of implementation as mode of additional diagnostics of functional disorders.In Russia, the society shares the opinion that children, adolescents and the youth are the main users of the Internet. However, the information impact of the Internet on the emerging consciousness, intelligence, life values of younger generation is ambiguous and requires comprehensive and in-depth study. Materials and methods. In 2016-2017, large-scale sample study of prevalence and peculiarities of Internet use in rural teenagers aged 15-17 years was carried out in Russia, covering 17 Oblasts from 6 Federal Okrugs of Russia. The sampling consisted of 18 222 rural teenagers (8 208 boys and 10 014 girls). The set of material (questionnaires), formation of databases and their statistical processing was carried out using software program “The Risk Factors”. According to the data study, prevalence of Internet use among boys was 96.1 and among girls 97.2 out of 100 adolescents of the appropriate age and sex. Besides, 85.4% of boys and 90.0% of girls used the Internet on daily basis and 44.4% of boys and 60.4% of girls – 3 hours or more per day. Teenagers using the Internet every day during 3 hours or more constitute “risk group” since they have both social and psychological difficulties and high risk of developing Internet addiction. selleck inhibitor Despite the differences in the age of the respondent’s gradations in frequency and duration of Internet using, the results of study correspond to data of studies carried out in different years by the Internet Development Fund and testify high level of prevalence of Internet use among schoolchildren. The results of the study revealed the emerging problems in rural schoolchildren of adolescent age due to long (3 hours or more per day) use of the Internet, as well as the need to teach them to appropriate, dosed and effective use of the Internet, which would broaden mind, increase academic performance and enrich leisure activities.The information about disease, its cause, prognosis, methods of diagnostics, treatment and prevention is always very important for patient and relatives. The article presents the results of questionnaire survey of 412 patients with chronic dermatitis residing in Moscow. The purpose of study was to evaluate awareness of patients with chronic dermatitis and residing in the capital of Russia about medical services provided and their rights to receive them. It was established that the information most frequently provided to patient by physician relates diagnosis. According to the survey, physicians always provide information about diagnosis in 84.9% of cases. The second place is for information about treatment methods and possible complications during treatment (82.0%). More rarely, physicians inform patients about the examination methods, possible unpleasant sensations and complications, side effects of medications and patient’s right to refuse examination and treatment, as well as the consequences of such a refusal. Absolutely all patients indicated the need to protect the rights of patients in case of their violation in the process of providing medical care. Moreover, 59.6% of them were sure about necessity to appeal to the administration of medical institution, 16.3% of patients considered it necessary to complain to insurance companies, 15.7% of patients to the Ministry of Health and 8.3% of patients to the court.The development of palliative medical care in Russia that according to the Federal Law of 06.03.2019 № 18-FZ “Introduction of amendments to the Federal Law “The basic principles of medical care in Russian Federation” in the matter of rendering palliative medical care” is assigned to social service institutions, requires optimizing mechanism of intersectoral cooperation, including cooperation between medical organizations of palliative care and social welfare institutions and also between medical personnel and experts of other specialization who participate in providing this kind of assistance, as well as professional social workers. The article presents findings of research, dedicated to evaluation of level of awareness that doctors in medical organizations of palliative care have on professional social work and also the role of professional social workers in rendering palliative medical care to patients of such organizations as well as their families. The respondents noticed multidimensionality of issues that patients of medical organizations of palliative care, as well as their families, come across. That is why they consider it necessary for psychologists, rehabilitation therapists, social workers as a part of in polyprofessional teams of specialists to take part in rendering this kind of care. The ability to provide complex medical social care to patients and their families; enjoyment of the rights to social welfare and support, skills of practical application of social work methods, organizing patients’ care, interaction with social and other kinds of services, realizing complex of activities in within the framework of psychological pedagogical and social directions of rehabilitation and habilitation of patients are considered as the most important issues of performance of social work specialists in medical organizations of palliative medical care.

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