REVEWS
Nurses in most countries of the world make up the largest army of healthcare workers, thereby steadily determining the level and quality of not only primary health care, but also inpatient, specialized care. In economically developed countries with «advanced» medicine, one of the ways to improve the quality of medical care to the population is to activate the activities of nurses. At the same time, disease prevention, sanitary and educational work, public health are the direct areas of their activities [1].
The aging of the population is a global demographic, social and economic problem of modern life. According to the WHO report for 2019, by 2050, 16% of the world's population will be over 65 years old [1]. Compared with the data for 2011, only 11% of the world population was over the age of 65. The trend to accelerate the aging of the population is associated with an increase in life expectancy and a decrease in the birth rate [2]. The deterioration of demographic indicators attracts the attention of statesmen who are taking measures aimed at increasing the reproduction of the population. Along with solving the above issues, it is equally important to improve the quality of life of older people. The article deals with the problem of population aging and measures aimed at increasing the duration and improving the quality of life of people over 60 years old.
This article presents the experience of teaching first-year students of the kazakh branch of the Kazakh-Russian Medical University the structural-semantic analysis of the scientific text. Educational, developmental and educative goals are pursued at the lesson. The structural-semantic analysis of the text brings to the following algorithm: determining the topic of the scientific text and the purpose of the message, identifying the keywords of the text, drawing up its plan, determining the functional-semantic type of speech and the functional style of the text, its main style features.
A new public health crisis is emerging, threatening the world with the emergence and spread of the new coronavirus 2019 (2019-nCoV) or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus originated in bats and was transmitted to humans through unknown intermediary animals in Wuhan, Hubei Province, China, in December 2019. The disease is transmitted by inhalation or contact with infected droplets, and the incubation period ranges from 2 to 14 days. Symptoms are usually fever, cough, sore throat, shortness of breath, fatigue, malaise and others. The disease is moderate in most people; in some (usually elderly people and people with concomitant diseases), it can progress to pneumonia, acute respiratory distress syndrome (ARDS) and multiple organ dysfunction. Many people are asymptomatic. It is estimated that the mortality rate is from 2 to 3%. The treatment is essentially supportive (for now). Prevention includes isolation at home, as well as strict infection control measures in hospitals. The virus spreads faster than its two ancestors - SARS-CoV and the Middle East Respiratory syndrome coronavirus (MERS-CoV), but has a lower mortality rate.
Currently, the problem of the development of anemia and latent iron deficiency in female students is of no small importance. These girls in a few years will begin to implement their reproductive functions. And in the event of pregnancy on the background of anemia, this condition will worsen, a child with an anemic syndrome will give birth. As a result, a vicious circle develops. Anemia in the mother - anemia in the child - anemia in the adolescent - anemia in the female student — anemia in the pregnant woman. The negative impact of anemia on reproductive health is well known, and it is precisely female students who constitute the reproductive potential of our country.
Lifestyle diseases became widespread since the beginning of the last century. Despite the fact that the health of the population depends not only on heredity, conditions of the environment and the quality of medical care, lifestyle has a greater impact on it. Undoubtedly, the success of modern healthcare and implementation of equipment made the treatment of severe diseases successful. But it is equally important to prevent preventable diseases, most of which lead to increases morbidity, mortality and disability. An article describes the most common lifestyle diseases and measures of prophylaxis.
From the 80-90 years of XX century, movements against vaccination, which take the beginning in the medium of medicine, widespread around the world. According to the statistics, activity of the homoeopathist, folk healers, AIDS-dissidents and specialists without medical education promotes to negative settings of population in a relationship to vaccination. Movements against vaccination pose a threat, because disturb to wide coverage of vaccination, promote worsening of epidemic situation and explosions of the defeated infections. Article described the phenomenon of anti-grafting movements and proposed the measures against them.
ORIGINAL ARTICLES
The article presents fundamentally new approaches to the rehabilitation of mentally ill people implemented with the help of psychoeducational programs, conducted both to patients and their closest relatives in the period from 2019 to 2020 in the GCP at the PHV of Almaty. In total, 20 classes were conducted by polyprofessional teams (psychiatrist, psychologist, social worker, lawyer) to relatives and patients in remission (187 people) who are registered for a particular mental illness in the "School of Mental Health" with the successful solution of various problems of a socio-psychological and clinical rehabilitation nature.
Every year, the number of deliveries by caesarean section tends to increase. There are many risks in such an operation, and the decision to perform a caesarean section is made according to certain criteria, including if delivery through the natural birth canal threatens the life of the mother or fetus. For this purpose, there are certain indications, the list of which is clearly specified and limited. There are indications from the mother and from the child. In turn, they are divided into indications before and during childbirth. The article presents statistical data on the state of health of women in labor after cesarean section, to analyze the correctness of the chosen method.
This work shows the results of a research to identify and comparative analysis of indicators of affective spectrum disorders in teenagers in the Republic of Kazakhstan. Informative paraclinical examination methods have been used, which prove the necessity for suicide prevention and psychocorrectional, psychotherapeutic work.
In this work the analysis of applications (appeals) received from relatives of disabled children to the сall-center, which operates since 2015 on the basis of the Kazakh-Russian Medical University. This is a unique new method in the work of the doctor-psychiatrist (psychologist): online consultation of relatives of disabled children on a variety of vital issues (clinical, social, medical and psychological, medical and diagnostic, ethical, preventive, tactical, educational). As a result of the research, the regions of the Republic of Kazakhstan that most frequently seek online consultation were identified, and the number of those who sought assistance was specified. Analysis was also made from the standpoint of etiopathogenesis and nosology. The results obtained serve to improve the quality of life of children with disabilities, help their relatives and interested persons to successfully implement social rehabilitation and psycho-correction program.
For today, one of the main directions of personalized medicine in obstetrics remains the search for effective predictors of preeclampsia, which will reduce the frequency of this complication during pregnancy and childbirth. One of these opportunities is prenatal screening of «Predictor PE» in the early detection of women at risk of developing PE.
This article examined the effect of occupational therapy on the quality of life of the elderly with hypertension and cognitive impairment. As a result of the work done, an improvement in the quality of life of the elderly was revealed.
The analysis of heart rate variability is a scientifically based methodology of prenosological diagnostics, which provides information on the degree of tension of regulatory systems, which allows us to judge the adaptive capabilities of the body
Currently, various experimental psychological methods of projective and personal plan are proposed to study the state of mental (emotional) health of adolescents. However, their use makes it possible to determine the emotional status of adolescents only at the time of examination without shedding light on prognosis issues, which determines the importance of finding new ways to diagnose emotional disorders and the risks of committing suicide.
One of such approaches is the combined use of psychodiagnostic scales and questionnaires with the method of examination of adolescents using the hardware and software complex «Express Health».
Currently, in line with the formation of professional competence of a specialist, there is a need for a holistic scientific approach to the development of the content of professional training, including secondary medical personnel. To do this, it is advisable to identify activities that involve a certain level of competence, ensuring the successful implementation of a set of professional tasks. This article presents the results of a survey of middle-level medical workers to assess the level of formation of professional competencies of middle-level medical workers.
The article considers the results of anthropometric studies of 10-18-year-olds of the Republic of Kazakhstan and assesses the harmony of physical development of the examined children. Negative tendencies of increasing the number of children with disharmonious physical development caused by a deficiency of body length have been revealed.
CLINICAL CASE
Echinococcosis is one of the many parasitic diseases often found in humans. The most numerous cases of the disease are observed in countries where agricultural activity dominates. The following territories are endemic for echinococcosis: the Republic of Armenia, Abkhazia, Georgia, Dagestan, Kabardino-Balkaria, Chechnya, Tajikistan. Kazakhstan also belongs to the endemic distribution zone of this parasite. Echinococcosis occurs at any age.
Alveolar echinococcosis causes exactly the same clinical picture of the disease as with hydatidous echinococcosis. The only difference is that this echinococcus forms not one large cyst, but several cystic blisters of small diameter.
The consequences of alveolar echinococcosis are much more deplorable, since, destroying the organ, cysts lead to its insufficiency, and also quickly spread through the blood to all organs and tissues. It is especially difficult to treat such echinococcosis.
Most often, the first symptom of chronic lymphocytic leukemia is an increase in the size of the lymph nodes. Due to the enlargement of the spleen, there may be a feeling of heaviness in the abdomen. Often, patients experience significant general weakness, lose weight, and have an increased incidence of infectious diseases. Symptoms develop gradually over a long period of time. In about 25% of cases, the disease is detected accidentally during a blood test prescribed for another reason (medical examination, examination for a non-hematological disease).
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