REVEWS
In the conditions of modernization and digitalization, the development of science and medical technology in the field of healthcare, as well as the introduction of innovative management developments in modern medical and preventive institutions and enterprises of the countries of the world is associated with market resources, the prices of which tend to constantly increase the demand and supply for public health services. One of the main types of introduction of innovative medical technology in the economy is the innovation of management of medical technological processes in modern conditions in the country's healthcare.
Economic models, healthcare, financing, medical services market, medical expenses, benefits of insurance organizations, In this regard, it is the management process that is a dynamic characteristic of management, representing a purposeful, consistent change in the state of the managed and controlling subsystems - health and its protection. The authors of the article propose a choice of models of innovation management of medical organizations depending on the market in the healthcare sector of countries. The article presents the main issues of substantiation of general approaches for the development of the functioning of the management process and their basis for innovative health management. And the methods of organization and management of health protection in the conditions of innovation in the health care economy are defined.
This article presents the experience of studying terminological lexicon by 1st year students of the Kazakh branch of the Kazakh-Russian Medical University. The lesson pursues educational, developmental and educative goals. In the process of reading and analyzing the text in the specialty, students get acquainted with common words, general scientific and highly specialized terms, make up questions to the text, a table with the specified lexicon. One of the innovative teaching methods used in the class is cinquain compilation
This article discusses the general principles of the analysis of medical and demographic indicators. Medical and demographic indicators characterize qualitative and quantitative changes in the processes of population reproduction. They are widely used for a comprehensive assessment of the dynamics of public health, which determines the main directions for improving the activities of sanitary and anti-epidemic and medical-preventive organizations, are the basis for planning the network and personnel of health care, justify medical-social and medical-demographic measures aimed at optimizing the process of reproduction of the population.
Currently, gerontologists and neuroscientists studying human memory recommend making lists of important things to remember. It is believed that it is much more efficient to write down information about the agenda, this unloads brain activity from attempts to keep the necessary data in memory and will allow you to focus on performing tactical tasks and thus preserving neural connections and memory. Therefore, for the elderly, who currently make up almost 12% in the Republic of Kazakhstan, the development of a mobile application for a smartphone, which is a reminder of important events in a certain period of time, can become a necessary help for compiling a list of current tasks
ORIGINAL ARTICLES
The article presents the results of a study of the state of health of schoolchildren in the context of the introduction of innovative technologies in general education schools. According to the results of research, the main reasons that adversely affect the health of schoolchildren are: insufficient motor activity, increased academic load, complication of educational programs, improper nutrition, insufficient equipment of students with growth furniture and insufficient lighting of the room, as well as insufficient knowledge about a healthy lifestyle among children, teachers and parents, insufficient activity of the school to form a health culture. This article presents the features of the study of the influence of factors of the school environment on the psychophysical state of children in Almaty
An analysis of 65 deaths from COVID-19 pneumonia was carried out: 63% for men, 37% for women. Bilateral polysegmental pneumonia was more common. Autopsy revealed no specific macroscopic changes. Microscopic changes in the lungs of those who died with a positive PCR result and a negative PCR result were characterized by the development of respiratory distress syndrome. Fibrosis in the lung parenchyma was noted already in the early stages, and at later stages it was more pronounced with the addition of purulent exudate and fungal lesions.
Reproductive results of benign cervical diseases were studied in 220 treated women. From them was developed a method of pathological destructive treatment of the cervix. The study of patients included the following issues: bacterioscopy of the smear, cytological examination of the smear, PCR-diagnosis of sexually transmitted infections. Depending on the indications for destructive treatment are: ectropion, conditioned scar deformity caused by GM (93-59.9%), pathology combined with GM, papillomavirus infection (22-20.0%), dysplasia (7-6.1%), leukoplakia (20 -18.2%), polyps of the cervical canal (3-1.0%), endometriosis of the umbilical cord (6-4.7%). A comparison of the group revealed similar pathologies in 92 women, but without destructive intervention. The number of women who became pregnant after 1 to 4 years after destructive treatment was 60 (42.1%) and voluntary abortions were observed in 25 (26.4%) women
We have studied a group of nurses with secondary medical education for 2 years. At present, there is a need for a holistic scientific approach to the development of the content of professional training, including for secondary medical personnel, in line with the formation of professional competence of a specialist. To do this, it seems appropriate to determine the types of activities that involve a certain level of competence that ensures the successful implementation of a set of professional tasks. This article presents the results of a survey conducted using Google Forms of mid-level medical workers to assess the level of professional competence of mid-level medical workers.
The article discusses the issues of hygienic education of the needs for maintaining health and preventing health risks of the population on the basis of medical and preventive activities of 5th and 6th year students. The success of preventive work among the population to prevent socially significant diseases, based on the elimination of risk factors and the upbringing of a healthy lifestyle, is achieved only as a result of joint targeted efforts of the population and medical workers. The scientific and educational mission of the university is carried out through the dissemination of ideas, knowledge, development of healthsaving technologies, education of the population.
In this regard, 5-6-year students read lectures in schools, colleges and other educational institutions, the topics of which are the most pressing health problems for our city, issues of prevention of tuberculosis, AIDS and hepatitis and other diseases. According to the results of a sociological survey, the opinion of university students on the methods of effective, hygienic education and upbringing was studied in order to achieve the safety of life of the entire population and the formation of a culture of health in all subjects of the educational process.
This aspect of the work indicates the need for a constant sociological study (monitoring of consumer needs, spiritual transformation of students) of the cultural movement, labor, lecturer and volunteer activities of the students of the Kazakh-Russian Medical University.
The traditional basic principle of integration of the most important elements of education, upbringing, science and practice at the university has a solid justification and results justified by this integration. One of them concerns the education of the lecture culture of students «understanding of intellectual activity as a profession and the development of lecturing skills».
To improve public health against the COVID-19 pandemic, a telemedicine call center was organized at KazRosmeduniversity. In the city of Almaty, there is a round-the-clock online consultation center by phone 1406, where it is possible to find out all the information of interest on the situation about the incidence of coronavirus in the world, as well as on preventive measures and the main symptoms of the disease, but this call center of t he city is overloaded with work.
Our telemedicine center supports PHC organizations, polyclinics and city patients who are treated at home, as well as they are provided with advice. Residents, undergraduates and masters act as dispatchers, there are assistant dispatchers (students, volunteers). In organizing the work of the call center to provide up-to-date reference, epidemiological and medical information, as well as communication with medical, social, information services of the country, 7 specialists are involved, including 5 masters of the specialty "Public health" and 2 undergraduates of the specialty "Public health", 3 students.
During the year of work, we have consulted 20186 patients who r eceived telemedicine assistance during a pandemic.
January 15, 2021, KazRusmeduniversity (P22) with 22 partners began the implementation of the 3-year LMQS project, won under the Erasmus+ program.
Erasmus+ is a program of the European Union aimed at promoting the modernization and sustainable development of the education system, vocational training, youth policy and sports. This project, which is carried out by KazRosmeduniversitet, is aimed at increasing the potential of higher education and healthcare workers to ensure the quality of medical services and health safety [1; 2].
This article describes the work, the main purpose of which was to study the impact of mobile occupational therapy on the quality of life of the elderly with cognitive impairments. The work was carried out in day care centers for the elderly in the city of Almaty. Also, during the work, the Sagat mobile application was tested, designed specifically to remind important time periods for classes, which is very important for older people. Several stages were carried out, each of which is very important. The influence of old age on the personality, on the change in values, human needs, his behavior and lifestyle in old age was studied. Involvement in occupational therapy classes produced results that supported the view that occupational therapy has a beneficial effect on the lives of the elderly
CLINICAL CASE
The article presents the principal approaches to the diagnosis and treatment of schizophrenia, the experience of using the new antipsychotic Kariprazine (reagil), evaluation of its effectiveness and safety based on the analysis of clinical and psychometric indicators in patients with schizophrenia who were treated in the period 2020-2021 in the clinical departments of the PSC at the Center for Mental Health of the Department of Public Health of Almaty.
The clinical picture of the disease in the overwhelming majority of patients 29 (76.9%), was characterized by the prevalence of negative symptoms. In accordance with the recommendations for the selection of the dose of Cariprazine, 1.5 mg capsules were the starting dose of the drug in all patients. Titration of the dose of Cariprazine to select the average daily effective and safe dose in 32 (80.0%) patients was carried out within 1 week; 100% of patients achieved dose selection that provides an optimal ratio of efficacy and safety by the end of 3 weeks of tre atment.
Our analysis demonstrates that Cariprazine is a new alternative in the treatment of patients with schizophrenia at any stage of the disease with a predictable and manageable safety profile in real clinical practice. In our opinion, Kariprazine can become a new treatment option for patients with schizophrenia at any stages and stages of the disease, effectively relieving both negative symptoms and a wide range of general psychopathological, affective (depressive), aggressive disorders.
The presented clinical case is described in domestic and foreign literature, but a positive result was achieved only after surgical treatment (vitrectomy). A similar case with such a positive result has not been previously described. Retinal diseases are the second most common cause of blindness and low vision in children, accounting for 15.6-29.6% of all cases in economically developed countries or regions. The most severe visual impairments are observed in children with macular lesions.
The causes of the onset and development of diseases have not yet been precisely established. The theory of hereditary predisposition is the most widespread
The clinical picture of the disease is very diverse, but the most common symptoms are a gradual decrease in visual acuity. It is assumed that without appropriate treatment, a positive result in the above observation is possible, due to prolonged edema and hematoma of the neuroepithelium in the parafovea, as a result of which there was an independent comparison of the edges of the gap and regeneration. After conservative treatment, visual acuity in both eyes improved, with ophthalmoscopy: a decrease in focal changes. At the moment, the child is being observed in dynamics.
Imbalance can be developed due to a number of conditions. The most common cause is pathology of the peripheral vestibular apparatus. Timely diagnosis and careful differential diagnosis excluding acute vascular pathology of the central nervous system, as well as the demyelinating process in the brain, are very important for successful treatment. A comprehensive examination of patients using clinical diagnostic tests and instrumental examination methods, allows to determine the tactics of treatment. Vestibular rehabilitation, along with drugs that improve vestibular compensation, allows to achieve good results, improve balance, coordination, thereby reduce the risk of falls and injuries.
The article is written on the basis of a retrospective analysis of the birth histories of 262 patients delivered in the Center for Perinatology and Pediatric Cardiac Surgery of Almaty in the period 2019-2020.This article discusses the effectiveness of applying hemostatic and compression sutures to the uterus in obstetric bleeding during childbirth and during cesarean section
ISSN 2790-1297 (Online)