All Posts in Category: Medical Herald №027-2017

Physical development of 7–8-year-old children residing in various districts of the industrial megapolis

The article contains the information on the environmental situation in the Chelyabinsk region and Chelyabinsk city. We analyzed health status and physical development of 7–8-year-old children residing in different districts of the industrial megapolis. In general, the anthropometric parameters of the children examined were within the accepted normal values. The growth of the body length, body mass, chest circumference, and the parameters of hand-held dynamometry suggest successful adaptation of children to learning in school. Children living in the Metallurgical and Central districts of Chelyabinsk city were found to have the poorest health status on the stage of adaptation to learning in the school.

Read more...

Pricing strategy for medical laboratory services

The article provides the information reflecting the role of laboratory testing for the establishment of a correct diagnosis.
We found that almost each Standard of medical care contains laboratory services. According to our findings,
the prices of laboratory tests and the net cost of the tests are not equal for some automatic analyzers. We suggest that
laboratory costs should include the expenditures associated with the purchase of inventory, depreciation of the equipment,
salary, staff training, and the delivery of biological material to the laboratory.

Read more...

Opinion of nursing experts on the communicational modernization of nursing professions in terms of the development of new medical care forms

Objective: to evaluate communicational modernization of nursing professions in terms of the development of new medical care forms, according to the nursing experts. Materials and methods: we collected the opinions of expert practitioners through the double-reflexive interviewing of senior nurses (N = 15). Results: in the opinion of nursing experts, the implementation of palliative care into nursing practice is complicated by the lack of specialized educational programs. Modern communicational practices between the nurse and the patient, his/her relatives or representatives, focused on the improvement of public health, are modernized through the informatization of nursing. However, the Internet technologies remained unused; implementation of high-tech medical care affects nursing very little.

Read more...

Institutionalization stages of the psychiatric services development: a regional aspect

The article contains the results of a retrospective analysis of the main institutionalization stages in the Russian psychiatric service. We demonstrated that the separation of the psychiatric service from the prison system was the longest period in its development. We covered the most important organizational aspects affected the establishment of modern psychiatric service by the example of Saratov Psychiatric Hospital.

Read more...

Factors of the academic and industrial environment affecting students of the river transport lyceum during their professional training

We analyzed the exposure of students of the River Transport Lyceum to the factors of academic and industrial environment during professional training. We performed a comprehensive hygienic assessment of the main negative factors in the process of professional training. We demonstrated that training in various working professions is associated with the exposure to different negative factors of the academic and industrial environment.

Read more...

Safety of professional training of adolescents with disabilities

We present the results of hygienic assessment of learning conditions for adolescents with disabilities trained to perform shoe repair. We found that the contact with different chemicals is the main hazard of the learning environment. We offer a complex of measures to reduce the impact of negative factors of the learning environment affecting health status of the students.

Read more...

Performance characteristics of a rt-pcr kit for in vitro diagnostics of egfr gene mutations (test-efrg)

The detection of various mutations using RT-PCR techniques is currently relevant. The aim of the study was to assess performance characteristics of a kit developed for the detection of mutations in the EGFR gene using RT-PCR method (EGFR-test) for its further implementation into routine laboratory practice. The study was conducted in the Republican Clinical Oncology Dispensary. We evaluated the kit for in vitro diagnostics of the EGFR gene mutations through RT-PCR produced in two variants: 1) «Test-EGFR-12» for 12 tests, 2) «Test-EGFR-24» for 24 tests (manufactured by the LLC ‘TestGen’). We tested 50 DNA samples isolated form blood specimens of patients diagnosed with stage 3–4 metastatic non-small cell lung cancer (NSCLC). The samples were obtained from the
archive of residual plasma aliquots used for routine laboratory testing. The mutation of the EGFR-gene was detected in 28 specimens, whereas 22 samples were negative for EGFR-mutations. We analyzed 50 plasma specimens and revealed one false negative result. The assessment of the test performance characteristics confirmed its quality, effectiveness, and safety. Statistical analysis showed that diagnostic sensitivity of the assay was 90.1%, specificity reached 95.9%, and the rate of false negative results was 9.9%. Reproducibility of the test was 100%. The evaluation of diagnostic characteristics of the assay demonstrated its high robustness.

Read more...

The importance of estradiol and chorionic gonadotropin measurement in ivf protocols in women of older reproductive age at risk of ovarian hyperstimulation syndrome

Despite the decreased ovarian reserve, women of older reproductive age are at risk of hyperactive response during IVF protocol, which manifests as ovarian hyperstimulation syndrome (OHS). In this case, the level of chorionic gonadotropin is crucial, because it is almost 2 times higher that in the begining of natural pregnancy.

Read more...