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Vol 24, No 8 (2022)

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Development of liver fibrosis. Present and future possibilities of correction in children

Grigoryev K.I.


Liver fibrosis (LF) is a natural consequence of almost all liver diseases of any etiology. Considering the pathogenesis of AF, we are faced with a number of standard stereotypical processes that unfold in the liver tissue. These are mainly processes of chronic inflammation, which are opposed by the processes of regeneration of liver tissues. The basis of the imbalance between the processes of fibrosis and regeneration is the accumulation of the extracellular matrix. Liver fibrosis in its development leads to cirrhosis of the liver, hepatocellular carcinoma, and an increase in the incidence is observed throughout the world. Although this is a genetically determined process, modifiable factors play an important role in the progression of this disease. Current evidence suggests the possibility of reversible liver fibrosis. Understanding the molecular mechanisms of AF development is a key area of work for scientists involved in the development of antifibrotic therapy. The article discusses modern views on the treatment/prevention of the disease and the prospects for influencing the processes of liver fibrosis with an emphasis on childhood.

Meditsinskaya sestra. 2022;24(8):3-10
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Osteoporosis: prevention of fractures with osteomed forte by parafarm

Kashpanov M.D., Popov V.V., Novikova I.A.


Objective of the study. To study the literature data on the problem of osteoporosis and prevention of osteoporotic fractures with the help of “Osteomed forte” by “Parafarm”. Material and methods. Analysis of the literature data about osteoporosis and prophylaxis of osteoporosis fractures with the help of “Osteomed forte” by “Parafarm” was carried out. Results and discussion. A dynamic growth of osteoporosis incidence in many countries was noted. Obtained a direct link between osteoporosis fractures and cardiovascular risk in men and women. They showed that the most severe and costly of all osteoporotic fractures is the fracture of the proximal femur. This is associated with frequent disability and high mortality of patients at both hospital and outpatient stages of care. We’ve found out that Osteomed Forte (manufacturer - Parafarm, Russia) is one of the most effective drugs which allows to make the bones grow together in optimal terms and accelerate the process of rehabilitation after osteoporosis fracture. Conclusions. Thus, the use of the drug Osteomed Forte by “Parafarm” (Russia) can be recommended in patients with osteoporosis for prevention of osteoporosis fractures with taking into account the personalized approach while choosing treatment tactics of a patient.

Meditsinskaya sestra. 2022;24(8):11-14
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Vienna and Munich Declarations: realization in nursing education in the Republic of Belarus

Matveychik T.V.


The effectiveness of the system of education is determined by two components: improvement of the organizational structure and training of medical personnel. The World Health Organization (WHO) and International Council of Nurses (ICN) have been an example of consistent development of nursing business and training of the nursing personnel for a considerable period of time [13]. Attention to higher nursing education in the Republic of Belarus, as a basis of training highly qualified specialists, war reflected in concerted joint action of public institutions [1,8]. Learning the experience of realizing the decisions of international meetings devoted to the development of nursing and obstetric business in the Republic of Belarus is of practical importance. This was implemented at the 30-year anniversary following the adoption of the Vienna Declarations in Russia (Moscow, 2018).

Meditsinskaya sestra. 2022;24(8):15-20
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Doplata za rabotu s det'mi s ogranichennymi vozmozhnostyami

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Meditsinskaya sestra. 2022;24(8):20-20
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The main thing in the work of medical organization with narcotic drugs and psychotropic substances in the light of new regulatory requirements

Zolotareva N.G., Sinotova S.V.


The article deals with the order of circulation of narcotic drugs and psychotropic substances in a medical organization. An analysis of changes in the legislative framework, regulating possible types of work and services in this sphere in the hospital segment is carried out.

Meditsinskaya sestra. 2022;24(8):21-25
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Resistance of the moose fly (Lipoptena cervi) to repellents

Kutsenko V.P., Yasynova A.Y., Kovaleva D.D., Lustina O.M., Seliverstov P.V.


The bloodsucking deer (Lipoptena cervi, L. 1758), also known as the “moose fly”, “moose louse”, “deer ked” (English) is a widespread specialized bloodsucking parasite of warm-blooded, belonging to the family Hippoboscidae, the order of diptera. The function of flying individuals is to find a host and settle down. This form in the development cycle of the deer bloodsucker is very important, if the bloodsucker does not attack the host within a few days, he will die. This explains her activity and the intrusiveness of the attack, including on a person. In addition to causing inconvenience during contact, the moose fly is a carrier of vector-borne diseases such as Lyme disease, tick-borne encephalitis, babesiosis, rickettsiosis. At the moment, there are no effective means and measures within the framework of prevention and protection from elk fly bites. Repellents that are widely available to the public do not have a protective effect against the insect.

Meditsinskaya sestra. 2022;24(8):26-31
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The opinion of students and patients about the professional qualities of a doctor

Shamilov M.D.


The article presents the results of a survey of students of the medical and preventive faculty of USMU and patients about the professional qualities of a doctor. .

Meditsinskaya sestra. 2022;24(8):32-33
pages 32-33 views

Is a graduate of a bachelor's degree in nursing ready to work in pediatric rehabilitation?

Mamaeva A.N., Ostrovskaya I.V.


The article examines the readiness of a bachelor’s degree graduate in “Nursing” at Peoples’ Friendship University of Russia for professional activities in the field of pediatric rehabilitation. The factors that influence the professional activity are highlighted. The results of the survey are presented, on the basis of which a list of recommendations was formed.

Meditsinskaya sestra. 2022;24(8):34-37
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Soglasie roditeley na okazanie meditsinskoy pomoshchi

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Meditsinskaya sestra. 2022;24(8):37-37
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Time sinks

Shishkina U.A., Tarasova E.A.


The article describes the time absorbers identified in the activities of the main medical sister. Analysis of photos of the working day has shown that chronophages absorb up to 30% of the time during the day. An action plan for its elimination has been proposed for each of the sinks.

Meditsinskaya sestra. 2022;24(8):38-42
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Itogi onlayn-marafona STOP.Vygoranie

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Meditsinskaya sestra. 2022;24(8):43-43
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Toxic-metabolic pancreatitis in nurse practice

Skvortsov V.V., Morozov A.V.


This review focuses on the classification, clinical symptoms, the main approaches to diagnostics and therapy of chronic pancreatitis, and also precisely discusses features of the course and treatment of toxic-metabolic pancreatitis.

Meditsinskaya sestra. 2022;24(8):44-49
pages 44-49 views

My new profession

Sanger E.
Meditsinskaya sestra. 2022;24(8):50-51
pages 50-51 views
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Ukazatel' statey, opublikovannykh v 2022 g.

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Meditsinskaya sestra. 2022;24(8):52-56
pages 52-56 views

Panicheskaya ataka

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Meditsinskaya sestra. 2022;24(8):56-56
pages 56-56 views

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