Management in health care
  • 2020 № 9 Organization, current state and immediate prospects of the problem «bloodless surgery»

    The research focus of the publication is the problem of preserving the blood of the operated patient. The variety
    of blood preservation methods shows the multidisciplinary nature of the problem and the importance of well-coordinated
    teamwork of busy doctors. For more than 20 years, surgical, anesthetic, transfusion technologies of blood saving have
    been used mainly in cardiac surgery patients. The use of a complex of blood-saving technologies allows you to reduce
    the amount of blood loss and the consumption of donor blood components. Over 7 years in cardiac surgery, the number
    of recipients of donor hemocomponents decreased by 41% (erythrovesue) and 61% (FFP). Autologous plasma is 68-78%
    of the total volume transfused to cardiac patients. 50% of patients operated on the ascending aorta do not need a blood
    transfusion. Blood loss during extensive liver resections has decreased three times in 10 years and does not require allogeneic blood transfusions. An adequate multidisciplinary approach to solving the problem of blood conservation can improve
    the results of surgical treatment of patients.

    Authors: Polyakova Yu. V. [3] Solovyova I. N. [2] Cherkasov G. E. [1] Trekova N. A [1]

    Tags: blood saving1 blood saving efficiency1 interdisciplinary problem1 surgical blood saving1 transfusion blood saving1

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  • 2020 № 2 Оrganization of extracorporeal care in a multidisciplinary medical institution

    Organization of round-the-clock extracorporeal (EC) treatment in required volumes and options is one of the
    most important tasks of a modern surgical hospital. The annual volume of extracorporeal procedures at the B. V. Petrovsky
    National Research Center for Surgery (NRCS) is 1.5–2.0 thousand. The most significant methods are transfusiological blood
    saving, high-volume plasmapheresis, and renal replacement therapy. Doctors of various specialties are traditionally engaged
    in conducting EC procedures: resuscitators, nephrologists, transfusiologists. In modern medicine, EC hemocorrection
    methods are in wide demand. Their effectiveness can be determined by the start time of the procedure. Therefore, roundthe-
    clock access to all the necessary manipulations is important. In the absence of specialized departments of extracorporeal
    treatment with around-the-clock working schedule the implementation of the necessary extracorporeal procedures is
    possible in close contact with resuscitators, nephrologists, transfusiologists, in collaboration with the doctor of the clinical
    diagnostic laboratory. The quality of providing high-tech extracorporeal care depends on the adequacy of the treatment
    process management in a particular medical institution. Collegial performance of EC procedures for one patient by specialists
    of various profiles – resuscitators, nephrologists, transfusiologists – gives a high clinical result.

    Authors: Polyakova Yu. V. [3] Solovyova I. N. [2] Marchenko T. V. [1]

    Tags: extracorporeal hemocorrection1 high volume plasma exchange1 nephrology1 renal replacement therapy1 resuscitation1 transfusiological blood saving1 transfusiology1

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  • Medical science
  • 2019 № 6 Assessment of attainability of fifth place in the global ranking of the publishing activity on priority areas in biomedicine

    During 2012-2018 in the Russian Federation, pursuant to Presidential Decree No. 599 of 05/07/2012, a set of state support measures was implemented aimed at increasing the specific gravity of Russian publications indexed in international databases. The national project “Science” (NPS) designed to realize the goals set by Presidential Decree No.204 of 05/07/2018 “On the National Goals and Strategic Tasks for Development of the Russian Federation until 2024” continues and develops the theme of increasing the publication activity of the Russian Federation in the internationalized space. One of the six NPS targets is “The place of the Russian Federation in terms of specific gravity in the total number of articles in areas defined by the priorities of scientific and technological development in publications indexed in international databases”. The purpose of this study was to evaluate the basic value of this indicator for biomedical disciplines related to the priority direction (paragraph 20c) of the Strategy for Scientific and Technological Development of the Russian Federation. We compared volumes of publication flows of the Russian Federation in 20 biomedical disciplines with a similar indicator of countries ranked fifth in the number of publications on the subject area under consideration, indexed in the Web of Science Core Collection (WoS CC). A 5-10 fold lag of the Russian Federation was recorded for the most part of the priority areas in the field of biomedicine identified by the NTS passport. The impact of public policy measures aimed at increasing the national biomedical publication stream for the period of 2012-2018 was estimated as insufficient to meet the considered NTS target.

    Authors: Starodubov V. I. [30] Tsvetkova L. А. [9] Kurakov F. A. [2] Polyakova Yu. V. [3]

    Tags: articles1 biomedicine1 national  project  “science”1 priority  areas  of  scientific  and  technological  development1 publication activity3 specific  gravity1 targets1 web of science4

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