BACKGROUND: Current advances in medicine determine the higher survival rate of children with various nosological forms of malignant tumors, which shifts the focus of attention of specialists from the development of treatment protocols to the study of early and long-term effects of antitumor therapy in children and their families. One of the urgent problems of psychological and social rehabilitation in pediatric oncology is the analysis of the psycho-traumatic factors of treatment and the long-term medical and social consequences for the childs family when developing a strategy for effective psychological support for this observation group at the treatment stage. OBJECTIVE: We aimed to study the specifics of living with losses in families raising a child with oncopathology and the features of the childs re-adaptation and resocialization after overcoming an oncological disease (at the remission stage). MATERIALS AND METHODS: A retrospective analysis of data obtained in the course of a sociological study of parents (n=1298) whose children completed treatment for various malignant tumors is presented. The study, carried out by a questionnaire survey of mothers (n=1131) and fathers (n=167) living in 78 regions of Russia, made it possible to qualify the problems of family members of a child with cancer in terms of multiple loss and grief and substantiate the strategy of psychological assistance to this group. RESULTS: During the establishment of the oncological diagnosis of the child and their antitumor treatment, the family experiences some traumatic events associated with drastic changes in their lives. According to the findings of the study, the deterioration in normal life concerns health (in total, a third of the respondents: 12.9% of mothers noted a deterioration in their general health and in 15.2% of women, serious reproductive health disorders); work (leaving and dismissal from work affected 25.3% of mothers and 2% of fathers, 11.4% of mothers and 9.6% of fathers were forced to change their job or place of work); and a drop in the level of family income (the proportion of low-income families in the sample was significantly higher than in the Russian population as a whole 41.8 and 31.4%, respectively, social benefits and pensions accounted for a significant share of income in 57.3% of female respondents and 26.3% of men, and there were changes in life prospects due to graduation, relocation, divorce, and severance of relations with relatives and friends). Each of these events is perceived as stress/loss and triggers a grieving process in family members (primarily parents) that requires the professional help of a clinical psychologist. In general, the range of events triggering the grieving process in the families of the study group is much wider, but the quality and volume of psychological care in domestic cancer hospitals are still extremely low. CONCLUSION: The dynamics of the development of psychological and social rehabilitation in domestic pediatric oncology determine the need to develop strategies and methods of psychological support for family members of a sick child at the treatment stage, taking into account the early and long-term medical and social consequences of antitumor therapy.
The article shows the characteristics of the changes in demographic structures and processes, as reflected in various configurations of sex and age pyramids, changing under the influence of a wide range of factors. The current trends in reproductive behavior are being considered. Based on the data from the sociological and demographic study (SeDOJ-2019), an analysis was conducted concerning the pregnancy history of women who participated in the survey, the probabilities of the reproductive events were investigated depending on the socio-demographic characteristics of the respondents in situations of reproductive choice, and the role of the reproductive attitudes in the context of reproductive behavior was determined. Furthermore, the results show that the use of contraception before pregnancy is not an unconditional indication for an induced abortion but only reduces the likelihood of having a baby. The presence of the interconnections between the level of need for children and the number of socio-demographic parameters (gender, age, education, number of children in the parental family, age of birth of the firstborn, etc.) is recorded, which can be used as reference in the establishment of the family-demographic policy, to effectively improve, with proper stimulation, the effectiveness in the realization of reproductive potential.
The COVID-19 pandemic has had a great impact on many areas of people's lives. States faced the tasks of stopping the spread of the virus, treating the already sick, informing the population, creating vaccines, and much more. In addition to protecting the health of citizens, support for business and production was required. The global spread of the coronavirus affected both the industrial and financial spheres of individual countries, and the entire global economy. Logistics chains of supply of various finished goods and components, including pharmaceutical ones, were disrupted. At the same time, the demand for medicines and other goods of the pharmaceutical market increased, and the production of drugs and vaccines augmented. The market needed new marketing tools: the creation, promotion, and provision of pharmaceutical and medical products. The resulting problems required prompt and modern solutions. Digital solutions were most often used as novel methods in the conditions of isolation and reduction of personal contacts. The pandemic significantly accelerated the change in the approach to marketing and contributed to the rapid transformation of its processes, i.e. digital transformation, both in the management of the pharmaceutical services market and in the field of medical care.
Although studies on public health and lifestyle diseases have a long history, they are characterized by the selective nature of the consideration of the issue. Over the past decades, student youth has repeatedly been the focus of such studies. Student lifestyle is often accompanied by a violation of the regime of work and rest, quality sleep, as well as cooking and eating. Often, students' meals include unbalanced, high-calorie foods. In this regard, the importance of forming a need for a healthy lifestyle, an attentive attitude to health, and skills aimed at maintaining and preserving it among Russian students is apparent. This goal can be achieved through active outreach and awareness-raising work and the introduction of educational programs and youth projects focused on protection and promotion of Russian students’ health.
As social practice shows, the future is born from the present. Widely presented at the booths of the Week of Medical Education 2021–2023, robotic and simulation technologies confirmed the effectiveness and prospective viability of using technical developments in medicine. Medicine, being a part of social life, plays an important role in the life of the individual and social groups, and, certainly, its role will only increase [1, 2]. Medical interventions, which until recently seemed to be exclusive novelties, “miracles of science and technology”, have currently become a common clinical practice, not only in capital clinics, but also in regional hospitals. This makes the discussion about strategically promising directions in the development of medicine extremely relevant.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.