The incidences of cancer in patients with ischaemic heart disease and diabetes mellitus (types 1 and 2) were analyzed according to the electronic health records (medical information system qMS). For several years, a predominance of prostate cancer and colorectal cancer in almost 10 thousand patients with ischaemic heart disease were revealed; in patients with diabetes mellitus type 1 lung cancer was prevailed; and in patients with diabetes mellitus type 2 colorectal cancer and lung cancer were prevailed. Prostate cancer and ischaemic heart disease are associated with a general imbalance within estrogen receptors ERα, ERβ, gpER, which occurs in old age with reproductive function fading. Hyperglycemia in diabetes mellitus causes a blocking of the parathyroid hormone-related protein signaling pathway, which creates a favorable environment for carcinogenesis in the lungs. Hyperinsulinemia, as a result of insulin resistance in diabetes mellitus and in metabolic syndrome accompanying ischaemic heart disease, triggers signaling pathways, including mTOR, which contribute to the carcinogenesis in the large intestine epithelium. Three different patient samples showed the different pictures of tumor localization, and for each of the identified predominant cancer localization common signaling pathways with a concomitant metabolic disease can be distinguished.
BACKGROUND: The healthcare system is the most important social institution affecting the life of each member of Russian society. To improve the organization of the provision of medical care to citizens in the context of long-term program-oriented strategic planning for health development in the region, it is necessary to take into account the interests, expectations, and requests of patients (as consumers of medical services) regarding the quality of medical care, staffing, and the material, technical, and technological equipment of medical organizations. AIM: Construction of a social portrait of consumers of medical services of the healthcare system of the Moscow region, taking into account the socio-demographic and socioeconomic characteristics of patients and the salient characteristics of their medical behavior. MATERIALS AND METHODS: The study (a questionnaire survey of 531 patients) was conducted in FebruaryMay 2022 based on the Moscow Regional Research Clinical Institute named after M.F. Vladimirsky. The subject of the study was consumers of medical services at the institute at the age of 18 years, permanently residing in the Moscow region. The survey participants were recruited based on the calculated selective population, with quotas by sex and age. The thematic sections of the questionnaire focused on the study of the level of satisfaction of respondents with the medical services received, the characteristics of their medical behavior and attitudes to their health, and the analysis of the main socio-demographic characteristics of patients (gender, age, social and family status, education, and financial situation). RESULTS: The study, conducted among residents of the Moscow region, made it possible to determine their attitude to their health, the level of satisfaction with the medical service received, features of medical behavior, and experience of interaction with medical workers (primarily doctors), including conflict situations. It has been established that among patients, a positive assessment of the quality of the medical services they receive prevails, most of them prefer to receive information about diseases, methods of treatment, and drugs from medical professionals, and they tend to trust doctors and comply with their prescriptions. When patients experience conflict situations, this most often happens with registry workers and is mainly due to the difficulty of getting an appointment with a doctor. CONCLUSION: The study identified the most characteristic features of medical behavior and described a social portrait of a typical consumer of medical services in the Moscow region.
The article presents the results of medical sociological study targeted to analyze concepts and motivational attitudes of students of medical universities related to healthy life-style and its components. The results demonstrate that students, though accepting importance of one's health promotion, committed to unhealthy life-style. They even more often refuse from regular exercises and are not enough active in issues of disease prevention and health promotion. The healthy life-style of students of medical universities is rather exclusion than prevalent practice.
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