Scientific Research as an Integral Part of the Work of a Psychiatrist Leading an Outpatient Consultation in the Regional Diagnostic Center of the Subarctic Territory

Шаповалов, К. Г.

doi:10.26226/morressier.5a6ef3f1d462b80290b58ead

Cited by 3 publications

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“…; 4) Teaches technologies to prevent the development of depression, anxiety and other adverse effects. And although the situation in the ield of public health continues to be dif icult, in recent years there has been a clear tendency to improve a number of medical and demographic indicators, re lecting the general positive trends in the socio-economic development of RK and the country as a whole, as well as structural changes in recent years functional transformations in health care [11][12][13]. Increasing rates of life, expressed migration trends of the population, urbanization inevitably place great demands on adaptation mechanisms to overcome con licts and stresses.…”

Section: Resultsmentioning

confidence: 99%

“…6) Assist in the introduction of new methods of diagnosis, testing and treatment of patients into practice; 7) Improving the ef iciency of sanitary-educational work among the population of the RK, promoting healthy lifestyles, introducing electronic forms of education for both the entire population and individual age, professional and nosological groups on the of icial website of the SAHA RK "CDC RK" [14][15][16][17].…”

Section: Resultsmentioning

confidence: 99%

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Mental health promotion program in the workplace with focus on transport

La¹,

Кa²

2019

Arch Psychiatr Ment Health

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Introduction:The problem of protecting and strengthening the mental health of the population is the most important task of ensuring the socioeconomic well-being of the Komi Republic (RK) as an integral part of the Russian Federation (RF), since it is a key resource for the development of a subarctic region.The aim of the work: was to characterize diseases of the mental sphere revealed by the psychiatrist at contingent of patients of the consultative outpatient admission at the 1State Autonomous Health Agency of the Republic of Komi "Consultative and Diagnostic Center of the Republic of Komi" (SAHA RK "CDC") of the subarctic territory. Materials and methods: The analysis of a continuous sample of 6255 patients of the psychiatrist of the consultative department in 2015-2017 was carried out. on the basis of medical records. Analysis methods included: analytical and statistical. The control group consisted of a continuous sample of 5,356 psychiatric patients in 2010-2012. The depth of the study was 8 years.Discussion: Trends in changes in demographic indicators, including gender and age, in the structure of patients of a psychiatrist in an outpatient consultative procedure are considered. Indicators of the identifi ed pathology of the mental sphere, including the fi rst identifi ed and pathology in patients suffering from epilepsy in comparison with the control group are given. Attention is paid to the organizational and methodological work of an outpatient counseling psychiatrist on the targeted identifi cation by internists of signs of mental pathology in patients referred to a diagnostic center with somatic diseases. Priorities for the improvement of specialized advisory (including psychiatric) assistance to the population of the RK and ensuring its quality were identifi ed. Conclusions:1. The psychiatrist of the advisory department in 2015-2017. 6255 people were accepted (889 more than in the control group of 2010-2012).The increase was 16.78%. Primary patients account for 64.38% of the total number of people who applied to a psychiatrist (4027 people).2. In the structure of the psychiatric pathology of the outpatient psychiatric appointment, the proportion of organic, including symptomatic, mental disorders (F00-F09) is 47.9±0.6%; neurotic, stress-related and somatoform disorders (F40-F49) -39.6±0.6%; mental and behavioral disorders associated with the use of psychoactive substances (F10-F19) -3.5±0.2%; mood disorders (affective disorders) (F30-F39) -2.8±0.2%.3. The most frequently detected pathologies in patients with epilepsy are: 1) Mild cognitive impairment; 2) Personality disorders; 3) Organic emotionally labile (asthenic) disorders. Their share annually accounts for 71.5%-75.8% of all types of nosological forms. The fourth and fi fth ranking places are taken by: 4) Organic anxiety disorders; 5) Non-psychotic depressive disorders. Rarely diagnoses are established: "Organic Amnesia Syndrome" and "Dementia".4. Organic, including symptomatic, mental disorders prevail in the structure of newly discovered mental...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mental health promotion program in the workplace with focus on transport

La¹,

Кa²

2019

Arch Psychiatr Ment Health

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“…Persons with post-traumatic stress disorder who for one reason or another do not wish (cannot) to apply for psychological and psychiatric care in person; Persons who called for psychological and psychiatric help earlier through the hotline; Persons with personal problems not directly related to an ES; 5) Persons for whom daily repeated conversations on the hotline turn If necessary, the doctors of the psychological and psychiatric service of the person who called by phone should recommend visiting a psychiatrist at the place of residence, a psychiatrist (psychotherapist) in the offi ce or a doctor of the emergency psychiatric department for ES response.Employees of the psycho-psychiatric service, when they receive by telephone information about the intentions of a person who pose a threat to individual or public safety, should take measures to ascertain their passport data, the subscriber's place of stay, and immediately inform the ambulance service of the district doctor. Psychiatrist, the police[39,52].…”

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confidence: 99%

Psychiatry of disasters. Organization of the work of a psychiatrist outpatient consultative reception

La¹,

Кa²

2019

Ann Psychiatry Treatm

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Introduction: The predicted increase in anthropogenic, technogenic, social, military, possible space disasters and emergencies attracts the attention of health organizers, doctors of specialists and especially psychologists and psychiatrists in connection with the need to provide assistance to the victims, as well as to develop principles, strategies and tactics, methods and means of providing timely psycho-psychiatric care. The aim of the work: Was to justify the need for the psychiatrist to prepare an outpatient consultative reception for work in emergency situations of catastrophes, natural disasters and terrorist acts.

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Regulatory requirements and assessment of scientific research by a psychiatrist when considering the issue of assigning a qualifying doctor`s category

La¹,

Кa²,

Pk³

2021

Arch Psychiatr Ment Health

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Introduction: In accordance with the requirements for the preparation of a report, a physician must provide information on scientific research in the following sections to obtain a qualification category of a specialist: 6. Scientific and practical work (participation in scientific and practical conferences, medical scientific societies, presentations, publications); 11.2. List of publications of the attested in scientific journals and collections, abstracts and 11.3. List of speeches at international, all-Russian and republican conferences. Material and methods: The analysis of 5 qualification works of a psychiatrist (1997, 2002, 2008, 2013 and 2018) for the scientific component as part of the mandatory requirements for the processing of documents when they are submitted to the Attestation Commission on the assignment of a qualifying medical category in psychiatry . The depth of the study was 24 years. When working on the material, the following methodical approaches were used: system, complex, dynamic, normative, quantitative and situational. Methods of analysis included: historical, analytical and comparison. For the analysis, methods were used: groupings, absolute values, continuous and selective observations. Results: The psychiatrist GAUZ “KDC” independently or in co-authorship published 223 scientific and educational-methodical publications (total volume of 182.65 conventional author’s sheets), including 90 scientific (39.81) and 143 educational-methodical (142.84) works, in including one monograph and eight textbooks (two of them with the stamp of the Ministry of Education of the Russian Federation). In the e-library (www.e-library.ru) of the Russian Scientific Citation Index (RINC): publications - 31; citations - 123; Hirsch index - 3, publications in the journals of the VAK - 13. (https://elibrary.ru/author). Discussion: The scientific work of a practicing outpatient psychiatrist is assessed both quantitatively and qualitatively, the integral indicator of the psychiatrist’s own participation in each publication of 0.78 conventional printed sheets can be considered as a serious personal contribution to scientific research. In the regulatory framework of indicators and requirements for registration of the report there is no synchronization in the daily work of a practical doctor, his job duties with the statements of the report. When concluding an employment contract with the employer, there is no mention in it that the doctor should engage in scientific work, and it is an integral part of his functional duties and qualification requirements. The scientific work does not mention the “Unified qualification directory of positions of managers, specialists and employees, the section “Qualification characteristics of the positions of employees in the field of health care” for a psychiatrist. Conclusion: The attitude to the Administrative Regulations on the provision of a public service for assigning a qualification category to specialists engaged in medical and pharmaceutical activities should be reviewed in terms of synchronization with the duties of a doctor. The Regulation on the compulsory conduct of scientific research should be introduced, substantiated and provided by the employer or be excluded from the administrative regulations as an independent section and be exclusively recommendatory in nature. Publications of physicians in scientific journals and collections, theses of reports should motivate their interest, and within the limits of the possibilities of the medical institution to have reasonable financial support, fixed in the employment contract. An example of a practical doctor who speaks at international, all-Russian or republican congresses, congresses and conferences is an important indicator of his professional growth, an incentive for the disclosure and development of the potential of the medical institution team and the result of proper administrative and organizational-methodological guidance. The scientific work and publications of a psychiatrist’s practical doctor should be a weighty additional argument in favor of a positive decision on awarding the qualification category he has declared.

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Scientific Research as an Integral Part of the Work of a Psychiatrist Leading an Outpatient Consultation in the Regional Diagnostic Center of the Subarctic Territory

Cited by 3 publications

References 0 publications

Mental health promotion program in the workplace with focus on transport

Mental health promotion program in the workplace with focus on transport

Psychiatry of disasters. Organization of the work of a psychiatrist outpatient consultative reception

Regulatory requirements and assessment of scientific research by a psychiatrist when considering the issue of assigning a qualifying doctor`s category

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