Medicin, laws and rights

This article is about the relationships between doctor and patient. The number of doctors claims increase. This claims are about not good quality of medical care. Therefore doctors should know the law that protect rights of patients. The feature of relationships between obstetrician gynecologist and patient is responsibility for born and development of child. One the one hand the relationships between doctor and patient is regulated the Russian Federation Laws on the other ethics and deontology. The last played a key role in a good relationships between doctor and patient.В статье освещаются некоторые положения о взаимоотношениях врача и пациента. В последние годы наблюдается рост исков к врачам по поводу оказания некачественной медицинской помощи. Поэтому врачам необходимо знание законов, защищающих права пациентов. Особенность отношений акушера-гинеколога и пациентки определяется ответственностью за благополучное вынашивание беременности, за состояние внутриутробного развития плода и рождение здорового ребенка. С одной стороны, взаимоотношения врача и пациента регулируются законами РФ, с другой — соблюдением этики и деонтологии. Последнее играет существенную роль для благоприятных взаимоотношений врача и пациента

Social Network-Based Digital Stroke Prevention: Opportunities, Results and Prospects

Aim. To study the possibilities and limitations of the social network as a digital medical tool, which is aimed at improving programs for primary and secondary stroke prevention in young people.Material and methods. The study was carried out in the format of online training for volunteers. At the first stage of the work, the online school “Stroke in Young People” was announced in 8 medical blogs. As part of the school, a special account was created for readers (n=1354). At the second stage, 49 respondents (4% of men, whose average age was 24.4±5.2 years) were selected from 1354 listeners, who were surveyed on “Awareness of risk factors and stroke symptoms among users of social networks” before and after the online school.Results. The online school audience is predominantly female (91%), and 43% of readers were in the 25-34 age group. The total number of people who listened to and read the online school material is 8712 people. 17% worked in the healthcare system, and 22% of respondents had a history of stroke. 38 (78%) people of the 2nd stage among the respondents independently searched for information about stroke earlier, and 30 (61%) received this information passively from medical workers in 2020. Before the online school start, the majority of respondents (over 60%) were aware of 2 out of 7 stroke risk factors (dyslipidemia and arterial hypertension) and 3 out of 6 stroke signs (drooping of the face half, weakness in the limbs and difficulty speaking). Less than 40% of the participants considered the stroke risk factors for diabetes mellitus, other cardiovascular diseases (CVD), obesity, and alcohol use; less than 20% were aware of stroke symptoms such as impaired vision and coordination and very severe headache. After completing online learning, the greatest increase in knowledge was found among the following risk factors – smoking and other CVDs (p<0.05); stroke symptoms - headache and drooping of the face half (p<0.05).Conclusion. The online school aroused interest among healthcare workers and people without medical education, including those with stroke. Most of the respondents believed that they knew how to prevent a stroke (over 80%) and would be able to provide first aid to a person with a stroke (over 90%). At the same time, the awareness of risk factors and stroke symptoms was low prior to the start of learning, even though the study included healthcare workers and stroke survivors. Online learning has led to increased awareness of some risk factors and stroke symptoms. Social media can be one of the tools for medical prevention of stroke in young people, but program planning should take into account the way the material is presented and its readability

Peculiarities of ecosystem monitoring on the territory of Donskoy natural park

The article deals with peculiarities of ecosystem monitoring as an important part of scientific and research work on Donskoy natural park of Volgograd region.One of the most significant tasks of functioning of national and natural parks, besides preservation and restoration of zonal and other geosystems, is scientific and research work. It is crucial for planning and administration of activity of natural parks, particularly for estimation and prognosis of the ecological situation within and beyond the park territory

THE CURRENT STATE AND DYNAMICS OF GEOSYSTEMS IN THE SOUTH-EAST OF THE RUSSIAN PLAIN (BY THE EXAMPLE OF THE NATURAL PARKS IN VOLGOGRAD REGION)

Abstract. Aim. The current state, variability, dynamics of natural and natural-anthropogenic landscapes of dry steppes and desert steppe of the south-east of the Russian plain were studied. Methods. Methods of field complex landscape studies, remote methods of decoding space images and estimating the state of geosystems based on NDVI were used. Results. On the basis of long-term landscape-ecological monitoring on the territory of the Donskoy and Eltonsky natural parks of the Volgograd region, it is established that the main causes of disturbance of geosystems and desertification are fires, spontaneous livestock raising, overgrazing. After the impact of fire, the biological diversity of geosystems is reduced, the processes of self-regulation are weakened, and resistance to external influences is reduced. The structure is simplified, the homogeneity of the vegetation cover increases, the height of the grass stand is reduced 2-3 times and the total projective cover is reduced 1,5-2 times, the tree and shrub vegetation dies, the proportion of polynia and weeds grows. For a long term (3-5 years), the bioproductiveness of geosystems is significantly reduced 1,5-3 times. The upper layer (2-4 cm) of the humus horizon burns out, the fertility of soils decreases. The local climate of pyrogenic geosystems is aridized, evaporation increases, soil moisture deficit increases, groundwater level decreases, springs run out. The processes of wind and water erosion are activated. Fires destroy places of reproduction, recreation, feeding of animals, habitats of rare and endangered species. Conclusions. Pyrogenic transformation is the most serious real threat to the biological and landscape diversity of the steppes