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2.
Vestn Oftalmol ; 135(4): 33-40, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31573555

RESUMO

INTRODUCTION: In 1994, academician S.N. Fyodorov directed the development of laser cataract extraction (LCE) technique, which does not require manual or ultrasonic lens fragmentation. PURPOSE: To determine the effectiveness and safety of Russian LCE technology in patients with diabetes mellitus using comparative analysis, and to develop practical guidelines. MATERIAL AND METHODS: The study analyzed the results of 154 operations in patients with complicated cataract and diabetes mellitus (DM). 80 LCE operations and 74 ultrasonic cataract phacoemulsification (PhEC) surgeries including implantation of intraocular lens were performed. The duration of DM was 12.5±7.1 years in the LCE group and 11.9±7.3 years in the PhEC group. The energy of neodymium Nd:YAG laser endo-dissector with original wavelength of 1.44 µm together with low-intensity He-Ne laser radiation of 0.63 µm were delivered simultaneously to the eye cavity. RESULTS: Corneal endothelial cells loss was significantly lower (by 1.8 times) after LCE, in the early postop period, in 1 year, and 2 years after the surgery; the incidence of intraocular pressure increase and ciliary body edema were lower as well. Moreover, there is no negative influence on the posterior segment of the eye because the radiation of laser endo-dissector during the duty cycle of cataract removal does not extend beyond the lens capsule, and does not affect other tissues of the eye. CONCLUSION: In comparison to ultrasound cataract surgery, LCE is a more safe and effective method of removing complicated cataracts in diabetic patients with any degree of lens density.


Assuntos
Extração de Catarata , Catarata , Diabetes Mellitus , Catarata/complicações , Complicações do Diabetes , Células Endoteliais , Humanos , Federação Russa
3.
Vestn Oftalmol ; 135(4): 86-97, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31573562

RESUMO

The article describes 5 cases of capsular block syndrome (CBS). This late cataract surgery complication has not been sufficiently covered in Russian scientific literature. Diagnostics were based mainly on slit-lamp biomicroscopy and anterior segment optical coherence tomography. In all cases, examination revealed a retro-optical space filled with content of different transparency and homogeneity (transparent liquid, opaque liquid, regenerative lens material). The condition caused visual acuity to decrease in each case. Patient management included follow-ups (2 cases), yttrium-aluminum-garnet laser (YAG-laser) puncture of posterior lens capsule (1 case) or YAG-laser posterior capsulotomy (2 cases). YAG-laser treatment resulted in visual functions improvement.


Assuntos
Traumatismos Oculares , Terapia a Laser , Cápsula Posterior do Cristalino , Humanos , Federação Russa , Acuidade Visual
4.
Vestn Oftalmol ; 135(4): 113-120, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31573566

RESUMO

The prevalence of dirofilariasis in Russian Federation has been increasing in recent years. Diagnosis of ocular dirofilariasis is difficult due to polymorphism of its clinical manifestations. Systematized data on this disease in literature is virtually absent. The study included 142 cases of ocular dirofilariasis registered in Russian Federation and the former Soviet Union, which were described in the literature of 1915-2016 years. An analysis of the registered cases of dirofilariasis allowed the following classification points to be defined: localization-based - subcutaneous soft tissue, subconjunctival, orbital, scleral, intraocular; in terms of clinical forms - capsular (with perifocal inflammation, asymptomatic disease course, with fixed or unfixed capsule) and acapsular/migrating (with or without infiltration of surrounding tissues). The most difficult to diagnose are the capsular forms. In such cases, ultrasonography is used to reach final diagnosis. The developed working classification of ocular dirofilariasis enables to refine the approaches to diagnosing this pathology, which will undoubtedly improve the quality of medical care.


Assuntos
Dirofilariose , Animais , Prevalência , Federação Russa , Esclera , Ultrassonografia
5.
Vestn Oftalmol ; 135(4): 128-139, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31573568

RESUMO

Currently there is a significant increase in the incidence of diabetes mellitus all over the world, and Russia is not an exception. With the increase in patients with diabetic retinopathy, also rises the incidence of diabetic macular edema, which can lead to persistent loss of vision and disability dramatically affecting the quality of life. Antiangiogenic therapy that is effectively used all over world has specific features for clinical practice in Russia because of its high cost, insufficient public funding, low patient compliance, remoteness of patients from the places of medical care, and low awareness of both patients and doctors about the treatment effectiveness and required regimen. All these problems slow the adoption of this progressive treatment method. Analyzing the causes of low adoption of antiangiogenic therapy and proposing new ways to solve these problems can help reduce the rate of blindness and disability caused by eye complications of diabetes mellitus in Russian Federation, particularly in young and working population.


Assuntos
Retinopatia Diabética , Edema Macular , Inibidores da Angiogênese , Humanos , Qualidade de Vida , Federação Russa
6.
Urologiia ; (4): 9-15, 2019 Sep.
Artigo em Russo | MEDLINE | ID: mdl-31535798

RESUMO

AIM: to evaluate the possibilities and efficiency of using 3D technologies for the laparoscopic interventions in patients with renal and ureteric stones. MATERIALS AND METHODS: A retrospective analysis of the results of surgical treatment of patients with renal and ureteric stones performed in the urology clinic of the I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia for the period from January 2012 to December 2017 was carried out. During this period a total of 4958 interventions were done. Among them, 98 laparoscopic (1.97%) surgeries were performed, including nephron-sparing interventions (n=47; 48%), pyelolithotomy (n=15; 15.3%), ureterolithotomy (n=32; 32.65%) and partial nephrectomy (n=4; 4.05 %). The average patients age was 55.76+/-10.5 (29-80) years. There were 51 men (52%) and 47 women (48%). The mean stone density was 1237.6+/-354.6 HU (from 500 to 1913 HU). In 14 (22.9%) cases, nephrostomy tube or ureteric stent had been put before surgery. In addition, 40 (40.8%) patients previously underwent one surgical intervention on the kidneys and 17 patients with urinary stone disease (17.3%) underwent surgery more or equal 2 times. 88 (89.8%) patients had severe concomitant diseases and the most common pathology in 51 (52.0%) patients with urinary stone disease was arterial hypertension. In 11 (11.2%) cases, the interventions were performed in patients with abnormal kidneys, including horseshoe kidney (n=6; 6.1%), duplicated collecting system (n=3; 3.1%) and pelvic kidney (n=2; 2%). In addition to standard preoperative diagnostic methods in 22 cases (22.4%) the 3D-planning and multivariate virtual performing of intervention based on the multidetector computer tomography scan was done using Amira 3D-modeling program. Among these patients, virtual interventions were performed prior to all pyelolithotomy and partial nephrectomy. Intraoperative data of virtual constructions were used by surgeons as navigation. The interventions were performed by seven urologists at the clinic with various experience in laparoscopic surgery. RESULTS: The mean duration of laparoscopic pyelolithotomy, laparoscopic partial nephrectomy, laparoscopic ureterolithotomy and laparoscopic nephrectomy was 183.2+/-69.6, 201.3+/-35.2 min, 97.6+/-43.7 and 165.4+/-92.3 min, respectively. The minimal blood loss was observed during laparoscopic ureterolithotomy (53.33+/-31.2 ml). During these interventions, in 8 cases (8.16%) a flexible endoscope was used for inspection and complete removal of stones. Intraoperative complications were noted in 6 patients (6.1%). There were 4 conversions to open surgery (4.1%). Postoperative surgical complications were observed in 1 (1%) patient, while non-surgical complications developed in 4 patients (4.1%). There was no mortality. CONCLUSION: Laparoscopic access for the treatment of patients with urinary stone disease should be used for the treatment of patients with large, long-standing ureteral calculi and patients with kidney stones who have concomitant pathology of kidney or upper urinary tract (UPJ obstruction, kidney tumors) requiring surgical intervention. Laparoscopic access should be considered primarily for the planning of laparoscopic partial nephrectomy and laparoscopic nephrectomy in patients with urinary stone disease. The use of 3D computer-assisted technologies is advisable for patients with urinary stone disease and abnormal kidneys if laparoscopic pyelolithotomy, partial nephrectomy or ureterolithotomy is planned.


Assuntos
Laparoscopia , Cálculos Urinários/diagnóstico por imagem , Feminino , Humanos , Masculino , Moscou , Estudos Retrospectivos , Federação Russa , Cálculos Ureterais
7.
Urologiia ; (4): 135-140, 2019 Sep.
Artigo em Russo | MEDLINE | ID: mdl-31535820

RESUMO

The review analyzes the results of using non-transecting anastomotic urethroplasty in men with urethral strictures. Identified 14 original studies using this technique: 13 foreign and 1 Russian. In total, this technique was applied in 704 patients. This technique was used in 85% of cases with bulbar urethral stricture, in 15% - with posterior stricture.The average length of the urethral stricture in all studies was less than 2 cm, except for two works, where the average stricture length was 2.3 cm and 3.9 cm, respectively. This technique is equally successfully applied in all etiological variants of urethral stricture. The incidence of postoperative complications in all studies using non-transecting anastomotic urethroplastyaveraged 13.7%.Postoperative complications were mostly mild and corresponded to G1 according to Clavien-Dindo classification.According to 10 out of 14 studies that evaluated the effect of surgical treatment on the occurrence of erectile dysfunction (ED), the incidence of ED de novo was on average 13.4%. The success of treatment with the use of non-transecting anastomotic urethroplastyaveraged 95% (82-100%) with a median postoperative follow-up of 27 months (6-64 months). In 4 out of 14 studies, an additional comparison was transecting versus non-transecting techniques. Non-transecting technique was not inferior to transecting technique by any criterion, but, on the contrary, exceeded it in a number of indicators, including the dynamics of sexual function after surgery.On the basis of available studies on the use of non-transecting anastomotic urethroplasty, this technique should be recognized as a highly efficient and reasonably safe method for treating short urethral strictures and recommended for widespread clinical use.


Assuntos
Procedimentos Cirúrgicos Reconstrutivos , Estreitamento Uretral , Humanos , Masculino , Federação Russa , Resultado do Tratamento , Uretra
8.
Kardiologiia ; 59(9): 83-90, 2019 Sep 20.
Artigo em Russo | MEDLINE | ID: mdl-31540579

RESUMO

This article describes for the first time in the domestic literature a clinical case of the therapeutic effect of neuromodulation on the permanent form of atrial fibrillation and chronic heart failure in an elderly patient with spinal stenosis which led to the development of pain syndrome and movement disorders. For the treatment of neurological pathology, at the beginning epidural administration of drugs was applied, followed by spinal cord stimulation trial and implantation of permanent neurostimulator. At each stage of treatment conducted by a functional neurosurgeon the patient had a spontaneous restoration of sinus rhythm, and during continuous neurostimulation a stable retention of sinus rhythm and regression of heart failure symptoms have been observed throughout a long observation period. The article also presents the data of a few experimental and clinical studies on the use of neuromodulation in cardiology, describes the method of implantation of spinal electrodes and analyzes possible mechanisms of modulation of the autonomic innervation of the heart, implemented by spinal cord stimulation.


Assuntos
Fibrilação Atrial , Estenose Espinal , Humanos , Federação Russa , Medula Espinal
9.
Waste Manag ; 99: 79-89, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31473484

RESUMO

The world population is becoming more urbanized, wealthier but also more wasteful. The resolution of the problem of ever increasing amounts of solid waste is not yet a priority in many developing countries where informal organization has managed to partially tackle the problem. In this article we explore the interface between formal and informal waste management in the BRICS countries (Brazil, Russia, India, China and South Africa). The aim of this article is to comparatively evaluate the main challenges of urban solid waste management for the BRICS from an institutional point of view. Based on a literature review, interviews with experts on the BRICS and a search for relevant legislation and formal institutions, evidence of informal institutions and the informal economy's role following New Institutional Economics was considered. The results indicate that while in Brazil and South Africa there is a state incentive to formalize scavenging for more efficient outcomes, Russia shows a significant blind-spot on the issue, China apparently awaits a technological solution to the problem, and India's cultural, ethnic and caste-based divide of society make recent policies aimed at improving waste pickers' conditions challenging to enforce. This research has shown that it is not as much an issue of enforcement of the (often recent) legislations, but rather one of cultural and informal organizational factors, that play into the issue of continued problems concerning waste management. For achieving waste management policy goals, we suggest a more open multi-stakeholder approach to the inclusion of informal organizations in public waste management.


Assuntos
Gerenciamento de Resíduos , Brasil , China , Índia , Federação Russa , África do Sul
10.
Khirurgiia (Mosk) ; (9): 58-65, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31532168

RESUMO

Objective - to define the informative value of qSOFA score in the prediction of outcomes in surgical patients admitted to the Intensive Care Units. STUDY DESIGN: post hoc analysis of multicenter prospective observational study RISES. The following patient information was analyzed: gender, age, diagnosis, presence of infection, SIRS criteria, qSOFA and SOFA scores, outcomes. RESULTS: The study included data of 331 patients with surgical diseases. Infection was not observed in 174 (52.6%) cases, 157 (47.4%) patients had infection. In the group of patients without infection, area under ROC-curve for SIRS criteria was 0.519 (95% CI 0.429-0.610) and similar to that qSOFA (p=0.535). Area under ROC-curve for SOFA scale was 0.619 (95% CI 0.511-0.726) and did not significantly differ from this value for QSOFA (p=0.241). In the group of surgical patients with infection, area under ROC-curve for SIRS was 0.490 (95% CI 0.419-0.561), that was significantly lower than area under ROC-curve for qSOFA (p=0.016). Area under ROC-curve for SOFA scale was 0.803 (95% CI 0.681-0.924), that significantly exceeded area under ROC-curve for qSOFA (p=0.017). CONCLUSION: qSOFA scale is important in surgical patients with infection admitted to ICUs. Increased qSOFA score is associated with augmentation of mortality rate. qSOFA scale significantly exceeds the SIRS criteria, but is inferior to the SOFA in the prognosis of mortality in these patients.


Assuntos
Unidades de Terapia Intensiva/estatística & dados numéricos , Insuficiência de Múltiplos Órgãos/mortalidade , Escores de Disfunção Orgânica , Procedimentos Cirúrgicos Operatórios/mortalidade , Humanos , Insuficiência de Múltiplos Órgãos/terapia , Prognóstico , Estudos Prospectivos , Federação Russa , Resultado do Tratamento
11.
Arch Virol ; 164(11): 2891-2894, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31506787

RESUMO

Contigs with sequence similarity to potato virus P (PVP), which belongs to the genus Carlavirus, were identified by high-throughput sequencing analysis in potato tubers collected from a farmer's potato production field in Surazhevka, Artyom, Primorskiy Krai (Russia) in 2018. The complete genome sequence of this virus consisted of 8,394 nucleotides, excluding the poly(A) tail. This is the first report of PVP being detected outside South America. The isolate had high sequence similarity to PVP isolates from Argentina and Brazil, but low sequence similarity was observed in the genes encoding the RNA-dependent RNA polymerase (69% nucleotide sequence identity and 80% amino acid sequence identity) and coat protein (78% nucleotide sequence identity and 89% amino acid sequence identity). Phylogenetic analysis revealed that this PVP-like virus clustered with known PVP isolates but was distinct from them. Comparison of the sequences using the classification criteria of the ICTV indicated that this PVP-like virus is a strain of PVP.


Assuntos
Carlavirus/genética , Genoma Viral/genética , Doenças das Plantas/virologia , Solanum tuberosum/virologia , Sequência de Aminoácidos , Proteínas do Capsídeo/genética , Carlavirus/classificação , Carlavirus/isolamento & purificação , RNA Polimerases Dirigidas por DNA/genética , Sequenciamento de Nucleotídeos em Larga Escala , RNA Viral/genética , Federação Russa , Sequenciamento Completo do Genoma
12.
Kardiologiia ; 59(9): 29-39, 2019 Sep 17.
Artigo em Russo | MEDLINE | ID: mdl-31540574

RESUMO

PURPOSE: to assess efficacy of correction of anxiety states by anxiolytic drug fabomotizole in ambulatory patients with arterial hypertension (AH) and / or ischemic heart disease (IHD). MATERIALS AND METHODS: In the framework of multicenter cross-sectional study with participation of patients aged ≥55 years with verified AH / IHD we conducted the therapeutic part of the COMETA program in which we included patients with comorbid anxiety state (≥11 points on the Hospital Anxiety and Depression Scale Anxiety [HADS-A] and clinically expressed anxiety state) without clinically expressed depressive symptoms (<11 points on the HADS-Depression). Participants were randomized into main and control groups. Patients in the main group in addition to therapy prescribed because of AH / IHD were given a recommendation to take fabomotizole (10 mg thrice a day), patients of control group received standard therapy. Efficacy of therapy was evaluated by HADS and visual analog scale after 6 and 12 weeks of observation. RESULTS: We included 182 and 104 in the main and control groups, respectively. Most patients in main and control groups had AH (97.3 and 95.2 %, respectively, about one third had IHD (36.8 and 30.8 %, respectively). Social-demographic, clinical characteristics, and recommended for AH / IHD treatment of participants of both groups were similar. Portion of patients with complete reduction of anxiety symptoms (<8 points on HADS-A) was significantly higher already after 6 weeks of fabomotizole therapy (37.9 and 19.2 %, respectively, p<0.001). Analogous picture was noted by the end of observation (66.9 and 32 %, respectively; p<0.001). Mean estimate of chronic psychoemotional stress in the main group decreased by 25 % after 6 weeks (from 6.45±2.20 to 5.05±1.96 points; р<0.001) and by 40 % after 12 weeks (from 6.45±2.20 to 3.98±1.99 points; р<0.001). In the control group it also decreased but degree of lowering was 2 times less than in the main group (11.1 % vs. 25 % after 6 weeks, р=0.016; and 20 % vs. 40 % after 12 weeks, р<0.001, respectively). CONCLUSION: The use of fabomotizole by patients with AH / IHD provided improvement of psychological status (reduction of anxiety symptoms and lowering of the level of chronic psychoemotional stress).


Assuntos
Ansiedade , Hipertensão , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Atenção Primária à Saúde , Federação Russa
13.
Artigo em Russo | MEDLINE | ID: mdl-31465645

RESUMO

The article is devoted to the history of the creation and activities of the N. A. Semashko National Research Institute of Public Health. On the basis of the analysis of archival materials and scientific works of the staff of the Institute, the main results of the Institute work for 75 years are presented. The contribution of the Institute to the development of science and health care in the USSR and the Russian Federation is investigated.


Assuntos
Academias e Institutos , Saúde Pública/história , Assistência à Saúde , História do Século XX , Humanos , Federação Russa
14.
Artigo em Russo | MEDLINE | ID: mdl-31465646

RESUMO

The main ways of formation and development of complex scientific research of Federal public budgetary scientific institution "The National Public Health Research Institute named after N. A. Semashko¼ in the section of health protection of mother and child are tracked. Irrespective of departmental accessory, a task which were set for its collective for these 75 years at stages of the USSR - the Russian Federation affected transformation of its names, fully corresponding to the changing social and economic conditions of the country, extent of development of science in the field and to requirements of the branch of health care, all business of public health care.


Assuntos
Aniversários e Eventos Especiais , Saúde Pública , Academias e Institutos , Criança , Saúde da Criança , Feminino , História do Século XX , Humanos , Serviços de Saúde Materno-Infantil , Mães , Federação Russa
15.
Artigo em Russo | MEDLINE | ID: mdl-31465648

RESUMO

The main results of the functioning of the compulsory health insurance system in the Russian Federation for 25 years were analyzed. A brief review of the assessment of the Russian healthcare model by foreign and domestic experts is presented. Negative and positive results of the modernization of compulsory medical insurance, the impact of payment methods on the efficient use of resources, increasing the availability and quality of medical care are formulated. Areas were proposed of activity to create a patient-oriented insurance environment in the Russian health care.


Assuntos
Assistência à Saúde , Seguro Saúde , Humanos , Federação Russa
16.
Artigo em Russo | MEDLINE | ID: mdl-31465651

RESUMO

The article based on the analysis of foreign experience of commercialization of health care and introducing management methods typical for business into the work of medical organizations, shows the difficult conflict of interests within the medical community itself, as well as the clash of organizational cultures of doctors and managers. As a result, the population suffers as it either cut of from medical care or pays for imposed medical services. And the doctors suffer because of the pursuit of their leadership for economic efficiency and productivity without taking into account the specifics of the medical profession, and this leads to overwork, stress and early professional burnout. Based on a survey of Russian experts, the authors show that while in the West they come to a conclusion about the need for a management revolution that returns doctors to their priority role and prioritizes not patient's profits, but patient interests, Russia is rapidly moving along the path of unrestrained health care commercialization and fetishization indicators in the medical industry. The article describes a system of economic and organizational-legal factors that provoke a conflict of interest that arise management and staff, and also reveals the absence of mechanisms that are designed to contain its negative consequences and to some extent operate in countries whose approaches to organization Russia is rapidly adopting in health care. In addition, the opinions and arguments of the experts are given in relation to the new question for Russia as to whether the head of the medical organization should be a clinician or a manager.


Assuntos
Esgotamento Profissional , Assistência à Saúde/economia , Médicos , Conflito de Interesses , Humanos , Federação Russa
17.
Artigo em Russo | MEDLINE | ID: mdl-31465652

RESUMO

The article presents the analysis of disability on the cardiovascular diseases, according to the Bureau of Medical and Social Expertise in the Nizhny Novgorod region in dynamics for 2003-2013. The article analyzed the number of persons recognized as disabled according the Bureau of Medical and Social Expertise, calculated accumulated contingent disabled due to cardiovascular diseases according to the pension fund. The years of life lost due to disability in dynamics were calculated for 2004-2013 years.


Assuntos
Doenças Cardiovasculares/epidemiologia , Pessoas com Deficiência , Humanos , Federação Russa
18.
Artigo em Russo | MEDLINE | ID: mdl-31465653

RESUMO

The problem of estimating the frequency of the use of and their effectiveness is considered on the example of the subjects of the Central Federal District of the Russian Federation. The results of analysis of official statistics are presented, which made allowing to establish, that the activity of subjects of the Russian Federation in the use of assisted reproductive technologies has significant differences in the frequency of procedure and their effectiveness. The criteria for comparative assessment of the effectiveness of the organization of medical care for infertility with the use of ART at the territorial level are proposed.


Assuntos
Técnicas de Reprodução Assistida , Federação Russa
19.
Artigo em Russo | MEDLINE | ID: mdl-31465655

RESUMO

The article presents the features of the influence of social interactions on the social activity of older people and people with disabilities and their choice of types of social services. The Laboratory of Social Projects of the Belgorod National Research University in February - June 2018 conducted a sociological survey among the elderly and disabled of the Belgorod Region of Russia (240 people) to reveal knowledge about dental health and the prevention of dental diseases. The research methods were, firstly, the content analysis of individual social rehabilitation cards for the elderly and the disabled, and secondly, the survey of the elderly and the disabled. The results of the study showed: that the more elderly and disabled are included in social interactions, the more often they choose dental services among the entire list of types of social services; people who are not included in social interactions seek dental services in cases of acute pain or severe physical limitation of chewing function; socially active elderly and disabled people seek dental services for a large list of reasons (psychological, aesthetic); self-esteem by the elderly and disabled their dental health was more positive than that of the dentist; the elderly and disabled living in inpatient organizations have better dental health and are more likely to receive dental services than people living at home.


Assuntos
Assistência Odontológica , Pessoas com Deficiência , Idoso , Idoso de 80 Anos ou mais , Humanos , Relações Interpessoais , Federação Russa , Serviço Social
20.
Artigo em Russo | MEDLINE | ID: mdl-31465657

RESUMO

The most consecutive statement of biomedical ethics principles within educational process and the correct analysis of its problems in the context of rapid development and expansion of a scope of medical technologies are possible only on the basis of synthesis of philosophical, culturological, historical and theological knowledge. Otherwise, biomedical ethics could be substituted for deontology which utilitarian value is indisputable, but which has no sufficient universality in relation to various historical periods and sociocultural conditions. It becomes especially obvious during a globalization era when the states with various experience of cultural-historical development and level of economic potential are forced to create large regional associations for the benefit of the sustainable development. However the synthetic concept can exist only based on serious humanitarian preparation which it isn't necessary to for medical community even of developed countries within the existing educational standards. Dialectic approach, being «cleared¼ of the known ideological excesses, could become the compact, available and at the same time universal tool for forming of complete view of students on biomedical ethics, the analysis of its problems and implementation of its principles in dynamically changing conditions of modern society. Russian Federation naturally applying for a leader role of various regional political structures, in particular - in extremely diverse and therefore very difficult Asia-Pacific region, could offer foreign colleagues the general agenda in the field of biomedical ethics based on dialectic approach. Fields of Eastern Economic Forum which is annually held on the base of Far Eastern Federal University in Vladivostok could become the platform for the presentation of this agenda.


Assuntos
Bioética , Humanos , Internacionalidade , Federação Russa , Condições Sociais
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