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The Role of the Doctor in the System of Social Protection of Russian Citizens
Issue:
Volume 4, Issue 4, December 2018
Pages:
20-25
Received:
19 November 2018
Accepted:
5 December 2018
Published:
7 January 2019
DOI:
10.11648/j.jfmhc.20180404.11
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Abstract: The effectiveness of medicine as a social institution depends, among other things, on the social status of the doctor, which determines the place of his personality in the system of social relations and the set of certain social functions. At present, the role of a doctor in society is constantly changing in connection with changes in both society and healthcare. The patient became a consumer of medical services, the doctor - their supplier, which put the patient and the doctor in the framework of market relations. The result was a lack of confidence in the healthcare system in the society, which is associated with an increase in the expectations and requests of the population for the quality of medical services and the reluctance of people to contact medical facilities without extreme necessity. Only the motivation of the doctor to provide high-quality medical care, high-quality medical management and the allocation of paid time for the doctor to his own education will help to change the situation. As the burden on the doctor grows every year, and his social role becomes more and more important for the population. The article deals with the role of a doctor in the social protection of citizens. The main link in the social protection of patients in medical organizations is the medical commissions. A large amount of work of the medical commission is not taken into account in the burden of doctors and in the payment of their labor. The purpose of the presented study was to study the scope, dynamics and peculiarities of the work of the medical commission to determine the patients' need for prolongation of leaflets of disability, referral to medical and social expertise, and other health-related problems. One of the main conclusions reached by the researchers: taking into account the increase in the contingent of citizens of the older age group, it is necessary to adapt the work of expert services to the needs of older people in expert assistance, by amending the normative acts and including the necessary specialists in the expert commissions.
Abstract: The effectiveness of medicine as a social institution depends, among other things, on the social status of the doctor, which determines the place of his personality in the system of social relations and the set of certain social functions. At present, the role of a doctor in society is constantly changing in connection with changes in both society ...
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Prevalence of Depression and Associated Factors in HIV-Positive Adults Attending an Antiretroviral Clinic in Jos, Nigeria
Halima Mwuese Sule,
Patricia Aladi Agaba,
Raphael Onu Ojoh,
Michael Terkura Agbir,
Kingsley Mayowa Okonoda
Issue:
Volume 4, Issue 4, December 2018
Pages:
26-32
Received:
19 November 2018
Accepted:
5 December 2018
Published:
14 January 2019
DOI:
10.11648/j.jfmhc.20180404.12
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Abstract: Clinical depression has been associated with various chronic disease conditions. The chronic course of HIV, fostered by the use of antiretroviral therapy in infected patients, puts them at risk of developing clinical depression which unfortunately, is often underdiagnosed and therefore undertreated. The study estimated the prevalence of depression and associated factors amongst adult patients receiving antiretroviral therapy in a clinic in Jos, using the PHQ-9 questionnaire. Three hundred and fourteen patients with a mean age of 45 ± 10 years were enrolled in a descriptive cross-sectional study. There were 63 males and 251 females, with mean known duration of HIV infection of 11 ± 4 years. Depression was found to be common in the group. Thirty one percent of the patients had depression, and of these, 83 (85%) had mild depression while 12 (12%) had moderate depression and 3 (3%) had moderately severe depression. The factors associated with depression in these patients were analysed using logistic regression. Female gender (P=0.02) as well as age equal to or greater than 45 years (P= 0.03) were shown to be significantly associated with depression. When encountered in such patients, the factors identified to be associated with depression, should serve not only to raise the index of suspicion towards this diagnosis but should also prompt the need to screen for depression. This will contribute to enhancing the chances of diagnosing and treating depression in HIV.
Abstract: Clinical depression has been associated with various chronic disease conditions. The chronic course of HIV, fostered by the use of antiretroviral therapy in infected patients, puts them at risk of developing clinical depression which unfortunately, is often underdiagnosed and therefore undertreated. The study estimated the prevalence of depression ...
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Polyphenols as Potential Dietary Cancer Prevention Strategy for Ethiopia: An Overview
Issue:
Volume 4, Issue 4, December 2018
Pages:
33-38
Received:
22 November 2018
Accepted:
22 December 2018
Published:
22 January 2019
DOI:
10.11648/j.jfmhc.20180404.13
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Abstract: Polyphenols, the plant secondary metabolites produced by the shikimic pathway, are categorized into flavonoids, stilbenes, lignans and phenolic acids. Fruits, vegetables, grains, spices and herbs are now known as the good source of dietary polyphenols. Polyphenols exhibit their anticancer effects by suppressing the carcinogenesis process. They modulate multiple signaling pathways, induce apoptosis and prevent DNA mutations due to their anti-oxidant property. Because of high cost and limited success of cancer therapy it has become increasingly recognized that cancer prevention is cost effective. Promotion of healthy diet, i.e., eating variety of foods which are identified as good sources of polyphenols, in regular manner and in high amount is a potential cancer prevention strategy. In this review, the up-to-date findings on cancer fighting mechanisms of dietary polyphenols are summarized. In addition, the potential of Ethiopia in using dietary polyphenols as cancer prevention strategy is elaborated.
Abstract: Polyphenols, the plant secondary metabolites produced by the shikimic pathway, are categorized into flavonoids, stilbenes, lignans and phenolic acids. Fruits, vegetables, grains, spices and herbs are now known as the good source of dietary polyphenols. Polyphenols exhibit their anticancer effects by suppressing the carcinogenesis process. They modu...
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