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Article ; Online: The sociological analysis of the culture of medical services’ consumption in a large industrial city / Социологический анализ культуры потребления медицинских услуг в крупном промышленном городе

Mikhailova D.O. / Михайлова Диана Олеговна / Sedova N.N. / Седова Наталья Николаевна

Sociologiâ Goroda, Iss 1, Pp 3-

2010 Volume 9

Abstract: It is given the definition of notion “culture of the consumption” as new subject of interest of domestic medical sociology. The recommendations about its formation at inhabitants of a large industrial city are offered. / Дано определение культуры ... ...

Abstract	It is given the definition of notion “culture of the consumption” as new subject of interest of domestic medical sociology. The recommendations about its formation at inhabitants of a large industrial city are offered. / Дано определение культуры потребления медицинских услуг как нового предмета интереса отечественной социологии медицины и предложены рекомендации по ее формированию у жителей крупного промышленного города.
Keywords	Culture of medical services’ consumption / Культура потребления ; Медицинские услуги ; A large industrial city / Крупный промышленный город ; Medical sociology / Социология медицины ; Sociology (General) ; HM401-1281 ; Social Sciences ; H ; DOAJ:Sociology ; DOAJ:Social Sciences
Language	Russian
Publishing date	2010-03-01T00:00:00Z
Publisher	Volgogradskij gosudarstvennyj arhitekturno-stroitelʹnyj universitet
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: [Pathologic anatomy of pneumonia caused by Legionella: on the materials of outbreak in town Verkhnyaya Pyshma].

Belikov, E S / Trifonova, A G / Kotsurak, L M / Belikov, I E / Mikhaĭlova, D O

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 105–107

Abstract: Data on postmortem examination of five patients deceased during Legionnaires' outbreak in town Verkhnyaya Pyshma are presented in the article. Feature of course of the disease was severe affection of the lungs with development of toxic shock. ... ...

Abstract	Data on postmortem examination of five patients deceased during Legionnaires' outbreak in town Verkhnyaya Pyshma are presented in the article. Feature of course of the disease was severe affection of the lungs with development of toxic shock. Pathomorphological picture in lungs was characterized by polymorphism, presence of shock reaction and ventilator-associated pneumonia (atelectases, distelectases, tracheobronchitis). In autopsy material from four fatal cases Legionella pneumophila serogroup 1 was detected. Causative agent of pneumonia was not determined in one fatal case although comparison of clinical and morphological characteristics of this case with other four cases as well as detection of Gram-negative bacillus in alveolar macrophages allowed to consider this case of pneumonia as caused by Legionella. In studied fatal cases postmortem diagnoses were ascertained in which main disease was bilateral pneumonia caused by Legionella pneumophila serogroup 1 complicated by toxic shock.
MeSH term(s)	Aged ; Aged, 80 and over ; Autopsy ; Bronchitis/pathology ; Community-Acquired Infections/epidemiology ; Community-Acquired Infections/pathology ; Disease Outbreaks ; Female ; Humans ; Legionella pneumophila/isolation & purification ; Legionnaires' Disease/epidemiology ; Legionnaires' Disease/pathology ; Lung/pathology ; Male ; Middle Aged ; Pulmonary Atelectasis/pathology ; Russia/epidemiology ; Shock/pathology ; Tracheitis/pathology
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
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Article: [Roentgenological picture of pneumonia caused by Legionella: on the materials of outbreak in town Verkhnyaya Pyshma].

Bashkirtseva, T Iu / Mikhaĭlova, D O / Kartashov, V M / Aleshchenkova, N N / Bubnova, E M / Aksent'eva, M N

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 103–105

Abstract: Chest X-ray is the most common and widely used diagnostic procedure. Chest X-ray is frequently performed not only due to lungs diseases but also in other organs' diseases which indirectly affects lungs. At present computer tomography (CT) which has high ... ...

Abstract	Chest X-ray is the most common and widely used diagnostic procedure. Chest X-ray is frequently performed not only due to lungs diseases but also in other organs' diseases which indirectly affects lungs. At present computer tomography (CT) which has high resolution becomes to be more and more important. As in other diagnostic method, the main aim of CT is to confirm or reject the presence of disease. During outbreak of pneumonia in town Verkhnyaya Pyshma (Sverdlovsk region), all patients with suspected legionellosis underwent chest X-ray in front and lateral views. In several cases, computer tomography was performed.
MeSH term(s)	Disease Outbreaks ; Female ; Humans ; Legionellosis/diagnostic imaging ; Legionellosis/epidemiology ; Lung/diagnostic imaging ; Male ; Pneumonia/diagnostic imaging ; Pneumonia/epidemiology ; Russia/epidemiology ; Tomography, X-Ray Computed
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
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Article: [Organization of preventive and antiepidemic measures in conditions of massive outbreak of Legionnaires' disease in population of town Verkhnyaya Pyshma. Epidemiologist's work experience in ensuring biosafety].

Kozharskaia, G V / Ponomarenko, N Iu / Mikhaĭlova, D O / Romanenko, V V / Iurovskikh, A I / Smirnova, S S / Semenova, L V / Bubnova, E M

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 91–94

Abstract: Data on organization and carrying out of preventive and antiepidemic measures in hospital during mass hospitalization (> 190 cases) of patients with community-acquired pneumonia caused by Legionella pneumophila are presented. Experience of physicians- ... ...

Abstract	Data on organization and carrying out of preventive and antiepidemic measures in hospital during mass hospitalization (> 190 cases) of patients with community-acquired pneumonia caused by Legionella pneumophila are presented. Experience of physicians-epidemiologists in determination of directions of work in hospital, procedures of interaction, extent and description of biosafety measures in order to prevent nosocomial spread of infection to patients and staff are described.
MeSH term(s)	Communicable Disease Control ; Community-Acquired Infections/prevention & control ; Disease Outbreaks ; Disinfection ; Hospitals, Urban/organization & administration ; Humans ; Infection Control Practitioners ; Legionnaires' Disease/prevention & control ; Physicians ; Russia
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
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Article: [Diagnostic role of different immunologic methods for laboratory diagnostics of legionellosis].

Mikhaĭlova, D O / Bobyleva, Z D / Bazarnyi, V V / Amon, E P / Beĭkin, Ia B / Besedina, L G / Mel'nikova, O V / Shilova, V P / Rozanova, S M / Perevalova, E Iu

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 51–54

Abstract: The aim of the study was a comparative analysis of diagnostic value of different laboratoty methods conducted on the basis of results of examination of patients during Legionnaires' disease outbreak in town Verkhnyaya Pyshma. Retrospective analysis of ... ...

Abstract	The aim of the study was a comparative analysis of diagnostic value of different laboratoty methods conducted on the basis of results of examination of patients during Legionnaires' disease outbreak in town Verkhnyaya Pyshma. Retrospective analysis of laboratory data from 74 patients with diagnosis of Legionnaires' disease was performed. Complex of laboratory methods was used (polymerase chain reaction (PCR), enzyme immunoassay (EIA), immunochromatography). In group of patients with Legionnaires' disease, the highest proportion of positive results (73%) was obtained by the EIA determining total specific antibodies in urine. Determination of antigen in urine by immunochromatographic express-test yielded 52% of positive results. PCR testing of blood specimens yielded positive results in 65% of samples but was low specific, due to that in 19% of patients from control group false-positive results were obtained. Testing of 3 autopsy samples showed that all specimens contained DNA of the causative agent. Performed analysis allowed to recommend complex use of immunochromatographic express-test of antigen detection and identification of total specific antibodies by EIA during mass people examination.
MeSH term(s)	Antibodies, Bacterial/blood ; Antibodies, Bacterial/urine ; Antigens, Bacterial/urine ; Chromatography, Affinity ; DNA, Bacterial/analysis ; DNA, Bacterial/genetics ; False Positive Reactions ; Humans ; Immunoenzyme Techniques ; Legionella/genetics ; Legionella/immunology ; Legionellosis/blood ; Legionellosis/diagnosis ; Legionellosis/urine ; Polymerase Chain Reaction ; Retrospective Studies ; Russia ; Sensitivity and Specificity
Chemical Substances	Antibodies, Bacterial ; Antigens, Bacterial ; DNA, Bacterial
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	Comparative Study ; English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
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Article: [Organization of work with nursing staff in Central City Hospital of Verkhnyaya Pyshma town during mass hospitalization of patients with pneumonia caused by Legionella].

Kozharskaia, G V / Ponomarenko, N Iu / Mikhaĭlova, D O / Romanenko, V V / Iurovskikh, A I / Smirnova, S S / Bubnova, E M / Shadrina, A N / Ushakova, N G

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 97–100

Abstract: Data on organization and carrying out of preventive and antiepidemic measures in hospital during hospitalization of more than 197 patients with Pontiac fever and pneumonia caused by Legionella were presented. Directions and formats of work with medical ... ...

Abstract	Data on organization and carrying out of preventive and antiepidemic measures in hospital during hospitalization of more than 197 patients with Pontiac fever and pneumonia caused by Legionella were presented. Directions and formats of work with medical personnel, including those invited from other medical institutions, as well as their information support were determined. Optimal choice of organizational, and educational technologies, as well as ways to control of compliance with implemented measures by the staff allowed to prevent cases of nosocomial infections in patients and medical personnel.
MeSH term(s)	Cross Infection/prevention & control ; Hospitals, Urban/organization & administration ; Humans ; Infection Control ; Legionellosis/prevention & control ; Nursing Staff/education ; Nursing Staff/organization & administration ; Russia
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: [Experience of microbiologic diagnostics of acute pneumonia cases arose in town Verkhnyaya Pyshma in July-August 2007].

Boronina, L G / Mikhaĭlova, D O / Blinova, S M / Kukushkina, M P / Lavrinenko, E V / Ustiugova, S S / Markina, O A / Dzhapakova, A V / Bubnova, E M / Loginova, I M

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 56–62

Abstract: Bacteriologic, serologic, and PCR tests of blood, sputum, serum and autopsy samples from 91 patients were performed during outbreak of pneumonia in town Verkhnyaya Pyshma in July-August 2007. Streptococcus pneumoniae was isolated from 20% of ... ...

Abstract	Bacteriologic, serologic, and PCR tests of blood, sputum, serum and autopsy samples from 91 patients were performed during outbreak of pneumonia in town Verkhnyaya Pyshma in July-August 2007. Streptococcus pneumoniae was isolated from 20% of diagnostically meaningful samples of sputum and from 50% of autopsy samples. Diagnosis of Legionnaires' disease was confirmed in 48% of cases. It was shown that association of Streptococcus pneumoniae and Legionella pneumophila determined the affect during such pneumonia. Need for establishment of diagnostic procedure for patients with pneumonia including those caused by atypical agents was revealed.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Community-Acquired Infections/diagnosis ; Community-Acquired Infections/epidemiology ; Comorbidity ; Disease Outbreaks ; Humans ; Legionella pneumophila/genetics ; Legionella pneumophila/immunology ; Legionella pneumophila/isolation & purification ; Legionnaires' Disease/diagnosis ; Legionnaires' Disease/epidemiology ; Middle Aged ; Pneumonia, Pneumococcal/diagnosis ; Pneumonia, Pneumococcal/epidemiology ; Russia/epidemiology ; Streptococcus pneumoniae/genetics ; Streptococcus pneumoniae/immunology ; Streptococcus pneumoniae/isolation & purification
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
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Article: [Work with public in foci of infection during outbreaks of pneumonia caused by Legionella in town Verkhnyaya Pyshma in July-August 2007].

Popov, V P / Skliar, M S / Nikonov, B I / Mikhaĭlova, D O / Romanenko, V V / Smirnova, S S / Rogozhina, L P / Baranova, S V / Semina, O G / Kolesnikov, I O / Bubnova, E M / Aksent'eva, M N / Semenova, N M / Tatareva, S V / Syrochkina, M A / Kharlamova, N A

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 111–113

Abstract: One of the key elements in epidemiologic control for infectious diseases is timely and active identification of contacts, which results in in-time hospitalization of patients that are needed it and allows to conduct educational work with the public. ... ...

Abstract	One of the key elements in epidemiologic control for infectious diseases is timely and active identification of contacts, which results in in-time hospitalization of patients that are needed it and allows to conduct educational work with the public. Measures for outpatient medical and preventive help in Legionella infection which were developed on the experience of termination of outbreak of pneumonia caused by Legionella in town Verkhnyaya Pyshma in July-August, 2007 are presented.
MeSH term(s)	Delivery of Health Care/organization & administration ; Disease Outbreaks ; Health Knowledge, Attitudes, Practice ; Hospitalization ; Humans ; Infection Control ; Legionella ; Legionellosis/prevention & control ; Russia/epidemiology ; Urban Population
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: [Organization of medical care of patients with pneumonia caused by Legionella during outbreak in Sverdlovsk region].

Mikhaĭlova, D O / Skliar, M S / Nikonov, B I / Romanenko, V V / Smirnova, S S / Bobyleva, Z D / Leshchenko, I V / Samborskiĭ, E V / Turkov, S B / Klimusheva, N F / Boiarskiĭ, S N / Popov, V P / Baranova, S V / Amon, E P / Kozharskaia, G V / Syrochkina, M A / Bubnova, E M

Zhurnal mikrobiologii, epidemiologii i immunobiologii

2008 , Issue 2, Page(s) 107–110

Abstract: Data on organization of medical care during outbreak of Legionnaires' disease in July-August, 2007 in town Verkhnyaya Pyshma in Sverdlovsk region are presented. Special feature of this outbreak was spreading of infection in boundaries of the town with ... ...

Abstract	Data on organization of medical care during outbreak of Legionnaires' disease in July-August, 2007 in town Verkhnyaya Pyshma in Sverdlovsk region are presented. Special feature of this outbreak was spreading of infection in boundaries of the town with total population of 70,600 people. Results of organizational work of health authorities in order to provide timely and adequate medical care for patients with Legionnaires' disease on both outpatient and inpatient levels of care, conduction of preventive measures in foci of infection, coordination of interaction between different medical organizations and services are summarized in the article.
MeSH term(s)	Adult ; Child ; Child, Preschool ; Community-Acquired Infections/diagnosis ; Community-Acquired Infections/epidemiology ; Community-Acquired Infections/microbiology ; Disease Notification ; Disease Outbreaks ; Disinfection ; Hospitals, Urban/organization & administration ; Humans ; Legionella pneumophila/classification ; Legionella pneumophila/isolation & purification ; Legionnaires' Disease/diagnosis ; Legionnaires' Disease/epidemiology ; Quarantine ; Russia/epidemiology
Language	Russian
Publishing date	2008-04-10
Publishing country	Russia (Federation)
Document type	English Abstract ; Journal Article
ZDB-ID	218354-7
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
ISSN	0372-9311 ; 0049-8726 ; 0372-8714
Database	MEDical Literature Analysis and Retrieval System OnLINE

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