Over the past two decades scientific and practical research and developments by Russian laboratory medicine specialists have been shown evolutionary and revolutionary achievements in the field of male infertility (MI) diagnostic technologies. Todays the current national guidelines contain information on laboratory research methods which should be reviewed and updated considering a key opinion leader of laboratory medicine. Review contains a detailed analysis of the clinical recommendations of the Ministry of Health of Russian Federation, the standard of medical care, GOST R ISO 23162–2023 and other normative legal documents which based on the algorithm of laboratory evaluation a cause of MI in ejaculate samples.
Clinical cytology is an important component of diagnostic medicine. The purpose is to detect pathological changes at the cellular level. about 3,500 specialists with both higher medical and non-medical education perform cytological studies in our country. Today it is obvious that the growing practical needs of the quantity and quality of cytological studies predetermine the need to optimize the cytological service in Russia. To improve cytological diagnostics in Russia a draft professional standard (PS) “Doctor-clinical cytologist” was developed and submitted for public discussion. The article presents the analysis of the draft PS with an objective argumentation of the prematurity and unreasonableness of the adoption and the need for its substantial revision.
Most sexually transmitted infections (STIs) do not cause significant problems in the carrier, as a result the infection is transmitted easily to a sexual partner and may remain unrecognized with serious consequences for male reproductive health. Currently, the rapidest and most accurate method of STIs diagnosis is a molecular genetic analyses (MGA) for detection of DNA pathogens. The results of MGA do not depend on the cultural properties and morphological characteristics of the microorganism. Non-cultural methods based on a multiplex polymerase chain reaction in real time (PCR-RT) are becoming as a trend in modern laboratory medicine for identifying genes associated with antibiotic resistance. This approach can reduce turnaround time (ТАТ) for the male health benefit in time.
The doctor is a way of life, which includes monitoring and correction of them-self presentation continuously. The physician is one of the socially significant and language-active professions. The language activity of doctors in the Internet is determined by their consciousness and communicative behavior in various genres of social media – a blog, a forum, a social network, a personal website, etc. Evidence indicates that electronic communication can improve health outcomes, for example by promoting professional development, emphasizing self-presentation, and also highlighting linguistic personality of physicians, which is based on verbal-non-verbal behavior. However, discussion of the dangers of these technologies in medicine has overshadowed the consideration of positive applications. Online communication has introduced profound questions about confidentiality, professionalism, and other issues of ethical and legal regulation for healthcare professionals. Understanding that will help to avoid mistakes, thereby maintaining a high level of the doctor's professional image.
