Laboratory and Clinical Medicine. Pharmacy

Scientific and practical quarterly peer-reviewed journal

 

ISSN 2712-9330 (Online)

VOL 2, No. 4 (2022)

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    Economics and Management in Medicine and Pharmacy

  • ORGANIZATION OF THE ACTIVITY OF THE PATHOLOGY DEPARTMENT WITHIN THE FRAMEWORK OF THE ROSATOM PRODUCTION SYSTEM

    • Pages: 8-12
    • Views: 289
    Optimization of the activity of the pathology and anatomical department and standardization of pathology and anatomical studies is a priority task due to the high shortage of staffing, increased volume of work performed, the need to save consumables in conditions of limited financing of the industry.
  • MANAGERIAL PROFESSIONALISM OF A PHARMACY’S MANAGER: THE CRITERIA OF EFFECTIVENESS

    • Pages: 13-19
    • Views: 292
    The methodological and practical foundations of forming a pharmacy’s manager managerial professionalism are presented. The relevance of research is substantiated, and the historical aspects of the origin of the institute of management in the context of managerial revolutions are analyzed.
    The activity of a pharmacy’s manager as a significant participant in the socially significant activity of an organization providing pharmaceutical care is analyzed. The degree of the manager’s compliance with the requirements imposed on him is different. The qualitatively determined degrees of the manager’s compliance with the requirements of professional activity are the levels of his professionalism. Two levels of professionalism are defined: the level of solving managerial tasks, which are algorithmized activities, which a manager can solve using management technologies known to him; and the level of solving managerial, non-programmed problems, and the possibility of solving them using standard technologies is difficult.
    The author emphasizes the need for a rational approach based on the allocation of meaningful parameters of the manager’s activity. It is proved that the competence approach is a methodological basis for designing the models of professionalism. The structure of the competence library for assessing the level of professionalism of the pharmacy’s manager is presented, including the clusters of competencies, the levels of competence development, and the indicators of behavior from ‘outstanding’ to ‘unsatisfactory’.
    The author proposes the criteria for the level of a manager’s effectiveness, suitable for their expression in quantitative indicators, and the tools for organizational development, that is managerial and career competencies.
  • Original Articles

  • MULTIFACTOR ESTIMATION OF SEROPREVALENCE TO SARS-CОV-2 AMONG RESIDENTS OF THE MOSCOW REGION IN PODOLSK DISTRICT DURING THE COVID-19 EPIDEMIC PERIOD

    • Pages: 20-32
    • Views: 327

    Objectives was to measure the level and to identify the structure of SARS-CоV-2 seroprevalence among residents of Podolsk district in Moscow Region during the COVID-19 epidemic period.
    Methods. The study was conducted between February and July 2022. Study participants were 312 volunteers from Podolsk city Moscow Region aged 6 – 80 years. A total of 312 volunteers were ranged in to five groups depending on a COVID-status (CoV-ST): group 1 – non-vaccinated-recovered, nV-Recover, 106 people; group 2 – vaccinated-non-contact, V-nC, 32 people; group 3 – recovered-then vaccinated (hybrid), R-V (hybrid), 104 people; group 4 – vaccinated-then contacted-recovered, V-R, 68 people; group 5 – non-vaccinated-non-contact, V-nC, 2 people. The amount of antibodies to SARS-CoV-2 was measured with an quantitative enzyme-linked immunosorbent assay (ELISA) kit for human blood serum tests for detecting a specific immunoglobulin G (IgG) antibodies to RBD S-protein SARS-CoV-2 (anti-IgG RBD S-protein SARS-CoV-2) with resulting a BAU “binding antibody units”. The statistical processed an GraphPad Prism software (version 8.0.1) and Excel statistical package Microsoft? Excel? for Microsoft 365 MSO (verse 2201 16.0.14827.20158). The Pearson’s rank correlation coefficient of parametric measure, descriptive statistics, Wilcoxon test for non-parametric statistics have been performed.
    Results. While two (2/312 = 1 %) serum samples from volunteers of group 5 were negative in anti-IgG to RBD S-protein SARS-CoV-2, the three hundred ten (310/312 = 99 %) serum samples from volunteers of group 1 – 4 were positive demonstrating the level of anti-IgG to RBD S-protein SARS-CoV-2 from 19.3 to 42.510 BAU/ml (in average 3.827 BAU/ml, median 1.990 BAU/ml, р < 0.0001). The proportion of total structure of seroprevalence which presented by 89.7 % (278/310 = 89.7 %), 65.8 % (204/310 = 65.8 %) and 55.5 % (172/310 = 55.5 %) cases respectively was introduced by ill-induced, vaccine-induced, and mixed seroprevalences from groups 1, 3 and 4; 2, 3 and 4; 3 and 4 respectively. Blood serum from 87 (87/104 = 28.1 %) seropositive volunteers of group 3 presented by level of IgG antibodies to RBD S-protein SARS-CoV-2 ranged from 500 to 42.510 BAU/ml as well as a direct-moderate correlation between COVID-19-confirmation and volunteer’s history was noted (r = 0.4, р < 0.0001).
    Conclusion. A high, a highest and hyperimmune response to SARS-CoV-2 which was prevailed in volunteers with CoV-ST R-V (hybrid) and was detected from 500 to > 26.000 BAU/ml reaching a maximum of 42.510 BAU/ml. These data can reflect a high level of seroconversion among a particular district of Moscow region. In groups 1 – 4 were not diagnostic significance between factors such as gender, age, severity of disease, fact and vaccination shots, vaccine manufacturing technology, time elapsed since disease and level of protective antibodies due to poorly direct or inverse correlation (r = – 0.3, p < 0.0001; r = – 0.2, p < 0.0001; r = 0.3, p < 0.0001).

  • Clinical Case

  • GENETIC CHIMERISM IN MYELOPROLIFERATIVE NEOPLASMS: CLINICAL CASE OF COEXISTENCE OF JAK2V617F MUTATION AND BCR-ABL TRANSLOCATION

    • Pages: 33-36
    • Views: 2766
    Essentialy, the diagnostics feature of myeloproliferative neoplasms (MPNs) is a genetic mutations. While bcr-abl translocation belongs to CML, Jak2V617F mutation is commonly associated with other MPNs. The recent decade has been clarified a data when a human blood presents bcr-abl translocation and Jak2V617F mutation both. This clinical case reports of bcr-abl translocation and Jak2V617F mutation when they were detected simultaneously by polymerase chain reaction (PCR) in a patient with myeloproliferative neoplasm, unclassifiable (MPN-U).
  • CASE OF PAROXYSMAL NOCTURNAL HEMOGLOBINURIA. PROBLEMS OF LABORATORY DIAGNOSTICS

    • Pages: 37-50
    • Views: 322
    The presented case demonstrates the importance of a comprehensive analysis of all the examination data in a patient with paroxysmal nocturnal hemoglobinuria (PNH). A comparison was made of anamnesis data, the clinical picture of the disease, the results of biochemical blood analysis and hematological analyzer data with morphological assessment of cells in a stained blood smear. The interest of this case for hematologists and laboratory specialists is due to the rarity of this disease, difficulties in diagnostics, the presence of 2 types of hemolysis, features of morphological changes in peripheral blood erythrocytes, as well as analysis of the dynamics of manifestations, including against the background of targeted therapy of PNH.
  • Abstract Reviews

  • THE PULMONARY MICROBIOME AS A RISK FACTOR FOR LUNG CANCER DEVELOPMENT AND PROGRESSION. REVIEW

    • Pages: 51-58
    • Views: 357
    Lung cancer, being one of the leading causes of mortality among cancer patients, is a global medical and social problem. The number of studies devoted to the etiology, molecular pathology and methods of early detection of lung neoplasms has been steadily increasing. Recently, the great efforts are made to search for alternative methods of diagnosis, therapy and prevention of neoplasms of the respiratory system. So the study of the influence of the quantitative and qualitative microbiome characteristics on the growth and tumor development has become increasingly relevant. This review is devoted to the association between the composition of the pulmonary microbiome and the development of malignant neoplasms of the lungs. We used the analysis of the available literature data to perform this review.