REMEDIUM

The healthcare sector is a complex and constantly evolving industry that requires a high level of skills, knowledge and expertise. Mentoring programs implemented in the medical field (both at the university and college levels and at the level of individual medical organizations) provide students with access to the professional experience, knowledge and wisdom of older, more experienced colleagues in order to be able not only to receive formal knowledge within the educational process, but also to receive advice and recommendations from reputable professionals. Mentoring programs in medical schools have positive results, including: They contribute to better career guidance and specialization of students, career planning, participation in scientific research, as well as contribute to better adaptation in the educational environment and reduce the associated stress.

Professional development of medical workers is an integral part of the professional development of doctors and nursing staff. Currently, initiatives are actively developing to introduce nutritional support services for patients in the postoperative period in inpatient medical organizations. The paper presents the basic aspects of the development and implementation of an educational program (advanced training program) for medical personnel on nutritional support.

The relevance of the management of a medical organization is determined by the need to improve public health systems, especially in terms of improving the ways of organizing and providing medical services at different levels of the system to meet population needs. The work examines the problems of managing a medical organization, developing and implementing long-term development plans, taking into account the changing external environment, existing opportunities, risks within the medical organization and external, including epidemiological and geopolitical.

Based on the results of the survey of SPCPU graduates, the peculiarities of professional adaptation of young specialists in the chemical-pharmaceutical industry were identified in terms of two factors: internal readiness of a young specialist for professional adaptation and external environment support aimed at the implementation of the adaptation process. It is concluded that, in general, the process of adaptation of young specialists at workplaces is quite successful. Most of them have no problems in finding employment in their speciality and are confidently established in organisations. The difficulties identified in the course of the study indicate the need for closer cooperation between higher education and industry.

This article presents an analysis of the state of the pharmacy business in the USSR during the Great Patriotic War in the period 1941–1942, characterized by difficulties in supplying the army and the civilian population with medicines, the loss of a huge number of pharmacy institutions and warehouses at the beginning of the war. As a result, the supply of a number of medicines for the front and rear was completely stopped. The features of the work of pharmacists in military hospitals, civilian institutions in the country and in Leningrad are considered separately. The wide use of medicinal plants to fill the shortage of raw materials in the manufacture of medicines is shown. The measures taken made it possible to minimize the shortcomings in the provision of medicines and dressings and made it possible for the pharmacy network to withstand the war.

Background. Currently, sufficient information has been accumulated the literature on the clinical effectiveness and safety of favipiravir in adult patients with COVID-19, including cases of its use in intensive care units and in comorbid patients. This article summarizes the latest published data from clinical studies, systematic reviews and meta-analyses, including data from real-life clinical practice. A number of studies have conducted a pharmacoeconomic evaluation of the use of favipiravir in adult patients with COVID-19. Objective. To evaluate pharmacoeconomic efficacy of the use of favipiravir in adult patients with non-severe forms of COVID-19 in a Russian hospital settings. Materials and methods. On the basis of the clinic of the Russian University of Medicine a non-interventional clinical study was performed, including 201 patients with mild COVID-19. Patients were divided into two groups: with favipiravir therapy or without it. Results. A reduction in hospitalization time by 2 days was demonstrated in patients with COVID-19 receiving favipiravir, which leads to the reduction in hospitalization costs for 1 patient in the amount of RUB 16,643.69. Conclusions. Thus, various data on the use of favipiravir for COVID-19 allow us to demonstrate pharmacoeconomic benefits, both in terms of budgetary savings and a positive impact on reducing the burden on the healthcare system and improving key medical statistics, including morbidity and mortality.

The outbreak of the rapidly spreading COVID-19 infection in December 2019 became a catalyst for significant transformations within the global healthcare system. This necessitated the reorganisation of specialised services to utilise available resources more effectively and to safeguard the safety of patients and medical staff. The diagnosis and treatment of cancer are processes that cannot be delayed, as doing so may result in irreversible detrimental outcomes. In light of this, oncology organisations, amidst complete uncertainty, advocated for the persistent treatment of cancer throughout this crisis with utmost diligence. The COVID-19 pandemic compelled oncologists to overhaul aspects of medical care at every stage, impacting all involved in the process. The aim of this article is to analyse and assess the methods of organising oncological care under pandemic conditions, including an examination of the safety measures and treatment method adaptations already implemented amidst total uncertainty. As the pandemic rapidly evolves, it will require constant updating and reforming of strategies and guidelines to ensure safe and high-quality medical care.

Introduction. The problem of hair loss affects different segments of the population, regardless of gender or age, and may be a consequence of diseases of various etiologies. Most patients with hair loss problems go directly to pharmacies, bypassing the doctor's office. A pharmaceutical worker becomes a key figure in the process of advising and informing patients on the appropriate choice and use of medicines, dietary supplements and cosmetic products in case of a problem. The aim of the work was to study the information and educational needs of specialists of pharmacy institutions of the Republic of Crimea, as well as their awareness of pharmaceutical counseling for pharmacy visitors suffering from hair loss (alopecia). Materials and methods. The assessment of the competence of pharmacy employees in dealing with hair loss problems through competent pharmaceutical counseling and providing information to patients was carried out using a questionnaire. The frequency of the respondents' choices of the response options was reflected through the compilation of distribution series for each question. Results. According to pharmaceutical workers, people aged 31 to 45 years old (45%) most often resort to help in a pharmacy. The most in demand are cosmetic products for topical use (47%), as well as dietary supplements and drugs for systemic use (38%). The analysis of the assortment of pharmacies revealed the predominance in the pharmaceutical market of cosmetics for scalp care and hair restoration (39.8%), dietary supplements (31.5%), as well as over-the-counter medicines (25.9%). The main causes of hair loss were stress conditions (18.1%), diseases of the gastrointestinal tract (14.6%), hormonal imbalance (17.7%), insufficient blood supply to hair follicles (15.4%). The majority of respondents answered in the affirmative to the question about their desire to improve their knowledge on the problem of alopecia, as they came to the conclusion that there was a lack of knowledge to fully advise pharmacy visitors in order to solve the problem of hair loss. Conclusion. The results of the analysis indicate the need for educational courses aimed at improving the skills of specialists of pharmacy institutions in competent pharmaceutical counseling of visitors with the problem of hair loss.

The article presents data on the results of a study of the level of knowledge of pharmaceutical specialists on issues related to counseling patients with skin burns in a pharmacy organization. Anonymous survey and online survey of 356 pharmaceutical specialists were conducted using methods of structural-logical analysis, content analysis, methods of generalization and grouping. 1% of surveyed pharmaceutical workers noted the need for further training on pharmaceutical counseling for skin burn injuries. The study revealed that pharmaceutical workers lack knowledge on the criteria for assessing burns and «threatening» symptoms that require medical attention. It was also found that pharmaceutical workers provide recommendations during counseling that are not included in modern clinical guidelines. The survey results indicate the need to increase the level of knowledge on pharmaceutical counseling for skin burn injuries among pharmaceutical specialists.

Between 70 and 95% of medical visits end with prescribing medicines, while almost 2 billion people worldwide do not have access to essential medicines. The presented work is aimed at studying the problems of drug deficiency and the task of reducing it within the framework of the Sustainable Development Goals, as well as the research activities of public organizations on reducing socio-economic inequality and access of the population and representatives of certain groups to medicines.