http://localhost:8080/xmlui/handle/123456789/442 2026-05-03T05:02:17Z http://localhost:8080/xmlui/handle/123456789/452 Contemporary Methods of Treatment for Palmoplantar Psoriasis: A Literature Review Aliyeva, R.K.; Iztleuova, G.M.; Kalakeshova, A.A.; Shaimanova, A.K.; Aimagambetova, A.K. According to recent studies, psoriasis is a genetically determined multifactorial chronic disease primarily affecting the skin, characterized by hyperproliferation and impaired differentiation of epidermal keratinocytes, as well as changes in immune homeostasis leading to the formation of cytokines and mediators. These mediators enhance the proliferation of abnormal keratinocytes and induce an inflammatory response in the dermis. Recently, due to new insights into the pathogenesis of the disease and the emergence of advanced treatments, such as biological therapy, it has become important to understand concomitant diseases. Palmoplantar psoriasis holds a special place among all known clinical forms of psoriasis. It is known that this form of psoriasis is resistant to conventional treatments. This study provides current information on the treatment of palmoplantar psoriasis, considering both local and systemic treatment options. Modern methods and current recommendations for the treatment of psoriasis are discussed. All forms of psoriasis, including palmoplantar pustular psoriasis, significantly worsen patients' quality of life. Patients are often limited in their professional activities, daily life, and relationships with colleagues and relatives. The "Dermatological Quality of Life Index" indicates a high degree of impact of palmoplantar psoriasis on patients' social activity. Modern treatments aim to improve skin condition, prolong remission, and thereby enhance patients' quality of life. Psoriasis is one of the leading chronic recurrent dermatoses. In developed countries, psoriasis affects 1.5-3% to 5-7% of the population, depending on geographical location. The psoriatic process has a chronic, relapsing nature. Remissions can be long, lasting from several months to decades, but in some patients, remission does not occur at all. The prognosis for life with psoriasis is most often favorable. According to recent studies, psoriasis is a genetically determined multifactorial chronic disease primarily affecting the skin, characterized by hyperproliferation and impaired differentiation of epidermal keratinocytes, as well as changes in immune homeostasis leading to the formation of cytokines and mediators. These mediators enhance the proliferation of abnormal keratinocytes and induce an inflammatory response in the dermis. Recently, due to new insights into the pathogenesis of the disease and the emergence of advanced treatments, such as biological therapy, it has become important to understand concomitant diseases. Palmoplantar psoriasis holds a special place among all known clinical forms of psoriasis. It is known that this form of psoriasis is resistant to conventional treatments. This study provides current information on the treatment of palmoplantar psoriasis, considering both local and systemic treatment options. Modern methods and current recommendations for the treatment of psoriasis are discussed. All forms of psoriasis, including palmoplantar pustular psoriasis, significantly worsen patients' quality of life. Patients are often limited in their professional activities, daily life, and relationships with colleagues and relatives. The "Dermatological Quality of Life Index" indicates a high degree of impact of palmoplantar psoriasis on patients' social activity. Modern treatments aim to improve skin condition, prolong remission, and thereby enhance patients' quality of life. Psoriasis is one of the leading chronic recurrent dermatoses. In developed countries, psoriasis affects 1.5-3% to 5-7% of the population, depending on geographical location. The psoriatic process has a chronic, relapsing nature. Remissions can be long, lasting from several months to decades, but in some patients, remission does not occur at all. The prognosis for life with psoriasis is most often favorable. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/451 Мейіргер ісін жетілдіру орталығының қалыптасуы Курганбекова, М.Б.; Таушанова, М.К.; Турдалина, К.Б.; Достанова, Ж.А. ісін жетілдіру орталығының қалыптасуы сипатталған. Осы даму барысында халықаралық стандарттарға сәйкес денсаулық сақтау жүйесінің мақсатты салаларына қол жеткізілген. «Денсаулық сақтауды реформалау арқылы мейіргер ісінің жоғары білім беруінің әлеуеттілігін арттыру» жобасы мейіргерлік іс саласында болып жатқан өзгерістерді қолдау мақсатында ойластырылған. Қазақстанның денсаулық сақтау саласында мейіргерлік тәжірибені дамытуға, денсаулық сақтау саласындағы мейіргер ісі бойынша ғылыми-зерттеу қызметін дамытуда медициналық ЖОО-дың рөлін, Қазақстанның денсаулық сақтау мейіргер ісінде көшбасшылықты және басқару жүйесін дамытуға, жоғары білім беру жүйесінде мейіргер ісін магистратура және PhD докторантура деңгейінде жетілдіруге бағытталған. ісін жетілдіру орталығының қалыптасуы сипатталған. Осы даму барысында халықаралық стандарттарға сәйкес денсаулық сақтау жүйесінің мақсатты салаларына қол жеткізілген. «Денсаулық сақтауды реформалау арқылы мейіргер ісінің жоғары білім беруінің әлеуеттілігін арттыру» жобасы мейіргерлік іс саласында болып жатқан өзгерістерді қолдау мақсатында ойластырылған. Қазақстанның денсаулық сақтау саласында мейіргерлік тәжірибені дамытуға, денсаулық сақтау саласындағы мейіргер ісі бойынша ғылыми-зерттеу қызметін дамытуда медициналық ЖОО-дың рөлін, Қазақстанның денсаулық сақтау мейіргер ісінде көшбасшылықты және басқару жүйесін дамытуға, жоғары білім беру жүйесінде мейіргер ісін магистратура және PhD докторантура деңгейінде жетілдіруге бағытталған. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/450 Ассоциация медицинских сестер России: тридцать лет во имя профессии Саркисова, В.А. Более 30 лет назад в России была создана общественная организация специалистов сестринского дела – Ассоциация медицинских сестер России. Объединив за многие годы работы более 155 тысяч специалистов, Ассоциация реализует многочисленные программы в сфере непрерывного медицинского образования, профессионального развития, укрепления имиджа и статуса профессии. Ассоциация принимает участие в выработке важнейших решений в сфере практики, регулирования, управления профессией, работая в тесном взаимодействии с Министерством здравоохранения Российской Федерации. В настоящей статье приведены основные вехи развития профессиональной организации, приоритетные направления ее работы на современном этапе, примеры отдельных проектов Ассоциации и специалистов в поддержку практики, своей профессии и Российского здравоохранения. Более 30 лет назад в России была создана общественная организация специалистов сестринского дела – Ассоциация медицинских сестер России. Объединив за многие годы работы более 155 тысяч специалистов, Ассоциация реализует многочисленные программы в сфере непрерывного медицинского образования, профессионального развития, укрепления имиджа и статуса профессии. Ассоциация принимает участие в выработке важнейших решений в сфере практики, регулирования, управления профессией, работая в тесном взаимодействии с Министерством здравоохранения Российской Федерации. В настоящей статье приведены основные вехи развития профессиональной организации, приоритетные направления ее работы на современном этапе, примеры отдельных проектов Ассоциации и специалистов в поддержку практики, своей профессии и Российского здравоохранения. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/449 Nursing Staff Perceptions of Working Conditions in Pavlodar Maxudova, M.Kh.; Barlykova, G.B.; Ospanova, D.А.; Ussebayeva, N.Zh.; Yermukhanova, L.S.; Dostanova, Zh.A.; Kurganbekova, M.B. work and, subsequently, the quality of the provided nursing care. Factors influencing nurses’ job satisfaction include payment for work, workplace conditions, relationships in the team, and career opportunities. Purpose. This study aims to assess the level of job satisfaction among nurses with regard to their working conditions. Methods. A survey was conducted among 89 nurses in Pavlodar to assess their satisfaction with working conditions. Results. Four main factors influencing the degree of job satisfaction were identified: organization of work, salary, career prospects, and relationships in the team. The most significant source of dissatisfaction was the level of salary. Specifically, 43.3% of nurses were dissatisfied with their working conditions. Additionally, 42.7% of respondents expressed confidence in the future and financial stability of their profession. Only 24.7% of nurses were satisfied with their salary, which they felt fully corresponded to their contribution to work. Regarding career development, 50% of respondents were satisfied, while 40% were dissatisfied with the existing prospects. As for relationships between employees in the medical organization, a similar situation was observed: half of the respondents were satisfied with the current level of relationships, and 40% were dissatisfied. Conclusion. Job satisfaction depends on many factors that ultimately affect the quality of nursing care. Thus, it is important to create favorable working conditions to improve the quality of nursing care provided to the general public. work and, subsequently, the quality of the provided nursing care. Factors influencing nurses’ job satisfaction include payment for work, workplace conditions, relationships in the team, and career opportunities. Purpose. This study aims to assess the level of job satisfaction among nurses with regard to their working conditions. Methods. A survey was conducted among 89 nurses in Pavlodar to assess their satisfaction with working conditions. Results. Four main factors influencing the degree of job satisfaction were identified: organization of work, salary, career prospects, and relationships in the team. The most significant source of dissatisfaction was the level of salary. Specifically, 43.3% of nurses were dissatisfied with their working conditions. Additionally, 42.7% of respondents expressed confidence in the future and financial stability of their profession. Only 24.7% of nurses were satisfied with their salary, which they felt fully corresponded to their contribution to work. Regarding career development, 50% of respondents were satisfied, while 40% were dissatisfied with the existing prospects. As for relationships between employees in the medical organization, a similar situation was observed: half of the respondents were satisfied with the current level of relationships, and 40% were dissatisfied. Conclusion. Job satisfaction depends on many factors that ultimately affect the quality of nursing care. Thus, it is important to create favorable working conditions to improve the quality of nursing care provided to the general public. 2024-01-01T00:00:00Z