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CONTENTS
HEALTH AND SOCIETY
Mavlikayeva Yu.A., Podlouzhnaya M.Ya. Dynamics of general disability of adult population of Perm territory
and its prognosis ............................................................................................... 5
Orlova A.V. Epidemiology of road-traffic accidents in Chuvashia Republic.............................. 9
Farman A.N., Tsyboulkin A.P., Merkoulova L.M. The characteristics of
metabolic syndrome components in patients with type II diabetes mellitus
in Chuvashia Republic............................................14
Ishmouratova A.F., Anokhina A.V., Sadykova T.I. Prevalence of tooth-jaw anomalies in adolescents (according
to materials of Samara and Samara region).............................................18
Matveyev R.S., Yamashev I.G. Prevalence and zone dependence of tooth-jaw diseases in Chuvashiya............23
PROTECTION OF MATERNITY AND CHILDHOOD
Yakovleva T.V., Sorokina Z.Kh. The problems of regionalization of perinatal care in Russian Federation..........26
HEALTH CАRE SPECIALIZED SERVICES
Voropayeva L.A. Improvement of management of radial diagnostics modern technologies at cancer of a stomach.................30
Goryachev D.N., Moukhamedzhanova L.R. Dental diseases incidence among drug users and the ways
of decreasing it ......................................................................................................32
Sitdikova I.D., Ivanova M.K., Khlebnikova L.N., Vaziyev I.K., Matveyev D.E., Sitdikov A.R. Oncological risks
under the conditions of fuel and energy type of technogenesis...................................36
ORGANIZATION AND IMPROVRMRNT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH
Pavlovskaya O.G. Modernization of medico-social care system for disabled children in Orenburg region.......39
Sabirov
L.F., Spiridonov A.V. Competitive advantages of MSU clinical hospital
of the Ministry of Internal Affairs in RT..........43
Solodoukhina
D.P., Sidorov G.A. Social determinacy of patient’s behavior with chronic
internal disease in the system of medical care
................................................................................46
Mysyakov V.B. Work experience of remote advisory center with exit anesthesiology-resuscitation neonatal teams.................49
Vakhitov
Sh.M. , Urazova O.N., Blokhina M.V., Shaymardanov T.N. Management of
private clinics: issues of strategy and tactics
development............................ 52
QUALITY OF MEDICO-SOCIAL SECURITY OF THE POPULATION
Dunayev S.M. Clinical and economic analysis of treatment outcomes of adolescents according to protocol
ALL-IC-BFM-2002............................................................ 56
Nazipova A.Ya., Ismagilov M.F., Shulayev A.V., Sadykov M.N. Assessment of day hospital departments
efficiency as form of neurologic care organization................................................................... 59
Tarasova
Yu.G. Quality assessment of treatment of the inflammatory diseases of
parodentium in the dental clinics in the Udmurt
Republic............................................... 62
ECOLOGY AND HEALTH
Sergeyeva S.V., Yeliseyev Yu.Yu. Risk factors of iodine-deficiency states development
and their correction in the territory of the Saratov region............................ 66
Rashitov L.Z., Gallyamov A.B., Vakhitov Sh.M. Support of decision-making
on improvement of ecological situation in
megapolis....................................................................................
67
HEALTH WAYOF LIFE
Pogodina V.A. Status-role behavior of a doctor in forming a healthy way of life in a patient................ 72
REVIEWS
The third edition of textbook «Social health and health care», prepeared by academician of RAMS, professor
Yu.P. Lisitsyn and the leading expert in the sphere of Russian health care reform G.E. Uloumbekova.... 74
Dynamics of general disability of adult population of Perm territory and its prognosis
Yu.A. Mavlikay eva, M.Ya. Podlouzhnaya
Abstract. The information base on disability of adult
population in the region was analyzed, and the peculiarities of general
disability prevalence with consideration of age were determined.
Concluded that this index in children up to 18 years had a tendency to
decrease, there were its stabilization among adults of able-bodied age
and rapid increase among population of older age groups. The prognosis
on the quantity of disabled people in the region for the period until
2015 with the help of regression analysis method was carried out. It was
determined that when maintaining the existing tendencies there is a
prognosis of the
increase in the general quantity of disabled people in the krai because
of increase of their quantity in the retirement age. However, there is
no increase in the quantity of disabled people of able-bodied age.
Key words: disability, information base, dynamics, prognosis, regression analysis, adult population.
Epidemiology of road-traffic accidents in Chuvashia Republic
A.V. Orlova
Abstract. Death rate from road-traffic accidents (RTA) in the
territory of Chuvashia Republic is at the level of 23 cases per 100 000
population. Most traumatic twenty-four-hour period is from 4 till 9
p.m., maximum at 5–7 p.m. (from 10 to 13 cases per 100 000 population).
The emergency days of the week are Friday and Saturday. Second half of a
year (from May up to December) is characterized by increase of
traumatism. Among adults the most part of traumas occurs during the
autumn period (36%), among children — during the summer period (32%).
The main kind of RTA is hitting a pedestrian.
Key words: road-traffic accidents, death rate.
The characteristics of metabolic syndrome components in patients with type II diabetes mellitus in Chuvashia Republic
A.N. Farman, A.P. Tsyboulkin, L.M. Merkoulova
Abstract. The aim of the research was to study the frequency
and intensity of metabolic syndrome (MS) and its separate components in
patients with type II diabetes mellitus (DM) in Chuvashia Republic. The
prevalence of MS (diagnostics according to IDF 2005) among patients with
type II DM was higher in women (87,8%) comparing with men (58,8%). The
main component of MS was abdominal type of obesity in 93,9% of women and
67,6% of men. The increase in the intensity of abdominal type of
obesity was accompanied by the rapid increase of average values of
arterial blood pressure and the level of triglycerides. Arterial
hypertension was found in 89,9% of female and 67,7% of male patients
with type II DM.
Key words: type II DM, metabolic syndrome, obesity, arterial hypertension, dyslipidemia.
Prevalence of tooth-jaw anomalies in adolescents (according to materials of Samara and Samara region)
A.F. Ishmouratova, A.V. Anokhina, T.I. Sadykova
Abstract. Health of tooth-jaw system (TJS) in 659 adolescents
of 12—15 years old in Samara and Samara region was studied. 141
adolescents (21,4 cases from 100) with orthognathic occlusion without
tooth-jaw anomalies (TJA) were revealed. A group with neutrocclusion and
with TJA consisted of 287 persons (43,5±1,9 cases from 100); a group
with distal occlusion and TJA — 192 people (29,1±1,8 cases from 100),
including 16 (2,4±0,6 cases from 100) with compensated form of anomaly. A
group with mesial occlusion and TJA — 39 persons, or 5,9±0,9 cases from
100 examined ones, including 6 (0,9±0,4 cases from 100) with
compensated form. Orthodontic pathology was revealed in 78,6±1,6 cases
from 100 examined ones. Its prevalence made 104,4 cases to 100
adolescents of 12—15 years old. The main reason, why the patients didn’t
consult a doctor in time, was unwillingness to bear active apparatus
(52%). Third of adolescents (34,5 cases from 100) agreed that it was
necessary to take orthodontic treatment, but before our examination only
9 adolescents of 100, who required a treatment, were consulted by a
orthodontist.
Key words: tooth-jaw anomalies, tooth-jaw system, prevalence, adolescents.
Prevalence and zone dependence of tooth-jaw diseases in Chuvashiya
R.S. Matveyev, I.G. Yamashev
Abstract. The prevalence of the main groups of dental diseases
in Chuvashiya, taking into account age features and regional
(biogeochemical) conditions of residing, is considered. With this aim
558 natives of Chuvashia at the age of 15—20 years were examined. The
index «caries+filling» (CF) was defined and the functional state of
tooth-jaw system according to the frequency of occurrence of teeth
density, interdentium, type of maxillary overbite was estimated. It is
found out that the prevalence of the main dental diseases in the Chuvash
Republic has rather expressed regional peculiarities, that caused not
only by administrativeterritorial division and age of the examined, but
also by ecologic-biogeochemical conditions of residing, that should be
taken into account when carrying out the primary prophylaxis.
Key words: tooth-jaw system, biogeochemistry, prophylaxis.
The problems of regionalization of perinatal care in Russian Federation
T.V. Yakovleva, Z.Kh. Sorokina
Abstract. In order to analyze a quality and accessibility of
specialized medical care, the efficiency of three-level structure of
perinatal care service in the regions of RF by 2008 was studied. The
problems and regional differences, concerning: organization of work
process, provision of newborns intensive care units with beds, the state
of resources base and neonatological equipment in the institutions of
different functional level, united according to the principles of
centralization of care, were revealed.
Key words: perinatal centre, specialized medical care, model of regionalization, perinatal care.
Improvement of management of radial diagnostics modern technologies at cancer of a stomach
L.A. Voropayeva
Abstract. The modern algorithm of the diagnostics using radial
technologies at cancer of a stomach is designed. The results of the
complex study of 120 patients by means of advanced method of magnetic
resonance tomography (MRT), which allowes raising the efficiency of
early radial diagnostics of ulcerated cancer of stomach, are analyzed.
The estimation of diagnostic information of MRT procedures in examining
morphofunctional state of stomach is carried out.
Key words: cancer, stomach, radial diagnostics.
Dental diseases incidence among drug users and the ways of decreasing it
D.N. Goryachev, L.R. Moukhamedzhanova
Abstract. The data on the structure and the prevalence of
dental diseases among patients with chronic alcohol and opioid
dependence is presented. It is shown the prevalence of chronic
inflammatory periodontal diseases and chronic periodontitis, which
during the period of abstinence against the background of the deep
decline of the antimicrobial immune protection have a tendency to
aggravate. The possible causes of late diagnosis of chronic destructive
periodontal bone lesions are indicated. Medical and organizational ways
of preventing the aggravation of chronic infection are proposed.
Key words: dental diseases incidence, drug addiction, prevention of dental diseases.
Oncological risks under the conditions of fuel and energy type of technogenesis
I.D. Sitdikova, M.K. Ivanova, L.N. Khlebnikova, I.K. Vaziyev, D.E. Matveyev, A.R. Sitdikov
Abstract. The purpose of this paper is to evaluate the
oncological risks of malignant tumors development in the territory of
fuel-energy type of technogenesis in Udmurt Republic. There are
determined the main localizations of malignant tumors and sex-age
groups, for which the maximal values of indices are characteristic. The
maximal values of risk are calculated for prostate (OR 5,2), lip (ОR
4,8), ovaries (OR 4,1), esophagus (OR 3,9) tumors. High risk of
development of connective tissue tumors (ОR 8,3) is determined for young
able-bodied women of 20—29 years old, among men of the same age the
risk of lymphatic and hematopoietic tissue tumors (OR 3,8) is high.
Key words: fuel and energy technogenesis, oncological risk, prostate tumors.
Modernization of medico-social care system for disabled children in Orenburg region
O.G. Pavlovskaya
Abstract. Modern problems of organization of medico-social
care for disabled children in Orenburg region are discussed.
Medico-demographic situation, the peculiarities of health, the specific
medico-social needs of this contingent are discussed. The author’s
vision of organizational methods and management decisions in the sphere
of keeping and strengthening the health of disabled children; the ways
of strengthening the interdepartmental cooperation, the optimization of
medical support, taking into account the regional specifics, are
presented.
Key words: disabled children, medico-social care, interdepartmental cooperation.
Competitive advantages of MSU clinical hospital of the Ministry of Internal Affairs in RT
L.F. Sabirov, A.V. Spiridonov
Аbstract. In this article the organizational approaches to
management of treatment-and-prophylactic institution are revealed. The
importance of managing a human potential, the ways of planning and the
main tasks in work with personnel are shown. Analysis of personnel
management system in clinical hospital is presented. The authors
introduce with business-technology — coaching technology, which is new
for health care system.
Key words: personnel, state standard R ISO 9001-2008, strategy, personnel potential, motivation, management, coaching, system.
Social determinacy of patient’s behavior with chronic internal disease in the system of medical care
D.P. Solodoukhina, G.A.Sidorov
Abstract. The article gives the results of social studying the
problem of medical care for patients with chronic internal diseases.
The purpose of the research was to detect the social characteristics of
the patients with chronic internal diseases determining the behavior of
the patients in the system of medical service. The social-demographic
portrait of outpatient and the subjective selfassessment of patient’s
health are presented; the factors determining it are revealed; the
frequency of appealing for medical services
and satisfaction level of people with their quality, and also
expenditures associated with disease are analyzed. Improvement of
servicing the patients in medical institutions and at home taking into
account the revealed disadvantages, rendering the services meeting the
patients’ needs will allow to improve the quality of life and increase
survival rate of people with chronic diseases.
Key words: medical care, patients with chronic internal diseases, expenditures on health.
Work experience of remote advisory center with exit anesthesiology-resuscitation neonatal teams
V.B. Mysyakov
Abstract. In the article the work experience of remote
advisory center with exit neonatal teams on the basis of perinatal
center of the Penza regional children's hospital is analyzed.
Organizational-functional tasks of the center are considered in detail.
The algorithm of medical-evacuation actions among newborns is presented.
Key words: remote advisory center, exit neonatal teams, work experience.
Management of private clinics: issues of strategy and tactics development
Sh.M. Vakhitov , O.N. Urazova, M.V.Blokhina, T.N. Shaymardanov
Abstract. The purpose of the work is development of the basic
principles of formation and functioning of the management system of
private clinic. The article deals with the issues related to the
prospects of private clinics development in the national health care.
The authors have proposed a general scheme for formation of a chain of
actions aimed to create an effective system of management of private
clinic. The authors have described factors of their development,
identified strategic and tactical goals of operation. Article materials
can be used in the educational process of training and vocational
retraining of managers of health,
as well as in professional activities of managers of private clinics of various fields.
Key words: private clinic, management, development, prospects.
Clinical and economic analysis of treatment outcomes of adolescents according to protocol AL -IC -BFM -2002
S.M. Dunayev
Abstract. Modern therapy of oncohematologic diseases is one of
the expensive types of specialized medical care. Cliniceconomic
analysis of treatment of 22 adolescents with acute lymphoblastic
leukemia according to protocol ALL-IC-BFM-2002 has shown the medical
(five-year survival rate is 0,78±0,05), the economic (expenses on one
year of saved life of high quality is in 15,6 times less than the gross
domestic product) and the social (the survived patients will cover the
expenses of society on their treatment in 1,7 times) efficiency of this
medical technology.
Key words: adolescents, acute lymphoblastic leukemia, protocol ALL-IC-BFM-2002, survival rate, quality of life.
Assessment of day hospital departments efficiency as form of neurologic care organization
A.Ya. Nazipova, M.F. Ismagilov, A.V. Shulayev, M.N. Sadykov
Abstract. The article presents the results of study of
medical, social and economic efficiency of neurologic patients treatment
in day department of multifield clinical hospital. The efficiency of
activity of day hospital department and twenty-four-hour neurologic
department is compared.
Key words: day hospital departments, neurologic disease, efficiency of treatment.
Quality assessment of treatment of the inflammatory diseases of parodentium in the dental clinics in the Udmurt Republic
Yu.G. Tarasova
Abstract. The dental service reformation supposes the
development of the three-level system of the dental health service
organization for patients with the inflammatory diseases of parodentium
tissues. The expert assessment of 100 medical cards of the patients
suffering from the parodentium diseases in the different municipal
dental clinics of the Udmurt Republic has revealed the low indices of
quality of their treatment.
Key words: inflammatory diseases of the parodentium tissues, quality of treatment, the Udmurt Republic.
Risk factors of iodine-deficiency states development and their correction in the territory of the Saratov region
S.V. Sergeyeva, Yu.Yu. Yeliseyev
Abstract. The research has revealed, that besides the
biochemical influence of environment, the risk factors for the pathology
formation of children in infancy and generations are: genetic depending
diseases, somatic and infectious diseases, mother’s health status, her
nutrition before and after pregnancy, feeding of children during the
first year of their life. The analysis of nutrition quality of
population in the region has revealed the breach of principles of
rational nutrition: imbalance in intake of fats, low level of intake of
animal proteins, shortage of vegetables and fruits, dependence of it on
season, that serves as a main cause of polymicroelementosis in
combination with hypovitaminosis, which, in their turn, are the leading
risk factors for thyroid gland diseases development. The formation of
iodine-deficiency state in children population in the region is traced
particularly. The development scheme of risk formation for health of
population has allowed to establish the mechanisms and to determine a
spectrum of preventive trends.
Key words: iodine-deficiency, factor, risk, endemicity, correction.
Support of decision-making on improvement of ecological situation in megapolis
L.Z. Rashitov, A.B. Gallyamov, Sh.M. Vakhitov
Abstract. Assessment of any phenomenon with parameter as a
method of analysis is considered as an inadequate by many researchers.
However, in practice such monoassessment is widely used because of its
simplicity for using. For example it is used for assessment of air
pollution with different substances, such as benzopyrene (BP). The
technique of complex assessment using 3 parameters is described in this
article: BP concentration in different areas air, ratio of air pollution
indices, dynamics of pollution index for several years. This technique
can be used for assessment of environment air pollution with various
other substances.
Key words: air, benzopyrene, area ranking.
Status-role behavior of a doctor in forming a healthy way of life in a patient
V.A. Pogodina
Abstract. By questionnaire method the status-role actions of a
doctor at the age of 28—60 years in relation to a patient in
realization of healthy way of life are studied. In this study the
doctors of two polyclinics and one city hospital of Novosibirsk took
part. The questionnaire included the main blocks of questions,
concerning doctor’s behavior in the context of forming in patients a
striving for healthy way of life. The data obtained during poll has
allowed to formulate a conclusion that the solution of a problem of
healthy way of life in patients depends on doctor’s professional skills
and his responsibility for a patient’s health, observance
of rules of contact with the patient.
Key words: healthy way of life, status-role behavior of a doctor.
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