Sadykova T.I. Scientific and practical contribution to the healthcare system and development of the continuous medical education system (To the 90th anniversary of public health, economics and healthcare management sub-faculty of Kazan State Medical Academy).................................................................5
HEALTH AND SOCIETY
Kuzmin S.A., Tsibikova Z.V., Solodovnikov V.V., Vakhitov E.M. Comparative estimation of health indexes among draftees and citizens, enlisting in the army by contract (after the example of the Orenburg area).........................................12
Agayeva K.F., Gadzhizade S.A. Modern characteristic of anthropometrical indicators of students of Azerbaijan State Marine Academy..............................................................................................15
HEALTH OF ECONOMICALLY ACTIVE POPULATION
Gimaeva Z.F., Karimova L.K., Gizatullina D.F., Galimova R.R., Beigul N.A. The impact of harmful factors on the prevalence of chronic non-communicable diseases at repairmen of petrochemical plants, preventive measures......................19
INFORMATION SUPPORT OF HEALTH CARE
Suslov D.N., Rozhkov N.N., Matveeva A.V. Ways to improve the structure of medical and economic standards based on mathematical modeling.......................................................................26
ORGANIZATION AND IMPROVEMENT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH
Egiazaryan K.A., Cherkasov S.N., Attaeva L.Zh. Monitoring of the implementation of the state policy in the field of industrial injuries’ prevention.....................................................................31
Urazmanov A.R., Zhaboeva S.L., Radchenko O.R. Algorithm of new technologies implementation and development of the indicators-system for the assessment of the private medical institution’s activity.........................................................36
Perepelkina N.Yu., Gilmutdinov R.G., Zakharova I.V., Kalinina E.A. The modern aspects of transfusion of blood components (after the results of the survey of health workers of healthcare institutions of the Orenburg region)..................39
Dinmukhametov A.G. Need of healthcare institutions at emergency situations in chemical sites.............................................44
Makarov V.Yu., Shilnikova N.F. Determination of the need for the third stage of medical rehabilitation at the level of RF subject...............................................................................................................47
QUALITY OF MEDICO-SOCIAL SECURITY OF THE POPULATION
Bebchuk M.A. Healthcare quality management at children with mental and behavioral disorders.............................................51
Timerzyanov M.I., Valiev F.V. Life and health quality assessment under the medical, social, sanitary and hygienic employment terms and food of the convicts serving the sentence in correctional colonies in the territory of Tatarstan Republic..................................................................58
ECOLOGY AND HEALTH
Ziatdinov V.B., Badamshina G.G., Zaripova A.Z., Isaeva G.Sh., Vakatova L.V. Epidemiological and microbiological characteristics of air contamination in healthcare institutions.................................................................................................66
MEMORABLE DATES
Sadykova T.I. To the anniversary of Professor D.Ju. Karimova, Honored Doctor of the Russian Federation.............................71
SCIENTIFIC AND PRACTICAL CONTRIBUTION TO THE HEALTHCARE SYSTEM AND DEVELOPMENT OF THE CONTINUOUS MEDICAL EDUCATION SYSTEM
(To the 90th anniversary of public health, economics and healthcare management sub-faculty of Kazan State Medical Academy)
Tamara I. Sadykova, Doctor of Medical Sciences, Professor, Head of public health, economics and health care management department of Kazan State Medical Academy [420012 Kazan, Butlerov str., 36;
]
Abstract. The article shows the 90-years path of public health, economics and healthcare management sub-faculty development of Kazan State Medical Academy, one of the leading specialized sub-faculties of additional education of Russian healthcare system managers. Role of N.A. Semashko in its formation, activities of heads of sub-faculty Professors M.A. Dykhno, T.D. Epstein, B.S. Ginzburg, E.M. Barkman, Associate Professors V.I. Emdin, Ya.I. Tarnopolsky, Professor I.G. Nizamov are presented.
Key words: health officials, additional education, public health and health care, the economically active population.
COMPARATIVE ESTIMATION OF HEALTH INDEXES AMONG DRAFTEES AND CITIZENS, ENLISTING IN THE ARMY BY CONTRACT (after the example of the Orenburg area)
Sergey A. Kuzmin, Doctor of Medical Sciences, Associate Professor, Chairman of the Military Medical Commission of FSI «Military Commissariat of the Orenburg region», Professor of disaster medicine sub-faculty of SBEI HPE «Orenburg State Medical Academy» [460000 Orenburg, Kirov str., 28; kuzmin.sergey.58 @ yandex.ru]
Zoya V. Tsibikova, Postgraduate student of public health and health protection sub-faculty of SBEI HPE «Orenburg State Medical Academy» [460000 Orenburg, Sovetskaya str., 6; zoya_ts @ list.ru]
Vitaly V. Solodovnikov, Candidate of Medical Sciences, Associate Professor of disaster medicine sub-faculty of SBEI HPE «Orenburg State Medical Academy» [460000 Orenburg, Sovetskaya str., 6]
Eduard M. Vakhitov, Candidate of Medical Science, associate professor of disaster medicine sub-faculty of SBEI HPE «Orenburg State Medical University» [460000 Orenburg, Sovetskaya str., 6]
Abstract. The aim of the study was a comparative assessment of health outcomes among citizens, conscripts and citizens entering military service on voluntary basis (by contract). It was found that indicator of fitness for military service was increased from 66,63% in 2006 to 74,38% in 2015 in the Orenburg region during the ten years under study. At the same time, the number of citizens between 18 years old and 27 years old fit for military service due to health has decreased from 25 222 people in 2006 to 14 836 people in 2015. In general, the reduction in the number of recruits has been seen to 49,1% over the past ten years. A similar situation was observed in other regions of the Russian Federation. 61 237 people were called out for military service during the period of 2006—2015 in the Orenburg region. 39,16% of A» category (fit for military service) and 60,84% of «B» category (fit for military service with minor restrictions) were behind them. 10 740 people were recognized fit for military service for health under the contract (77,76% of «A» category and 22,24% of «B» category).
Key words: military service, recruit, contract servicemen.
MODERN CHARACTERISTIC OF ANTHROPOMETRICAL INDICATORS OF STUDENTS OF AZERBAIJAN STATE MARINE ACADEMY
Kamalyа F. Agayeva, Candidate of Medical Sciences, assistant of social hygiene and healthcare management sub-faculty of A. Aliyev Azerbaijan Physicians’ Continuing Education Institute [AZ1022 Baku, Tbilissky Ave., quar. 3165; а
]
Simuzer A. Gadzhizade, Medical statistician, JSC «Azerbaijani Railroads», Baku Railway policlinic № 1, the author of dissertation of social hygiene and healthcare management sub-faculty of A. Aliyev Azerbaijan Physicians’ Continuing Education Institute [Baku, Faig Jusufov str., 26]
Abstract. The article shows the study results of anthropometrical indicators of students of Azerbaijan State Marine Academy (ASMA). Anthropometrical researches were conducted during preventive examinations of students of ASMA (98 first-year students and 76 students of the fourth year). Anthropometrical measurements were taken by a standard technique. The prevailing most of students [(69,4±4,66)% of the first year, (42,1± 5,66)% of the fourth year] had an index of body weight within norm (<25,0 kg/m²). The excess body weight (≥25,0 kg/m²) was noted at (29,6±4,61)% of students of the first year and at (57,9±5,66)% of students of the fourth year. The number of persons with excess body weight was increased up to two times (р<0,05) among students in the course of study within four years. Abdominal obesity (a circle of waist ?102 cm) was observed at (11,2±3,19)% of first-year students. Abdominal obesity was revealed significantly more often [(30,3±5,27)%; р<0,01] among students of the fourth year. As a result, anthropometrical indicators of students of the Azerbaijan State Marine Academy significantly change during education, generally with positive tendencies except for body weight index. The frequency of excess body weight increases twice and the frequency of abdominal obesity increases up to 3 times at students of the fourth year in comparison with first-year students.
Key words: anthropometrical indicators, students of Marine Academy, excess body weight.
THE IMPACT OF HARMFUL FACTORS ON THE PREVALENCE OF CHRONIC NON-COMMUNICABLE DISEASES AT REPAIRMEN OF PETROCHEMICAL PLANTS, PREVENTIVE MEASURES
Zulfia F. Gimaeva, Candidate of Medical Sciences, Associate Professor of clinical pharmacology and therapy sub-faculty of Bashkir State Medical University [450000 Ufa, Lenin str., 3;
]
Lilia K. Karimova, Doctor of Medical Sciences, Professor; Chief Researcher of Ufa Research Institute of Occupational Medicine and Human Ecology [450106 Ufa, Stepan Kuvykin str., 94;
]
Dina F. Gizatullina, Candidate of Medical Sciences, physician of the neurology department of occupational pathology clinic of Ufa Research Institute of Occupational Medicine and Human Ecology [450106 Ufa, Stepan Kuvykin str., 94]
Rasima R. Galimova, Candidate of Medical Sciences, Senior Researcher of Ufa Institute of Occupational Medicine and Human Ecology [450106 Ufa, Stepan Kuvykin str., 94]
Natalia A. Beigul, Candidate of Medical Sciences, Associate Professor, Senior Researcher of Ufa Research Institute of Occupational Medicine and Human Ecology [450106 Ufa, Stepan Kuvykin str., 94]
Abstract. The working conditions and the specific features of the formation of chronic non-communicable diseases were examined at repairmen. During the study, the authors accepted the hypothesis that working conditions affected the prevalence of individual types of chronic non-communicable diseases of repairmen: diseases of the musculoskeletal system, circulatory system, respiratory system and digestive system. Developed medical and preventive recommendations aimed at preserving and improving the health of workers disability.
WAYS TO IMPROVE THE STRUCTURE OF MEDICAL AND ECONOMIC STANDARDS BASED ON MATHEMATICAL MODELING
Dmitriy N. Suslov, Candidate of Medical Sciences, head of the invasive technologies’ laboratory of I.P. Pavlov Saint Petersburg First State Medical University [197022 Saint Petersburg, Lev Tolstoy str., 6/8;
]
Nikolay N. Rozhkov, Doctor of Engineering Science, Professor of mathematics sub-faculty of Saint Petersburg Industrial Technologies and Design State University [191186 Saint Petersburg, B. Morskaya str., 18;
]
Anastasia V. Matveeva, Postgraduate student of mathematics sub-faculty of Saint Petersburg Industrial Technologies and Design State University [191186 Saint Petersburg, B. Morskaya str., 18;
]
Abstract. The subject of the research were regional medical and economic standards (MES), applied to patients after solid organs transplantation (liver or kidney). The dynamics of indicators of renal and hepatic function was studied during the observation period using statistical data, obtained from outpatients’ cards of patients with transplanted organs. This dynamics allows to make conclusions on the adequacy of the provided volume of services to one patient or the entire population. The suggestions about possible modifications of the MES structure will allow to build logical and clinically reasonable neural network and treatment plan for each patient individually, without departing from the requirements of the standard. The developed approach can be applied in the future to various MES, not only in the field of transplanted organs.
Key words: medical and economic standards; mathematical model; solid organ transplantation.
MONITORING OF THE IMPLEMENTATION OF THE STATE POLICY IN THE FIELD OF INDUSTRIAL INJURIES’ PREVENTION
Karen A. Egiazaryan, Candidate of Medical Sciences, Associate Professor of traumatology, orthopedics and military surgery sub-faculty of Pirogov Russian National Research Medical University [117997 Moscow, Ostrovityanov str., 1;
]
Sergey N. Cherkasov, Doctor of Medical Sciences, head of public health observation department, chief researcher of N.A. Semashko National Research Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12, bld. 1;
]
Leyla Zh. Attaeva, Candidate of Medical Sciences, graduand of Doctor of Medical Sciences of N.A. Semashko National Research Institute of Public Health [105064 Moscow, Vorontsovo Pole str., 12, bld. 1;
]
Abstract. The article presents the evaluation of effectiveness of the events for solving problems of industrial injuries in Russia on the base of analysis of statistical and scientific data. The effectiveness of implementation of program-target method for resolving this problem is studied.Monitoring of realisation of state policy in the field of prevention of industrial accidents and occupational diseases shows the necessity of development of regional legal and regulatory framework of labor protection, continuous training of workers on labour protection on the basis of modern technologies of training, information provision and the promotion of labour protection, as well as improving preventive and curative care for the working population. It is necessary to improve the regulatory framework and strengthen the role of the state in this matter despite the positive trend, showing the validity of the application of program-target method for the prevention of occupational injuries in Russia.
OF NEW TECHNOLOGIES IMPLEMENTATION AND DEVELOPMENT OF THE INDICATORS-SYSTEM FOR THE ASSESSMENT OF THE PRIVATE MEDICAL INSTITUTION’S ACTIVITY
Artur R. Urazmanov, Candidate of Medical Sciences, Associate Professor of public health and health care management sub-faculty of Kazan State Medical University [420012 Kazan, Butlerov str., 49;
]
Svetlana L. Zhaboeva, Candidate of Medical Sciences, Associate Professor of preventive medicine and human ecology sub-faculty of Kazan State Medical University [420012 Kazan, Butlerov str., 49;
]
Olga R. Radchenko, Doctor of Medical Sciences, Associate Professor, Professor of preventive medicine and human ecology sub-faculty of Kazan State Medical University [420012 Kazan, Butlerov str., 49;
]
Abstract. The aim of the study was the optimization of the private medical institution’s work by regulation and entering a new medical service and the development of system-indicators for job evaluation. It is shown that it is more reasonable to carry out the efficiency evaluation of implementation of new service (technology) from the point of view of possible payback in the future for private clinic. At the same time it is necessary not only to analyze financial results, but also to trace the situation in the market, including behavior of patients (change of their quality requirements of rendering services, to the service level), to monitor the personnel work in the clinic.
Key words: algorithm, private medical institution, efficiency of implementation of new medical service.
THE MODERN ASPECTS OF TRANSFUSION OF BLOOD COMPONENTS (after the results of the survey of health workers of healthcare institutions of the Orenburg region)
Natalia Yu. Perepelkina, Doctor of Medical Sciences, Professor, head of public health and healthcare department №2 of Orenburg State Medical Academy of Health Ministry of the Russian Federation [460000 Orenburg, Sovetskaya str., 6;
]
Rinat G. Gilmutdinov, Candidate of Medical Sciences, head physician of SAHI «Orenburg Regional Blood Transfusion Clinical Station» [460018 Orenburg, Aksakov str., 32]
Irina V. Zakharova, deputy head physician of SAHI «Orenburg Regional Blood Transfusion Clinical Station» [460018 Orenburg, Aksakov str., 32]
Ekaterina A. Kalinina, Candidate of Medical Sciences, Associate Professor of public health and healthcare department №2 of Orenburg State Medical Academy of Health Ministry of the Russian Federation [460000 Orenburg, Sovetskaya str., 6;
]
Abstract. The survey of 52 respondents according to special questionnaire has been made for the study of modern aspects of transfusion of blood components in healthcare institutions of the Orenburg region. It was found that this category of health workers differ by the presence of the certificate with specialization «Transfusion medicine», experience and other characteristics according to the received data. The differences in the volumes of used plasma and red blood cell-containing blood components in the studied healthcare institutions were established. The peculiarities of the organization of transfusion care to patients and interaction with SBHI «Orenburg Regional Clinical Blood Transfusion Station» were determined.
NEED OF HEALTHCARE INSTITUTIONS AT EMERGENCY SITUATIONS IN CHEMICAL SITES
Aliam G. Dinmukhametov, Candidate of Medical Sciences, Associate Professor of anesthesiology and intensive care, disaster medicine sub-faculty of Kazan State Medical University of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 49;
]
Abstract. The big number of the people, working at chemical industry, living near these enterprises can be in danger of damage and different emergency situations, including the terrorist acts. The presence of the risk factors of industrial catastrophes determines the necessity of healthcare system’s analyses on the territory of Tatarstan Republic taking into account of the value and structures of the casualties during emergency situations of the chemical nature.
Key words: emergency dangerous chemicals, dangerous chemical material, emergency situations, areas of risk, categorized cities, critical infrastructures, casualties.
DETERMINATION OF THE NEED FOR THE THIRD STAGE OF MEDICAL REHABILITATION AT THE LEVEL OF RF SUBJECT
Vladimir Yu. Makarov, Head physician of Road Clinical Hospital, Chita-2 of JSC «Russian Railways» [672010 Zabaykalsky Krai, Chita, Lenin str., 4;
]
Natalya F. Shilnikova, Doctor of Medical Sciences, Professor, head of healthcare management sub-faculty of Chita State Medical Academy of the Russian Federation [672090 Zabaykalsky Krai, Chita, Gorky str., 39a;
]
Аbstract. The in-depth analysis of the morbidity level in classes and sectional profiles formed the scientific basis for the planning of medical rehabilitation and justification of volume indicators based on the stages and levels of its rendering. This is the actual direction of improving of regional programs of medical rehabilitation’s development. The study identified the need of the population in the third stage of medical rehabilitation in the conditions of day hospital. This need is measured in terms of the average number of completed cases of medical rehabilitation by disease category. The greatest need for rehabilitation care is identified in the class of diseases of the circulatory system, followed by diseases of the respiratory system and diseases of the musculoskeletal system and connective tissue. The results form the basis for the justification of network of healthcare institutions and indicators of financial support in the framework of territorial planning.
Key words: morbidity level, medical rehabilitation; strategic planning, resource management; network of healthcare institutions.
HEALTHCARE QUALITY MANAGEMENT AT CHILDREN WITH MENTAL AND BEHAVIORAL DISORDERS
Marina A. Bebchuk, Candidate of Medical Sciences, Associate Professor of psychotherapy sub-faculty, Assistant of psychiatry and medical psychology sub-faculty of Pirogov Russian National Research Medical University of Health Ministry of the Russian Federation [117997Moscow, Ostrovitianov str., 1;
]
Abstract. The article presents the review over the last 10 years regarding healthcare quality at children with mental disorders. The scientific results from the articles, meta-analytic review of randomized controlled foreign studies, dissertations and legislation acts were used. Theoretical and practical issues of ensuring the quality of mental health care are discussed. Quality improvement in medical services in children psychiatry is linked with recognition of the family role in the prevention of mental disorders and with conversion of the model of paternalistic psychiatric institutions to cooperation with the parents. The barriers for providing qualitative care are discussed. It was reported about the lack of domestic studies on quality insurance in medical care.
Key words: quality insurance in healthcare, children, mental disorders, family, family-oriented care, staff shortage, barriers.
LIFE AND HEALTH QUALITY ASSESSMENT UNDER THE MEDICAL, SOCIAL, SANITARY AND HYGIENIC EMPLOYMENT TERMS AND FOOD OF THE CONVICTS SERVING THE SENTENCE IN CORRECTIONAL COLONIES IN THE TERRITORY OF TATARSTAN REPUBLIC
Marat I. Timerzyanov, Candidate of Medical Sciences, expert in forensic medicine, chief of Republican Bureau of Forensic Medical Examination of Health Ministry of Tatarstan Republic [420029 Kazan, Sibirsky tract str., 31а;
]
Fasil V. Valiev, physician of clinic №16 of Federal Prisons Service of Russia [420029 Kazan, Kremlevskaya str., 12/20]
Abstract. The purpose of the study was the life and health quality assessment of the convicts serving the sentence in correctional colonies in the territory of Tatarstan Republic (Russia) under the medical, social, sanitary and hygienic employment terms and food. Relevance of the study is connected with the fact that restriction or full loss of freedom is a psychophysical factor of stress and of life quality loss. Quantitatively measured indicative indicators were worked out for integrated measurement. The block of the factors exerting the strongest impact on life and health quality of convicts was created on the basis of these indicators. Values of indicative indicators were measured by earlier approved criteria. The sum of indicative indicators of life quality among convicts has made 29,2. The complex indicator of life quality of convicts was estimated as «satisfactory». A number of indicative indicators was extremely low. As conclusion we can say that the increase of satisfaction of convicts with sanitary and hygienic employment terms, food and health care allows to reduce the intensity arising in some cases between administration of colony and convicts and also to socialize convicts, to keep their mental and physical health.
Key words: health of convicts, life quality of convicts, employment terms and food of convicts, occupational hazard.
EPIDEMIOLOGICAL AND MICROBIOLOGICAL CHARACTERISTICS OF AIR CONTAMINATION IN HEALTHCARE INSTITUTIONS
Vasil B. Ziatdinov, Doctor of Medical Sciences, Professor, head physician of FBHI «Hygienic and Epidemiological Center in Tatarstan Republic (Tatarstan)» [420061 Kazan, Sechenov str., 13a;
]
Gulnara G. Badamshina, Candidate of Medical Sciences, chief of bacteriology laboratory of FBHI «Hygienic and Epidemiological Center in Tatarstan Republic (Tatarstan)» [420061 Kazan, Sechenov str., 13a;
]
Albina Z. Zaripova, chief of human resources department, common hygiene physician of FBHI «Hygienic and Epidemiological Center in Tatarstan Republic (Tatarstan)» [420061 Kazan, Sechenov str., 13a;
]
Guzel Sh. Isaeva, Doctor of Medical Sciences, chief of microbiological researches department of FBHI «Hygienic and Epidemiological Center in Tatarstan Republic (Tatarstan)» [420061 Kazan, Sechenov str., 13a;
]
Lidia V. Vakatova, biologist of bacteriological researches laboratory of FBHI «Hygienic and Epidemiological Center in Tatarstan Republic (Tatarstan)» [420061 Kazan, Sechenov str., 13a;
]
Abstract. The purpose of the work was the microbiological research in the healthcare institutions of features of the epidemiological and microbiological characteristic of the air contamination. Epidemiological characteristics of the dynamics of identification of samples inappropriate by sanitary and hygienic standards under microbiological indicators had been given on the basis of this data. The main features of the air contamination in hospitals and healthcare institutions have been detected during the monitoring and oversight activities. These researches testify the need of development of additional events for decrease the general microbic impurity of air in hospitals and healthcare institutions during the periods of the maximum risk of developing of the intrahospital infections connected with the aerogenic transfer mechanism.
Key words: microbial air contamination, microflora, epidemiological characteristics.
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