HEALTH ASSESSMENT OF THE LIVESTOCK WORKERS

Lyaylya M. Masyagutova, MD, head of biomedical research laboratory of Ufa Occupational Health and Human Ecology Institute [450106 Ufa, Stepan Kuvikin str., 94; tel.: (3472)55-19-48; e-mail: ] Akhat B. Bakirov, MD, Professor, director of Ufa Occupational Health and Human Ecology Institute
[tel.: (3472)55-56-84; e-mail: ]

Abctract. The purpose of the work is to estimate the prevalence of the main non-infectious diseases among livestock workers. 1634 livestock workers were examined in the hospital environment in four professional groups: those engaged in breeding horses, cattle, pigs and poultry. It was established that the prevalence of the main non-infectious diseases is 552,4 per 100 examined people; among men, this figure is 479,0; among women – 613,8. The diseases of the circulatory system (DCS) are at the first place in the structure of the diagnosed diseases in men, the diseases of the musculoskeletal system (DMS) are at the second place, the diseases of the digestive system (DDS) are at the third place, the respiratory diseases (RD) are at the fourth place and diseases of the nervous system (DNS) are at the fifth place. The diseases of the digestive system are at the first place in women, the diseases of musculoskeletal system are at the second place, the diseases of nervous system are at the third place, the respiratory diseases are at the fourth place and diseases of the circulatory system are at the fifth place. Conclusion: it has been found that diseases of the musculoskeletal and nervous system are the most frequent among livestock workers. Diseases of the respiratory and digestive organs are at the fourth and fifth places, with the exception of certain occupational groups.

STRUCTURE DISORDERS OF GROWTH AND DEVELOPMENT
OF DENTO-FACIAL SYSTEM IN THE PERIOD OF FORMATION
OF PERMANENT DENTITION IN CHILDREN LIVING IN RURAL AREA
(Based on the screening examination of schoolchildren of 7–14 years old in Pestrechinsky district of Tatarstan Republic)

Alisa R. Saifullina, postgraduate full-time student of therapeutic, pediatric dentistry and orthodontics sub-faculty
of Kazan State Medical Academy – branch of RMACPE of Health Ministry of Russia [420012 Kazan, Butlerov str., 36; e-mail: ]

Abstract. The research is dedicated to the study of dental health in children of 7 to 14 years old in a large agricultural region of Tatarstan Republic. The data of the frequency and structure of disorders of growth and development of dento- facial system in 320 rural children in the period of formation of permanent dentition have been taken. The indicators of correlation between the symptoms of periodontal disease and the state of oral hygiene, as well as temporo-mandibular joint (TMJ) pathology with the height of dentition overlap (r=0,87), sagittal (r=0,51) and transversal malocclusions (r=0,52) are presented. We made a conclusion that children needed planning sanitation and preventive measures for dental health.

FOLLOW-UP OF PATIENTS WITH AMPUTATION OF THE UPPER

AND LOWER EXTREMITIES IN TATARSTAN REPUBLIC

Ikar Zh. Osmonaliev, PhD, Assistant Professor of traumatology, orthopedics and emergency surgery sub-faculty of Kazan State Medical University of Health Ministry of Russia [420012 Kazan, Butlerov str., 49;
e-mail: ]
Murat G. Bilgildeev, student of medical faculty of Kazan State Medical University of Health Ministry

of Russia [e-mail: ]
Rustem F. Baikeev, MD, Professor of biochemistry sub-faculty of Kazan State Medical University

Abstract. The article presents the quality of the follow-up of disabled persons because of amputation of the upper or/and low extremity, residents of Tatarstan Republic. Medical, technical, financial services have been analized. It has been revealed lacking of data, related to the techniques of operation, the status of residual limb (the dimension, the form, hem’s localization, a state of integuments, volume of movements), results of the apparatus diagnostics (Ro?, CТ, MRI, EMG). The expanded registration card supplementing the missing information is offered. An analysis of technical aspect has revealed that prostheses, given to patients, were deprived the bionic functions. The suitable solution of the yielded problem regarding its financial component is offered.

HISTORICAL ASPECTS OF PROFESSIONAL MEDICAL EDUCATION

IN THE RUSSIAN FEDERATION

Ildus G. Nizamov, MD, Professor, Professor of public health, economics and healthcare management sub-faculty of Kazan State Medical Academy – branch of RMACPE of Health Ministry of the Russian Federation [ tel.: 8(432)233-34-96] Tamara I. Sadykova, MD, Professor, head of public health, economics and healthcare management of Kazan State Medical Academy – branch of RMACPE of Health Ministry of the Russian Federation [420012 Kazan, Butlerov str., 36; e-mail: ]

Abstract. The article presents the development of healing right from the origin, as well as the development of the professional medical education on the territory of Russia on the basis of the analysis of historical sources. The role of individuals and the stages of the development of the state system of physicians’ continuing professional education, the development of public health and healthcare management sub-faculties have been presented.

ADVANCE EXPERIENCE OF THE MODEL OF MEDICINAL SUPPORT

OF INTERNATIONAL SPORTS COMPETITIONS’ PARTICIPANTS

Aleksey O. Smirnov, PhD, Assistant Professor of public health, economics and public health management sub-faculty of Kazan State Medical Academy – affiliated branch of Russian Medical Academy of Continuing Professional Education of Health Ministry of Russia [420012 Kazan, Mushtari str., 11; e-mail: ]
Artur R. Urazmanov, PhD, Associate Professor of public health and healthcare sub-faculty of Kazan State Medical University of Health Ministry of Russia [420012 Kazan, Butlerov str., 49; tel.: +7(987)297-82-82; e-mail: ]

Abstract. Authors’ developed and implemented model of drug supply for complex international sports competitions is presented on the example of the Universiade 2013 in Kazan. The cost of equipment of healthcare institutions providing medical support to the Universiade client groups with medicines, supplies and dressings, amounted to 3,4 thousand rubles per one athlete. The main directions of drug provision of the Universiade client groups are shown: free delivery of drugs, medical care, vaccination of staff and volunteers, and stockpiling of drugs in case of the emergency. The data obtained from the results of the study are recommended for other similar international sports competitions.

INFORMATION SUPPORT OF HEALTHCARE: CHANGES IN REGULATORY

DOCUMENTS ON THE PUBLIC HEALTH PROTECTION

Natalya Yu. Perepelkina, MD, Head of sub-faculty, Professor of public health and healthcare sub-faculty No 2 of Orenburg State Medical University of Health Ministry of Russia [460000 Orenburg, Sovetskaya str., 6; e-mail: ]
Ekaterina A. Kalinina, PhD, Associate Professor of public health and healthcare sub-faculty No 2 of Orenburg State Medical University of Health Ministry of Russia [e-mail: ]

Alexander V. Redjukov, PhD, Associate Professor of public health and healthcare sub-faculty No 2 of Orenburg State Medical University of Health Ministry of Russia [e-mail: ]

Abstract. The article presents the results of analysis of new legal documents on the creation of Unified State Information System in Healthcare (USISH). The regulations define the tasks and functions of USISH, and the federal subsystems. Participants of information interaction are: the operator of unified system, information providers, users of USISH information.

PROFESSOR M.S. DOBROKHOTOV AND THE DEVELOPMENT OF PSYCHONEUROLOGY IN DNEPROPETROVSK
(1920s – early 1930s)

Sergey B. Manyshev, Postgraduate student, Institute of Russian History of Russian Academy of Sciences [117292 Moscow, Dmitry Ulyanov str., 19; e-mail: ]
Ksenia B. Manysheva, Assistant of nervous diseases, medical genetics and neurosurgery sub-faculty of Dagestan State Medical University [367008 Makhachkala, Abdula Aliyev str., 1; e-mail: ]

Abctract. The article presents the contribution of Professor Mikhail Dobrokhotov to the development of psychoneurology in Dnepropetrovsk on the basis of archival materials and literature data. The authors describe the history of the creation of the psychoneurology department at the medical faculty of Ekaterinoslav University. A special attention was given to the scientific work of the department in the 1920s. The history of the medical society existed in Dnepropetrovsk Medical Institute, and the activities of Mikhail Dobrokkhotov in this society, is considered in detail. Mikhail Dobrokhotov contributed to the creation of psycho-neurological dispensary in the city; his role in the scientific research of occupational pathology of workers is also considerable.

INTERSECTORAL COOPERATION IN THE SPHERE OF PUBLIC HEALTH

PROTECTION: A COMPETENCE APPROACH TO THE STUDY

Sergey A. Sidelnikov, PhD, Associate Professor, head of healthcare mobilization training and disaster medicine sub-faculty of V.I. Razumovsky Saratov State Medical University of Health Ministry of Russia [410012 Saratov, B. Kazach’ya str., 112; tel.: (845)222-77-13; e-mail: ]

Abctract. The aim of the work was the justification of competences and positions of their complete formation according to the sections: «to know», «to be able to» and «to use» for intersectoral cooperation by health care supervisors in the sphere of public health protection. Expert questioning of 39 persons of professor-teaching staff of organizational sub-faculties of V.I. Razumovsky Saratov State Medical University and health care supervisors of Saratov and Saratov region has been carried out. Competences’ determination and positions of their complete formation related to intersectoral cooperation in the sphere of public health protection, as well as their significance, became the study’s results. The results of the study may be realized both in the educational process of higher medical educational institutions and in everyday organizational activities in the sphere of public health protection.

THE ORGANIZATION OF OBSTETRIC CARE TO THE RURAL POPULATION OF THE CHECHEN-INGUSH ASSR IN THE PREWAR YEARS
OF THE TWENTIETH CENTURY

Zulfiya I. Yakhyayeva, MD, head of public health and healthcare sub-faculty at the Мedical institute of Chechen State University [364024 Grozny, Sheripov str., 32; tel.: 8-928-789-80-99; e-mail: ]
Khizir M. Bataev, MD, head of the faculty therapy sub-faculty at the Мedical institute of Chechen State University [tel.: 8-928-789-80-98; e-mail: ]

Abstract. The purpose of this article is the clarification of the organization of the sanitary and hygienic measures on health protection of the most vulnerable population: women and children. The North Caucasus has been considered a problematic region for the organization and implementation of new forms of sanitary and medical measures. This was greatly influenced by the established traditions and customs of the indigenous population, the way of life and the nature of food, the extensive practice of folk healers. We had to take into account the national contexts realizing measures to protect health of women and children. The article evaluates the effectiveness of introduction of patronage, the increase in primary health care facilities, and also maternity beds. These measures contributed to more complete coverage by preventive examinations and the timely provision of medical care.

THE EXPERIENCE OF INTRODUCING INTO THE PRACTICE

A NEW ORGANIZATIONAL FORM OF PRIMARY CARE PROVISION

Elena A. Znachkova, Deputy head of the primary care department of Moscow Health Department [127006 Moscow, Oruzheiny side str., 43, buil. 1; e-mail: ]

Аbstract. The purpose of the study is to analyze the experience of introducing into the practice a new organizational form of primary care provision to elderly patients with multiple chronic diseases and to evaluate its effectiveness. Sources of information (research materials) were: articles, materials of state statistics, official reporting documentation of Moscow Health Department, collections of average Moscow activity indicators of healthcare institutions of the Moscow Health Department in 2007–2014, and results of a sociological survey. A comprehensive methodology was used in accordance with the objectives of the study, including such methods as: the study and synthesis of experience, statistical, analytical, sociological, monographic descriptions, economic, comparative analysis, organizational experiment, etc. In general, the article provides a detailed description of the organizational measures being carried out at various stages of the introduction of a new organizational form of primary health provision to patients of elderly and senile patients suffering from multiple chronic diseases in Moscow. The special aspects of this innovation, the results of evaluating the effectiveness of its functioning according to three components (medical, social, economic) are considered. It is shown that the proposed new approach to patient management is characterized by a more personalized approach, because individual physician is allocated for the patients included in the program (the district covered by each physician is about 400 patients); the task of individual physician is comprehensive patient management and dynamic observation taking into account all his diseases.

IMPLEMENTATION OF QUALITY MANAGEMENT SYSTEM

IN MULTI-PROFILE POLYCLINIC OF KAZAN

Rezida G. Mansurova, Head physician of Municipal Polyclinic No 18 [420043 Kazan, Karbyshev str., 12; tel.: (843)229-09-02; e-mail: ]
Marina V. Goryacheva, Head of orthopedic dentistry department of Municipal Polyclinic No 18
[tel.: (843)528-07-07; e-mail: ]

Elena N. Silant’eva, PhD, Associate Professor of therapeutic, pediatric dentistry and orthodontics sub-faculty of Kazan State Medical Academy – branch of RMACPE of Health Ministry of Russia [420012 Kazan, Butlerov str., 36; tel.: (843)236-67-48; e-mail: ]

Abctract. Quality management system has been implemented in Multi-profile Municipal Polyclinic No 18 of Kazan to improve the quality of provided services. The goal of the work is to describe the stages of the implementation of the quality management system in accordance with the requirements of the ISO 9001 standard on the example of the orthopedic dentistry department. An algorithm for the treatment of patients in the orthopedic dentistry department, an algorithm and the process of rendering dental services according to the protocol of patient management, an algorithm for the movement of casts of patients’ jaws, an algorithm for receiving and transferring cast dentures from non-degraded metals were developed. The implemented quality management system allowed to build an optimal management model, to increase the involvement of medical personnel in the process of services provision.