The most important medical and social problem of modern health care are diseases of the circulatory system, the high incidence of which is due to the interaction of a number of factors, among which a certain place is occupied by the living environment. The purpose and objectives of the study - to lead ecological and hygienic assessment of the prevalence of diseases of the circulatory system in the population of Primorsky Krai. Material and methods. Ecological and hygienic assessment of the prevalence of diseases of the circulatory system in the population of Primorsky Krai was carried out for the period 2000-2017, depending on the bioclimatic zone, environmental situation and habitat factors. Characteristics of the habitat were carried out according to 8 sanitary-hygienic and 7 natural-climatic modular factors, based on a 10-point system in accordance with the developed assessment scale. The dependences between environmental factors and the level of circulatory diseases were assessed by regression analysis, and the statistical significance was assessed by Chi - square (Pearson) criterion. Results. During the period 2000-2017 in Primorsky Krai there was an increase in the incidence of diseases of the circulatory system by 38%, and since 2006 they have come to the first place in the structure of morbidity and amounted to 43-49%. Among the diseases of the circulatory system is dominated by hypertension, coronary heart disease, cerebrovascular disease. It is established that the prevalence of diseases of the circulatory system in the population is influenced by the following sanitary and hygienic parameters: the level of air pollution, the characteristic of chemical pollution, adverse physical factors, transport loads. The prevalence of diseases of the circulatory system has a strong relationship with a number of climatic parameters: the number of days with the biological activity of solar radiation, latitude, air speed. Discussion. Climatic and ecological factors of the region, social and demographic features can cause deviations of the health status of the population from the all-Russian trends. Conclusion. The dependence of the prevalence of diseases of the circulatory system on the bioclimatic zone, the degree of stress of the environmental situation in the Primorsky territory, as well as environmental factors.
The article presents the model of organization of oncologic care of population of the region exemplified by the Primorskiy Krai. The major principle of development of the model consists in medical, social and economic efficiency. The main structural unit of the model of oncologic service of the region is to be the oncologic center. These centers are organized with economically justified personnel and material technical staffing, on the basis of one place concentration of significant number of patients. The functioning of the oncologic center comes to three principles: 1) quality of oncologic care is to be provided for by a single standard of organizational and medical technologies: 2) the system of oncologic care is to be accessible for any patient; 3) institutions of oncologic care within the limits of geographic, economic and social zone of the krai (oblast, okrug) are to have efficient mechanisms of interaction permitting to implement transference of patients and coordination of activities of specialists of various profiles. The implementation of modern organizational technologies of oncologic care of population of the region includes elements of strategic planning, development of system of palliative care of patients, application of standardization and management of medical care quality.
The leading increasing of cardiovascular pathology in miner workers dictates necessity of development of effective methods of prevention. The article presents the results of application of intravenous blood laser irradiation in miner workers with cardiovascular pathology. The evaluation of condition of cardio-vascular system was carried out to detect mine workers with high cardio-vascular risk. To this group of mine workers course of preventive procedures was prescribed. The course included common medicinal treatment and intravenous laser therapy. The application of intravenous blood laser irradiation promoted normalization of indicators of Holter monitoring of electrocardiogram, day monitoring of arterial pressure, lipid profile and hemostasis system. The anti-arrhythmic, anti-hypertensive, anti-atherogenic and anti-aggregative effects of complex therapy using intravenous blood laser irradiation in mine workers with high cardiovascular risk with its subsequent decrease as a result of treatment.
The article presents the results of comparative evaluation of health of students of I-III courses of the Pacific State Medical University during process of education. The study used data of sociological analysis (questionnaire survey) with evaluation of subjective attitude of students to personal health, work-rest regime and health risk factors. The analysis of general morbidity with temporary disability in 2014-2017 was implemented. The indices of physical development of medical students such as index Ketle (body mass-body height indicator), indicator of lungs vital capacity, power indicator (wrist dynamometry). The average indices specific to particular gender height groups of medical students are calculated. It is established that health of students of I-III courses is affected by a complex of such factors as education process, earning additionally after studies, low interest to physical culture and sport and harmful habits. The subjective evaluation by medical students their own health using a questionnaire survey technique testifies that out of number of risk factors negatively affecting students' health the most significant are harmful habits, wrong planning of recreation regimen and sedentary style of life. The evaluation of health state of students established a trend to increasing of morbidity with prevalence of diseases of respiratory organs in its structure. Hereinafter, the results of study can be applied for establishment of directions and development of preventive measures related to health promotion and healthy life-style formation in medical students.
Introduction. Among the problems of health care during the reform period, the problem of quality management of medical care and effective management of the medical organization is particularly highlighted. The purpose of the study is to determine the main priorities of effective management of the medical organization of obstetric and gynecological profile to ensure the proper quality of medical care to the population. Materials and methods. We carried out quantitative and qualitative evaluation of the perinatal center in the period 2015-2017. Studied the efficiency of the administration of the human resources capacity of health organizations quality indicators of the hospital bed Fund and the financial-economic activity of enterprises. Results. The effective activity of the institution in the conditions of the established perinatal center is Shown due to the chosen strategy and tactics of the phased development of new obstetric, neonatal, inpatient-replacement technologies, the provision of highly specialized care with the use of modern equipment and medicines, which allowed to expand the range and volume of Advisory and diagnostic and treatment services, to reduce the level of perinatal and maternal losses. Discussion. The strengths of the organizational activities of the perinatal center management include: the inclusion of women’s consultation in the structure of the perinatal center, ensuring the continuity of care for gynecological and pregnant patients; state social support for motherhood and childhood, changing the conditions and procedure for the provision of free medical care to the population; functioning on the basis of the perinatal center of the Department of pathology of newborns, Department of resuscitation and intensive care of newborns, consultative and diagnostic and gynecological departments. The weak side of the organization can be attributed to the shortage of highly qualified personnel (doctors, nurses and Junior medical staff). Conclusion. In order to effectively use the resources of the institution, it is important to change the approach to the provision of material resources and their rational use in the process of the institution’s activities. The chosen strategy and tactics of management decision-making makes it possible to improve the quality and availability of medical care for pregnant women, mothers, maternity and newborn children.
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