Chronic diseases, which form the somatic and social deprivation of patients, imply the provision of integrated medical and social care. National health care systems are actively pursuing processes aimed at overcoming the fragmentation of health care delivery and forming a model of integrated health care. The purpose of the study. Analysis of interaction of medical organizations and continuity in the treatment of patients in rural health care in the Saratov region.Material and methods. The authors conducted a comparative sociological study, which involved 319 physicians working in the district medical organizations of the Saratov region. The study was preceded by the construction of the medical and social portrait of the respondents.Results. The majority (73.7 %) of the respondents assessed the degree of continuity of patient care between inpatient and outpatient facilities in the district of the region as average.Conclusion. The study reveals the peculiarities of the organization of medical care for the rural population, which consist in the limited implementation of the principles of continuity in the management of patients, the presence of barriers to digitalization. The analysis of the degree of interaction between doctors when providing medical care to the rural population in inpatient and outpatient conditions reveals the fragmentation of rural and regional health systems.
If we introduce a correction to this magnitude then the calibration curve is shifted from curve 2 to curve 4 and practically coincides with curve 3 for the ground samples (see Fig. 1).Consequently, calibration for the samples of fractions minus 0.25 mm is needed with respect to the concentration of calcium oxide in the calibrated samples, corresponding to their average grain-size composition, or, as it turned out, it is possible to use the calibration curve for the ground samples since the loss in intensity of the coarser fractions is quite accurately compensated by the enrichment of the fine fraction by calcium oxide.3. RSA of samples of fractions minus 0.063 mm may be recommended for attestation.
Electrical-engineering periclase powders (EPP) are used as high-temperature electrical insulating fillers in tubular electrical heating elements (TEH) and other electrical heating devices and equipment. When carrying out acceptance tests, the quality of EPP is evaluated according to GOST 13236-83 ['Electrical Engineering Periclase Powders. Specifications'].Until recently, in the Soviet practice, the electrical insulation properties of EPP have been evaluated on the basis of bulk resistivity and dielectric strength according to the specifications and the quality control of the electrical heating devices has been carried out on the basis of the experimentally determined leakage current of the product included in the electrical circuit.Our long-term experience in the production of the EPP-based TEH indicated the existence of a complex functional relationship between the magnitude of the leakage current measured in an operating electrical device and numerous factors including those not covered by GOST 13236-83. At the present time, the leakage currents measured using the specimens simulating an operating TEH is being treated as the most reliable characteristic of the powders that reflectsthe totality of their specific features and, also, the production technology of TEH and their service conditions. The procedure described in this paper is intended for obtaining quantitative data concerning the leakage current that make it possible to classify the experimental EPP with respect to their quality on the basis of a comparative study and to determine the fields of their application. The method involves measurement of the current passing through an electrical insulating filler incorporated between the high-resistance heating element and the casing of the TEl{ in air at room temperature and normal pressure maintaining a given specific load. The measurement is carried out using an unsealed TEl{ after subjecting it to prior heat treatment in order to reduce the effect of the unstable climatic conditions under which the specimens are produced. The procedure developed by the 'Dinamit Nobel' company (Germany) was taken as the primary standard.It reflects most of the specific features of the procedures followed for determining the leakage current at the foreign enterprises. Figures 1 and 2 show the schematic of the specimen and the measuring circuit. The process of specimen preparation includes all the stages of production of the casing, the current leads, and the coil, assembly of the resistance heating element, and preparation of the structural elements, the powders, and the TEH itself including the operations of filling up, reduction, and treating of the end regions. The recommended materials and the equipment are given in the No. 2 revision of GOST 13236-83. A distinguishing feature of the process of specimen preparation is that the intermediate operations are controlled strictly in order to minimize the effect of the technological factors involved in the production of the specimen on the magnitude of the leakage current.Befo...
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