Objective:to study the frequency of occurrence of diseases of the cardiovascular system in the course of routine physical examination of the child population, with the purpose of early recognition of various pathological conditions, including structural anomalies of the heart and large vessels.Material and methods:total examined 260 childrens aged 6 to 14 years, 118 girls (45.3 %) and 142 boys (54.6 %). Screening survey was performed in the parasternal, apical and subcostal positions. Time to research occupied from 7 to 20 minutes.Results:out of 260 children who passed clinical examination a structural anomalies of the heart was detected in 56 patients (21,5 % of all researches).Conclusions:the clinical examination of children population has a colossal medical and social important not only in Russia, but all over the world. Echocardiographic screening of children of preschool age is necessary for timely detection of cardiovascular pathology, especially occurring asymptomatically.
The article deals with changes in sociological models of the professional role of a physician in a market economy. The article analyzes the importance of marketing in healthcare and models of providing medical services in Russian and foreign healthcare systems. Based on the accumulated literature data, it is possible to trace the dynamics of the relationship between the patient and the healthcare system towards the formation of consumer ideology and the importance of sociological research of the status and role parameters of the physician in order to improve the eff ectiveness and quality of provided medical care.
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