The present article revealed the results on evaluation of medical care quality in 430 patients with parodontologic diseases provided in 14 municipal and city dental policlinics in 2014-2016 under the compulsory health insurance (CHI) in Saint Petersburg. The performed analysis allows to compare the possibilities of therapeutic and diagnostic assistance to treat periodontitis, provided under CHI and regulated by the clinical recommendations developed by Russia Dental Association. Due to the developed clinical recommendations the quality dental care under CHI could be provided only on the initial and supportive treatment stages and considered to be therapeutic, thus the surgical treatment could not be fully provided. The types of medical services provided under CHI restrict the use of clinical recommendation (Russia Dental Association) to treat patients with periodontal diseases in dental policlinics and do not ensure the provision of entirely quality dental care under CHI. Therefore, the development of new criteria to include the full range of treatment and diagnostic dental services into the basic CHI is of high importance.
Objective: Acute limb ischemia (ALI) manifests as sudden lower limb ischemia that, regardless of the underlying cause, can lead to amputation unless there is an appropriate treatment.The study aims to analyze predictors of the lower limb occlusive thrombosis with the acute ischemia development (ALLI), depending on the localization under specifically recommended prophylaxis.
Materials and methods: The researchers performed a retrospective analysis of clinical cases with a confirmed diagnosis of acute lower limb ischemia (ALLI) for 2019. During this period, 20 patients met the study criteria.
Results and Discussion: A multivariate analysis (predictors with a p<0.1) established hyperglycemia as a significant predictor of ALLI development under specific prophylaxis (RR 2.2; 95% CI -8.2; 8.4; p = 0.097). It indicates a double risk of ALLI for patients with hyperglycemia.
Conclusion: The results indicate the need to correct glycemic parameters to reduce the risk of acute lower limb ischemia, even under antiplatelet or anticoagulant prophylaxis. It is also necessary to analyze the management protocols currently used for such patients to correct the recommended antiplatelet or anticoagulantschemes.
Bangladesh Journal of Medical Science Vol.20(3) 2021 p.637-641
The article is devoted to the research of evaluation criteria of the educational services' quality and search possibilities of these criteria analysis influence on educational process improvement. The work presents theoretical analysis of the problem of assessment of the quality of education in the conditions of additional professional education system reform in Russia. The article presents data from retrospec- tive analysis of questionnaires from the trainees of the department of Public Health, Economics and Management in Health Care System on the questions, related to the quality of educational process in the frame of the post-graduate training courses and primary professional education. The work presents retrospective analysis of the education quality assessment based on the testing methods of professional competencies of trainees. Approaches towards educational process, proposed in the research, aimed to help in the objective assessment of the readiness of the suppliers and end-users of educational services in the professional medical additional professional education to implement new forms of education in the conditions of the challenging professional education in Russia.
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