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ON MEASURES TO IMPROVE THE EFFICIENCY OF THE REFORM RUSSIAN HEALTH CARE V.M. Chernyshev .. In the article the analysis of measures , - taken by the state to improve health in re - cent years and the results obtained. In the course of realization of the priority national . - project Health and the Federal program of modernization of health greatly improved - the material and technical base of the indus try, increased the salaries of health workers.

- However, it is clear that the changes could be , - more systematic and comprehensive manner, . , - respectively, be careful. Suggested measures , on rationalization of the industry reform and , address priority problems.

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ON THE ROLE OF THE FEDERAL TARGET ߻ PROGRAM VERTEBROLOGA IN THE PROVISION OF HIGH-PROFILE FOR ASSISTANCE TRAUMATOLOGY AND ORTHOPAEDICS

߻ L.S. Shalygina, M.A. Sadovoi, .. , .. , T.A. Mylnikova .. The aim of this study is scientic justica tion of development and realization of the federal target program Vertebrology in the Russian Federation.

The concept of the federal target program Vertebrology is formed on the results of analyses of standard and administrative doc . uments on development of the programs in - the health care system and the realized fed - - eral target programs in the Russian Federa tion, material of domestic sources, statistics, - organization modeling.

The expected medico-social efcacy will be - in possible decreasing of average bed per day , at treatment of patients using high expensive stationary bed, decrease the induce of the ini , - tial invalidity, days of invalidity, increasing the , , number of patients, recovered after diseases.

- The program deals with improvement of the , - methods of early diagnostics and treatment of spinal pathology to lower population inva , lidization and life quality of these patients.

- The program presents preventive and . medical and diagnostic measures at spinal - : pathology and diseases: early detection of - spinal pathology and diseases, creation of - the federal vertebrology register, standard , ization of medical care rendering to patients, - modernization of technical base of medical , - institutions, engaging in diagnostics, preven , , tion, and rehabilitation of patients with spinal . pathology and diseases. It includes treatment, creation of the system of medical and genetic , - and distant consulting of population, devel - opment and realization of training programs - for patients with spinal pathology and diseas , es, carrying out the fundamental and applied , research works, introduction of the domestic , innovation developments in the eld of ver , - tebrology.

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2. 2. DIAGNOSTICS EFFICIENCY METHOD SURVEY DURING MASS MEDICAI EXAMINATIONS TO DETECT BREAST PATHOLOGY I.R. Boukhanovskay It is proposed to use the method of ques .. tioning (the assessment is the leading risk - factors) for the formation of groups at high ( risk of breast pathology and initial screening ) of patients for in-depth examination. Found that the major risk factors for breast pathol - ogy is pain, especially reproductive history . (menstrual irregularities), the nature of mari , - tal status (dissatisfaction and limitation of sexual activity, prolonged widowhood).

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THE ROLE OF DAILY MONITORING OF ARTERIAL PRESSURE EVALUATION OF THE EFFECTIVENESS OF ANTIHYPERTENSIVE THERAPY .. N.P. Guryanova The article analyzes the results of daily monitoring of blood pressure in patients with - hypertension for 2009-2012 yy. The low per 2009-2012 . - centage of normal blood pressure prole in - patients receiving antihypertensive therapy, , indicating a lack of effectiveness.

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CASE FOLLICULAR THYROID CARCINOMA METASTASIS TO THE LYMPH NODES, , THE CONFIRMATION OF THE CYTOLOGIC E.S. Kozorezova, .. , I. Yu. Mentyurjva-Suzdaltseva .. - A case of thyroid cancer at an early age (the - manifestation of the disease in 17 years), (- lymph node metastasis of well-differentiated 17 ), follicular cancer. The progression of the pro - cess with the active node in the growth and . - metastasis of prostate 8 years after removal of the primary tumor indicates the need for 8 - long-term monitoring of patients after surgi - cal treatment for thyroid volume of educa , tion, despite his young age, the small size - of education, lack of signs of infestation by removing the primary tumor.

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STUDY OF IMMUNITY TO MEASLES AMONG EMPLOYEES FGBUZ SOMTS FMBA RUSSIA S.A. Koroleva The goal was to serological monitoring of .. herd immunity to measles among employees - FGBUZ SOMTS FMBA Russia.

- We examined 588 employees SOMTS both sexes of all ages. Of these, a negative result . on the Ig G to measles virus in 32 people 588 (5.4%). The positive was detected in 556 pa . tients (94.6 %).

Serological monitoring of herd immunity Ig G 32 (5,4%). to measles among employees FGBUZ SOMTS 556 - FMBA Russia measles specic immunity (94,6%). have 94,6 % of the patients.

94,6 % .

ANALYSIS FOR THE FIRST TIME IN REVEALED PATHOLOGY CHECKUP ON FGBUZ SOMTS FMBA RUSSIA .. , .. N.A. Polyanskaya, N.P. Guryanova - The article refers to the application of the method of electrocardiography during pre ventive medical examinations of persons , engaged in the production of harmful and . dangerous working conditions. The analysis 2012 . revealed pathology for 2012. These ndings - support the need for this method of exami nation for early detection of changes in the circulatory system.

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ORGANIZATION OF SCREENING STUDY OF REPRODUCTIVE FUNCTION IN STUDENTS AND EMPLOYEES NOVOSIBIRSK STATE ACADEMY OF WATER TRANSPORT O.V. Strelchenko, A.A. Jerkovich, L.V. Osadchuk, T.A. Leitan, N.A. Voroshilov, A.V. Popov, .. , .. , I.N. Pechurina .. , .. , .. , The article presents the results of a study .. , .. of fertility students and staff NGAVT male, set - it to be less, there was a trend of deteriora tion of reproductive health in this category.

, , Outlines actions that are necessary to restore , - reproductive health and the results of their - application.

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3. 3. CLINIC REGISTER OF WOMEN WITH MULTIPLE SCLEROSIS NOVOSIBIRSK REGION .. , .. L.A. Babenko, N.A. Malkova - The problem of multiple sclerosis and - pregnancy has an indisputable scientic and , practical importance, since the bears as a , very serious health and socio - ethical aspects - . -. Its relevance is also connected with the fact , that multiple sclerosis (MS) usually affects () women of reproductive age mostly.

The aim - of our work: creating the register of women . : who are suffering from multiple sclerosis , with an analysis of their reproductive sta tus and its relationship to multiple sclerosis - pathogenesis and therapy. Currently, the reg . istry included 267 women with a documented 267 - diagnosis of multiple sclerosis (according to (- the MC Donald 2005, 2010). In this paper, MCDonald2005, 2010). we investigate the following aspects: 1. Ef fect of MS on pregnancy (in pregnancy and : 1. ( childbirth, the fetus), 2. Effect of pregnancy , on the PC (with relapsing-remitting and sec );

2. ondary progressive types) 3. The course of MS ( - and childless women who gave birth 4. The );

3. role of the immune and endocrine factors on ;

4. - the course of MS during pregnancy and the postpartum period. 5. Role of lactation. 6.

Treatment of exacerbations during pregnancy, . 5. . 6. - prevention and treatment of postpartum re , - lapse. 7. Inuence PITRS on pregnancy, fetal . 7. development, the ability to save PITRS in , pregnancy.

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CONTEMPORARY ISSUES PREVENTION, , DETECTION AND TREATMENT OF OCCUPATIONAL HEARING LOSS T.V. Zakharova .. In modern conditions, sensorineural hearing loss is a common occupational disease and, - therefore, attracts the attention of doctors and pathologist otorinolyaringologov. This article presents the data in the literature on . contemporary approaches to prevention, di - agnosis and treatment of this pathology (lit - erature review).

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RADICAL PROSTATECTOMY AND NEOADJUVANT HORMONES .. I.S. Kunin The problems of the surgical treatment of , - prostate cancer, and improve outcomes is becoming more and more relevant for sur . geons Russia. The method of neoadjuvant chemotherapy is standard and a promising method for the combined treatment of can - cer. Hormone therapy for prostate cancer has . - demonstrated its effectiveness in the treat ment of prostate cancer. The combination of these techniques allows us to hope for im . provement in short-and long-term results EXPERIENCE WITH NEW METHODS FOR PHYSIOTHERAPY DORSOPATHIES CERVICAL - THORACIC SPINE N.D. Ladunka, O.V. Shuhleeva, N.V. Silantyeva .. , .. , .. Given pathogenesis based methods of phys iotherapy in Dorsopathies cervical and tho - racic spine, and recommendations for their - use in different stages and with different - symptoms of the disease.

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- APPLICATION OF MUD PRODUCTS IN CLINI - CAL PRACTICE DOCTORS-STOMATOLOGISTS N.A. Levtchenkova .. The purpose of the study (work) was to study () - the effect of therapeutic drugs, prepared on , - the basis of natural therapeutic mud from the Lake Salty resort UST-Kut and use them in - practice, a dentist.

- A variety of methods were applied mud . treatments in patients with temporomandib - ular joint disorders and periodontal tissues diseases, comparative analysis of the effects - - of the treatment depending on the method , of application.

Observations have shown that the use of mud of drugs in combination with electropho . resis, helps to increase therapeutic efcacy in , patients of this group of diseases.

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MODERN TECHNIQUES OF ANESTHETIC PROTECTION IN ENT SURGERY IN CHILDREN A.P. Mishchenko, N.B. Kapustinskaya, N.V. Berezyuk, A.A. Khegai, O.I. Chepurnov, .. , .. , A.M. Trepolskaya, V.N. Kovalev .. , .. , .. , Described an adequate anesthetic protec .. , .. tion of childrens operative otolaryngol ogy, which consists of many components:

- adequate psychological preparation, quick , painless induction, multimodal perioperative : analgesia (narcotic analgesics + NSAIDs), the , - use of endotracheal tubes southern (conve , nience of a surgeon, good xation of the tube, ( - and minimized the risk of extubation damage + ), - to the tube), the adequate maintenance of an ( , esthesia, rapid peaceful awakening.

, ), , RELATIONSHIP ANOMALY ARCHITECTONICS arterial bed SEX WITH A MEMBER OF ERECTILE DYSFUNCTION IN THIS FARMAKODOPLEROGRAFII I.N. Pechurina, A.A. Jerkovic, N.I.Golubovskay .. , .. , Among the most important etiological and .. pathogenetic mechanisms of erectile dys - function (ED) are considering changes in the arterial bed. Found that the presence of an () asymmetric in blood ow makes these men . , - more susceptible to the etiological aspects of ED, causing early onset and more severe clini - cal course of ED.

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FIRST EXPERIENCE OF THERAPY FOTODINAMICHEKOY IN THE ENDOSCOPY DEPARTMENT FGBUZ SOMTS FMBA RUSSIA E.P. Rogaleva, I.S. Gaek .. , .. The results of application of photodynamic - therapy (PDT) in some diseases and found () that it is safe and effective palliative treat , - ment. In photodynamic therapy remains great potential for use in patients with early cancer . - and may be an alternative to surgical treat ment. Currently, however, most of the patients he had not yet become the method of choice.


. When Barretts esophagus is justied by the use of PDT in patients with dysplasia or can . cer of the esophagus against the background - of Barretts esophagus. Certain complexity for uniform light distribution are peristalsis and - shape of the lumen of the esophagus and the . - stomach.

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OBESITY AS A FACTOR OF REPRODUCTIVE FAILLS .. , .. , O.V. Strelchenko, O.A. Zarubenkov, .. , .. , N.V. Shangurova, K.A. Samoilova, O.A. Ortner, .. , .. , .. Y.V. Shorkin, M.V. Seryakova Have been studied inuence of obesity on - pregnancy and labour. We divided 100 pa . 100 - tients of gynecological department of FGBUZ , - SOMTSC FMBA of Russia hospital on 2 groups:

2 50 : rst group included pregnant women with 1 obesity, second group included pregnant ;

2 women with normal weight. All patients were - - from 20 to 39 years old. Abortions happened . 20 more often in women with chronic inam 39 . matory diseases. Frequency of gynecological - hormone-dependent disorders, genital infec , , - tions was three times as high in women with . - abortions.

, The main part of somatic and gynecological 3 - pathology was in group of women with obe . - sity. Besides, rst group women three times as frequent suffer from menstrual disorders and infertility. Pregnancy outcomes in rst . 1 - group were in 78 % abortions. Second group 3 women delivered babies in 60 %. Operative . 78 % labours were observed in 75 % cases in group 1 - of women with obesity. Women with normal . - weight delivered babies per vias naturalis in 67 % cases. Premature labours were observed 60 % 2 . only in rst group.

75. 2 67 %. 1 .

DISSOCIATION SYNDROME IN MULTIPLE SCLEROSIS .. , .. D.V. Sazonov, N.A. Malkov - There are cases of clinical and tomographic dissociation are sufciently large part of clin ical practice in the diagnosis and treatment . of MS. If the patient has one of the options KTD complicates the diagnostic process, of , - ten leading to erroneous diagnosis and treat . ment. And identifying at KTD already estab lished diagnosis of MS affects the choice of . tactics to further therapy.


- On the basis of clinical examination and - MRI studies at two possible KTD:

: 1. Clinical and tomographic dissociation 1. - with prevalence of neurologic decit.

- 2. Clinical and tomographic dissociation . with a predominance of lesions on MRI.

2. - 2.1. With the presence of several large until . tumor foci 2.1. 2.2. With pockets of medium and small size, but the amount is much higher than typical.

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PATHOGENETIC MECHANISMS OF - DEVELOPMENT STRESS-INDUCED PATHOLOGIES AT VETERANS OF WARS WITH POSTTRAUMATIC STRESS DISORDER .N. Torgashov, .I. Paltsev, V.S. yakotnykh .. , .. , .. The study of health veterans ghting in - Afghanistan, and in the Northern Cauca sus have made it possible to identify common of pathogenetic mechanisms development of a some somatic diseases. Dened dependence . development diseases of age veterans, inten - sity post-traumatic stress disorder. Shows the , path of development somatic pathologies in - veterans and chronic pain, causing the system . organ dysfunction or pathology.

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A CASE OF ACUTE LEUKEMIA PATIENT TERAPAVTICHESKOGO BRANCH .. S.A. Chernigina In the medical ward are in treatment and - examination of patients with predominantly - - cardiovascular disorders. Periodically, there . are other diseases that occur not typical. A , case of detection of acute leukemia, undif . ferentiated variant, rst identied in a patient , , aged 76 years.

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. AKNEFORMNYE dermatoses. Clinical CASE.

. V.E. Shugaev .. A case of acne medication that developed in a woman 50 years old with medical treat , 50 ment dorsopathies lumbar spine. Describes - the clinical features, causes, manifestations . of features.

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4. 4. NURSING IMPROVING THE EFFICIENCY OF CLEANING JOBS IN MEDICAL INSTITUTIONS BASED ON THE IMPLEMENTATION OF THE METHOD OF CLEANING WITHOUT BUCKETS .. , .. E.J. Orlova, P.Yu. Zverev - The article provides a modern technology of , the cleaning work to a facility that can sig nicantly improve the quality of cleaning the , - premises, saves time, reduces the amount of , disinfectants and detergents, ensures a high , - level of hygiene, maximum convenience and , - signicant nancial savings.

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- MEDICAL SOCIAL AND ECONOMIC PERFORMANCE OPTIMIZED NURSING CARE OF PATIENTS AFTER STROKE , M.A. Sadovoi, T.V. Klimchuk, L.A. Shpagina, O.N. Gerasimenko, V.A. Drobyshev .. , .. , .. , Optimization of nursing care for elderly pa .. , .. tients in the early recovery period of stroke, - treatment and rehabilitation measures in the - intensive nursing supervision has improved , in patients indicators of household indepen - dence of 1, 5 times, reduce the proportion of - patients with severe neurological decits by 1.7 times, increase the performance of social - activity 2.2 times, signicantly ahead of the 1, 5 , corresponding gures in the rehabilitation of patients with neurological department of the 1,7 , - standard wards. The use of modern technolo 2,2 , gies of nursing care after stroke, reduced the - prodolzhielnost bed-days by 5,3 % and re duce the costs of paying disability benets for . three years for 3,925,922 rubles.

, - 5,3 % 3 925 922 .

MODERN APPROACH TO IMPROVE EFFICIENCY AND CONSERVATION TOOLS STERILIZATION MINIMALLY INVASIVE SURGERY .. , .. , O.V. Strelchenko, E.Y. Orlova, L.N. Naumova, .. , .. , .. E.N. Nekrasova, E.L. Zhigalova The article describes the current approach - es to improve the efciency of sterilization - is very complex and expensive equipment, , which is becoming more and more in health - . care settings. Using the proposed method not - only improves the quality of decontamination - equipment, but also to extend its service life.

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ALGORITHM PREDSTERILIZATSIONNOY PROCESSING METHOD SURGICAL INSTRUMENTS DRY BOOKMARKS Ȼ O.V. Strelchenko, E.Y. Orlova, G.P. Kashuba, .. , .. , .. , E.L. Zhigalova .. Described prior-processing surgical instru - ments using Dry bookmarks, which signi cantly reduces the time of preparation and , - enhances the quality of its processing. Algo - rithms for the formation of different hair styl . - ing tool for manipulation.

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