Notes

Gait-Based Play acted Validation Making use of Edge Precessing and Heavy Understanding pertaining to Cellular devices.
More and more often, medical workers have to provide assistance to patients with HIV infection with acute disorders of vital functions who require intensive care and resuscitation. The main task of clinicians is to quickly stop the symptoms of secondary diseases that have led to the complications (specific and nonspecific) so that the patient can start or continue antiviral therapy. The aim of this work was to present the first experience of successfully treatment of a patient with progressive HIV infection using stenting of the main bronchi with their critical tumor stenosis in complex treatment. Conducting temporary endoscopic recanalization of the lumen of the large airways made it possible to avoid transferring the patient to artificial ventilation of the lungs, to carry out the necessary complex of diagnostic and therapeutic procedures, to restore ventilation and aeration of the lungs, which led to an increase in blood oxygenation and some improvement in the patient's general well-being.The purpose of the study is to identify the characteristics of psychosomatization of medical workers with occupational deformities. Of the 6,830 medical workers surveyed, 816 were selected with severe occupational deformities in order to further determine their psychosomatization characteristics. Used Maslach Burnout Inventory (MBI), Modification Maslach Burnout Inventory (mod MBI), Mental Burnout Definition Questionnaire (MBDQ), Questionnaire for Identifying Problems and Their Impact on Health (QIPTIH), Psychosomatics of Our Lives (POL), Giessen somatic complaint questionnaire (GSCQ). Mathematical and statistical processing included descriptive statistics, C. Pearson's correlation criterion, and Cheddock's table for determining the tightness (strength) of correlation (weak - 0.9). Medical workers with a high level of emotional / psycho-emotional exhaustion (57.57) have a higher average level with a tendency to a high level of professional deformations in general (116.36), a higher average level of reduction end medical workers to systematically diagnose, prevent and treat disorders of the cardiovascular system.The efficiency of health care and the quality of medical care can be improved by implementing modern management methods and technologies. It requires modern and high-quality training of medical management personnel. Qualified personnel are the key factor in the organization and transformation of the health system. Human resources ultimately ensure the efficiency and effectiveness of the entire health sector. Requirements to economic management methods are changing and increasing, and specialists with skills in managing medical organizations at different levels of the healthcare system are becoming in demand. At the level of the constituent entities of the Russian Federation, the role of medical personnel who possess strategic methods of healthcare management is increasing. Available training programs in leading higher educational institutions of medical profile do not fully fulfill these tasks due to limited time, a large volume of lecture material, and frequent changes in the conditions and tasks of health care. These problems can be solved by optimizing training programs for retraining and advanced training of health care organizers, introducing active training methods such as business games, case methods, and project activities into the curriculum. The paper describes the system of training students for training courses in the field of healthcare and public health through planning and implementation, project management in the context of military educational organizations of the Ministry of Defense of the Russian Federation, the statistical analysis of the training effectiveness, the factors that influence the success of development programs.The relevance of the research is due to the fact that the development of medical services exports in the Russian Federation is based on the eponymous Federal project «Development of medical services exports» of the national project «Healthcare». The Federal project is being implemented in the Russian Federation in the period 2019-2024 and is unique for two reasons. Firstly, the project has no analogues in the world for the first time in one country, 71 regions were involved in a project related to the development of planned medical care for foreign citizens. Secondly, the main role in the project is assigned to medical organizations of state ownership. Due to the fact that the key outstanding issue of the project is to assess the export potential of the health care system of subjects of the Russian Federation, which is a Federal project, the goal of research to assess the export potential of the health care system of the Russian Federation (on the example of Tyumen oblast). A methodology for calculating the economic efficiency of the medical services export program in the region has been developed. As the criteria for evaluating the economic efficiency of testing the concept of developing the export of medical services in the above-mentioned regions, it is proposed to set certain parameters.Since January 1, 2019, the Russian Federation has entered the global medical tourism market thanks to the approved federal project "Development of the export of medical services". The level of attractiveness of a country as a global destination for medical tourists is determined by a number of factors the level of medical technology, transport accessibility, proximity to donor countries of foreign patients; the level of realization of export potential, international reputation, medical marketing; the level of healthcare organization, international staff training, etc. Among the factors determining the success of the country as the destination of medical tourism, a special place is held by the recreational complex, spa treatment. The level of development of the recreational complex within the framework of medical tourism performs several tasks at once it provides a full cycle of medical assistance to foreign medical tourists - from outpatient admissions and in-patient treatment to rehabilitation and recovery; 000 foreign patients.The relevance of the study is due to the fact that the export of medical services as one of the areas of the national project "Healthcare" is determined by the level of involvement of the constituent entities of the Russian Federation in the implementation of this project. The aim of the study is to identify how many medical institutions in Russia need qualified personnel for the export of medical services based on a survey of students in the educational cycle "Export of medical services" and an online survey. The analysis shows that at the moment, in medical institutions both in Moscow and the whole Russian Federation, there is a shortage of qualified managers in this area. 25 students of the educational cycle on the export of medical services were interviewed. 100% of the respondents do not know where to start exporting medical services and want to gain knowledge on promoting medical services in their organization. An online survey of 70 regions of the Russian Federation showed that representatives of medicremote format, providing for a regional component and methodological recommendations taking into account regional specifics.This article presents the results obtained during the analysis of different types of health technology assessment (HTA). In the world HTA agencies can be organized at the national (federal), regional or local levels; they can have various levels of dependence on public authorities (independent, public, dependent), various sources of financing (state, mixed). The nature of the tasks and the range of powers of the institutions for HTA differ regulatory, organizational or advisory. They themselves can initiate HTA (proactive), or they can conduct HTA at the suggestion of the applicants and analyze the quality of the HTA reports provided (reactively). HTA can be focused on economic assessment, comparative clinical assessment, as well as balanced, both on economic and comparative clinical assessments. HTA may be conducted on drugs, medical devices, and other medical technologies. The methods for conducting HTA significantly depend on its subject. In terms of the scope of the assessment, it is possible to single out full OMT, mini-OMT and express-OMT, as well as fast-track-OMT, proposed by the HTA agency in the UK. The final users of HTA (administration, suppliers, patients) and its perceptions (instrumental, conceptual, or formal) are specified. The impact of HTA on decision-making is progressively increasing, as the number of medical technologies that should be assessed to maintain budget discipline is increasing. The versatility of HTA indicates its universality and can contribute to the further expansion of its application at various levels of medical care around the world.This article is devoted to current issues of human resources development in healthcare. The article emphasizes that the effectiveness of the healthcare system and the quality of medical care delivery deeply depend on the results of the work of medical workers, which are determined by their knowledge, skills and motivation. Considering the necessity of providing the healthcare sector with highly qualified personnel, as well as replenishing the staff with young specialists, we can say that public health is directly dependent on their competence. In addition, the problem of reducing staff turnover and retaining young specialists in the workplace is important, this problem can be solved by the mentoring system in a medical organization. In the article documents of international organizations and the Russian regulatory framework are analyzed, the data from the author's studies conducted in 2019-2020 are presented. The results of the expert interviews and questionnaires indicate a positive attitude of the respondents to the mentoring system as an instrument for developing human resources in medical organizations. Analyzing the data obtained, the author comes to the conclusion about the need for a competent organization of the mentoring process. This article focuses on the legislative regulation of mentoring, as well as incentive measures for mentors.Evaluate the cost-effectiveness of various options for the supply of direct antiviral agents for patients with chronic viral hepatitis C. An analysis of the data of Moscow Department of Health on the drug supply of patients with chronic hepatitis C antiviral drugs at the expense of budgetary funds in Moscow was carried out. The direct medical costs of the urban healthcare system for the use of direct antiviral action drugs for the period from 2017 to 2019 were calculated. For the period from 2017 to 2019, 6,936 patients with chronic hepatitis C received medication with antiviral drugs at the expense of budget funds in Moscow. Immunology modulator An increase in the number of patients compared to the base (2017) year was noted by 76%, as well as an increase in the volume of interferon-free antiviral therapy sets against the background of an increase in budget expenditures by 212%. The average level of cost for all sets with direct antiviral drugs amounted to 689,844 rub. The most commonly used set is Dac + Asu. The average cost of this set per patient treated as part of the first-line antiviral therapy was 58,899 rub.
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