Notes

Appearance of doubt: Planning and also portrayal involving nano-sized Pt-Ru/C reasons along with their exceptional catalytic routines for methanol and also ethanol corrosion.
The private health care sector in the Russian Federation is developing and its role in providing not only paid, but also free medical care is increasing. The issues of cooperation between state and private health sectors becomes more actual. The purpose of the study is to investigate current research and practical issues of private health care in the Russian Federation and to identify shared and specific problems with state sector and to develop proposals for evolution of intersectorial interaction and partnership. The study used analytical, sociological and statistical methodologies. The sociological survey covered 409 executives of state and private medical organizations. It was established that current and prospective research and practical problems of state and private health care are mostly shared. The statistically significant differences in opinions of respondents were determined. The list of most actual research and practical problems of private health care was composed. The commonality of derived valuations confirmed trend to integration. The identified sporadic differences are explained by greater social orientation of state health care and directness on competition of private health care. The generalization of national and foreign experience permitted to formulate proposals on partnership between state and private health care. The trend to integration of state and private health care can be transformed into active process of development of long-term partnership cooperation in health recovery and maintenance that will result in ensuring active longevity of population of the Russian Federation.The primary health care is characterized by its directivity to population health, while general practitioner is key figure in its organization and is responsible for assigned population health. The Russian Federation continues to suffer from overspecialization of medical care in outpatient health care. buy EKI-785 At that, the number of unreasonable visits to medical specialists is too high. The general practitioner, with appropriate training, can appoint patients by 11 specialties and in conditions of municipal polyclinic can undertake up to 81% of visits to medical specialists. The purpose of the study is to evaluate primary health care functioning in Moscow and to formulate proposals for reforming health care, considering development of general medical practices in a metropolis. The study was focused on analysis of morbidity of population of Moscow, on support of out-patient health care with physicians before and after implementation of three-level system of ambulatory polyclinic care, on evaluation of preventive actiation of medical care of attached population at all stages of its provision. The implementation of general medical practice in conditions of municipality is to calculate complete transition of medical organizations providing out-patient medical care to general medical practice, that will result to certain extent, in reduction of staff positions of medical specialists. It is necessary to expand duties of medical nurse in general practice. The optimal model of joint work of general practitioner with feldsher and medical nurse of general practice. The complex general practice team can include medical registrar. The proposed perspective models permit to implement integrating role of general practitioner and to increase accessibility and efficiency of primary health care.One of important directions in improving effectiveness of out-patient surgical medical care is development of in-patient replacement forms. The purpose of the study. is to investigate volume of surgical work performed in medical organizations providing outpatient care in the Russian Federation in 2010-2019. To evaluate changes in dynamics of number and structure of implemented surgical operations, number of operated patients in subdivisions of medical organizations providing outpatient medical care and in conditions of day-stay hospitals, data from the Federal statistical observation form № 30 for 2010-2019 was analyzed. The statistical and analytical methods were applied. It was established that in the Russian Federation, during 10 years, in subdivisions of medical organizations providing outpatient medical care, the number of implemented operations decreased from 5,639,983 to 4,962,020 (by 12.0%), and the number of operated patients - from 5,277,077 to 4,580,195 (by 13.2%). The structure of surgical interve-stay hospitals increased from 3.1% to 12.7%. The study results testify expansion of volumes of surgical work in day-stay hospitals of medical organizations providing outpatient medical care.The article reflects main problems and opinions of social workers about possibilities of improving medical social care of population and providing social medical services. This group of specialists is forced to implement significant amount of work that is not regulated by their official duties. The lack of necessary competencies does not allow social workers to provide medical social assistance to consumers of medical social services to sufficient extent. To ensure interaction between medical and social workers largely falls on shoulders of the latter ones. They have to undertake a number of medical functions (examination, temporary stop of bleeding, blood pressure measurement, etc.). It conceives appropriate to transfer some of functions of junior and paramedical staff to social workers. The study results can be applied as methodological basis of increasing accessibility of medical social care and provided social and medical services to various groups of population.The indicator of average life expectancy at birth is widely used as systemic indicator of population quality of life and health. The purpose of the study is to identify, to evaluate quantitative and structural changes of indicator of life expectancy at birth in population of the Irkutsk Oblast during 1990-2019. The data of life expectancy at birth was obtained from the Rosstat websites. The original calculations of survival tables were carried out using the databases of the Center for Demographic Research at the New Economic School. The analysis of trends was carried out using linear regression analysis. The analysis of role of exogenous and endogenous determination of mortality in formation of average life expectancy was carried out. In 1990-2005, in the Irkutsk Oblast, occurred change in ranking of causes of death that determined the greatest irrecoverable losses of population and reduction of indicator of average life expectancy at birth. The essence of this change is in abnormally high proportion of exogeent.The deterioration of health status of female population is recognized as one of the important medical social problems. On its resolution depends reproduction of population and improvement of social demographic indices in the Russian Federation. The female health can be considered as one of the indices of physical, spiritual and social well-being of family. One of significant aspects of considering importance of female health status is her attitude to issues of her own health. The situation is aggravated by increase of asocial behavior in young women, accompanied by decreasing of quality of life and significant loss of moral values. Besides, organization of treatment and prevention measures for early detection and reduction of gynecological morbidity does not meet modern requirements. The economic conditions and ecological situation negatively contribute to deterioration of female health. Such social factors as lack of work or threat of losing it, low per capita income, inadequate housing and poor-quality nutric indices of the Russian Federation.The article, on the basis of analysis of scientific publications, presents brief overview of principles and technologies of development of cities considering impact on population health. The particular attention is paid to analysis of being built areas and careful use of available resources. The definition of the term "sustainable development of territory" and description of necessary measures for its application in practice are given. The actual trend of "coronavirus" transformation of architectural urban environment is presented, including availability for each family member of one's own space, room, house and flat with terrace, balcony, separate entrances (in case when apartment is located on the first floor), expanded house territory, life outside the city. At that, reduction of social relationships is established. To control effectiveness of city management corresponding indices are presented.Health status is one of the most valuable parameters of assessing well-being of elderly generation. It is advisable to study attitude of individuals older than able-bodied age to their own health as instrument adding to awareness of diseases or their symptoms, data concerning psychological and social well-being, degree of satisfaction with their own capabilities. Thus, in conditions of population aging, studying health self-assessment to determine prognosis of life and health of the elderly is of special actuality.The diseases of digestive apparatus significantly contribute into premature mortality of population. In the Republic of Buryatia, the diseases of digestive apparatus occupy third place in the structure of primary morbidity of population (6.7%) and fourth place in the structure of total mortality (6.6%). The purpose of the study is to establish characteristics of structure and dynamics of morbidity and mortality of population because of diseases of digestive apparatus in the Republic of Buryatia in 2009-2018. The analysis was based on data from state statistical reporting forms and official reports of the Territorial Authority of the Federal State Statistics Service in Republic of Buryatia for 2009-2018, reporting and accounting forms of medical organizations. The study was carried out using statistical, analytical methods, as well as elements of comparative analysis. The analysis testifies increasing of indicator of primary morbidity of diseases of digestive apparatus from 4051.0 to 4226.1 per 100 thousand of population and of mortality of diseases of digestive apparatus in the Republic of Buryatia from 60.6 to 62.5 per 100 thousand of population. The main causes of increasing of morbidity and mortality from diseases of digestive apparatus in the Republic of Buryatia are liver diseases, in particular liver fibrosis and cirrhosis because of alcoholization of population, undue diagnostics and treatment of liver pathology in the group "older than able-bodied age".The article presents the results of analysis of repeated disability because of thyroid cancer in adult population of Moscow in 2015-2019. The study established negative dynamics of increasing of the number of individuals with repeated disability because of thyroid cancer in all essential age contingents (young, middle and elderly age) of adult population. The similar trend was revealed in gender contingents of individuals with repeated disability because of thyroid cancer (in males, increase was made up to 112.5% and in females up to 196.3%). In the gender and age structure of repeated disability because of thyroid cancer, predominated females and the elderly. The study established dynamics of decreasing of percentage of individuals with repeated disability because of thyroid cancer of the disability groups I and III and corresponding increasing in disability group II. The percentage of individuals with repeated disability because of thyroid cancer in disability groups I and II was higher in males as compared with females.
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