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7% correspondingly and "V" option was found on the left in 61.5%. The typical options of location of carotid arteries near the bifurcation (variants "I" and "IV"), 82.8% in total. The cases of ventral position of external carotid artery (variants "II" and "V") were established in 12.9%. The variant III was found in 4.3% of all cases. The distribution of vascular development options depending on the gender of patients was investigated. The study did not reveal significantly pronounced deviations in distribution of variants of vascular development, taking into account the age factor. The mentioned data permits to judge with confidence about necessity of developing personalized treatment of diseases of carotid arteries, considering their anatomical features of development in bifurcation area.The article presents the results of clinical economical analysis, based on "cost-effectiveness" technology, of MALDI-TOF MS, innovative medical technology of express identification of microorganisms, calculation of incremental indicator and application of notion "willingness-to-pay-threshold". Due to the extension of sanctions against the Russian Federation, this medical equipment for national laboratories becomes difficult to access and expensive, that conditions necessity to scientifically substantiate economical effectiveness of implementation of expensive innovative MALDI-TOF MS technology as instrument to contain global antibiotic resistance increase. The understanding of importance of express identification of microorganisms as well as other positive effects that can be achieved by using modern medical equipment on the basis of mass spectrometry results in improving medical care quality, increasing reputation level of medical institution, greater commitment of physicians and patients to microbiological analysis with purpose of prescription of rational antibiotic therapy and improving population health.The specificity of course of acute period of craniocerebral injury and organization of medical care support are the factors determining outcomes for this category of patients. The purpose of the study is to investigate changes in predictors of course of acute period course of craniocerebral injury under implementation of stream model of medical care organization. The sampling included 150 patients with moderate and severe craniocerebral injury based on data obtained in 2013 and 2019, respectively. The clinical characteristics of patients (gender, age, level of consciousness, alcoholic intoxication, type of injury) and the characteristics of organization of medical care (mode of admission, qualification of hospital physician, time prior to surgery intervention) were evaluated. The selection of predictors significant for prognosis of outcomes of acute period of craniocerebral injury was implemented on the basis of logit-regression analysis and artificial neural network technology. The sampling of patients was divided into groups on the basis of outcomes of acute period of craniocerebral injury. The groups with relatively favorable and unfavorable course of acute period of craniocerebral injury were identified. It is demonstrated that prior to implementation of stream model of medical care provision, the most significant factors determining outcomes of the acute period of craniocerebral injury were characteristics of organization of medical care of these patients. After implementation of stream model the leading predictors became clinical characteristics of patients.The article considers the issue of alternative dietary intake in children of vegetarian families, both in Russia and abroad. The types of vegetarianism, its advantages and limitations are highlighted on the basis of empirical studies of national and foreign researchers. The emphasis is made on the risks to physical and mental health of children in case of unbalanced diet and on the need for regular consultations with pediatricians and nutritionists as well.Currently, the characteristic of dynamics of morbidity of mental disorders of population of the Russian Federation is its increasing simultaneously with changing in structure of contingents in the direction of decreasing number of patients subjected to dispensary monitoring. The study of influence of medical organizational factors on morbidity of mental disorders demonstrated the role of provision with psychiatrists in dynamics of prevalence of mental disorders. The improvement of management of patients with mental disorders should be supported by appropriate resources and adaptation of mental service to actual conditions, in particular, solving the problem of manpower deficiency of psychiatrists.Actually, one of the world trends in social policy in the field of health care is self-preserving behavior of population as readiness of each member of society to take responsibility for maintenance of one's own health and prolongation of life activity. The value of health becomes not only human, personally significant, but also social capital, without which it is impossible to achieve high indices of social development, as well as ensuring national security of the state. The measures of public policy of the Russian Federation are targeted to developing culture of self-preserving behavior of Russians, that is reflected in the national projects "Health care" and "Demography". To assess the self-preserving behavior of Russians, it is necessary to achieve such asks as identification of the need in longevity and the degree of its implementation in various social demographic groups; assessment of features of self-preserving behavior in the context of motives of achieving longevity; determination of the response in various social demographic groups to demographic policy targeted to preserve population health and to decrease mortality; analysis of popular practices of self-preserving behavior. The article presents the results of sociological survey on the subject "Demographic well-being of Russia", carried out by the Institute of social political research of the Russian Academy of Sciences in 2020-2021, in terms of the use by Russians of various practices of self-preserving behavior.The education is often considered as one of the basic social determinants of population health, but its impact on the need for medical care is to be studied. The purpose of the study is to analyze effect of education as health social determinant on intensity of medical care consumption by women of reproductive age. The sampling consisted of 566 non-pregnant women aged 18-49 years residing in Samara and being monitored in municipal antenatal clinics. The level of territorial accessibility of medical care for all women participating in the study did not differ reliably. The data was obtained using anonymous survey with adapted questionnaire "Research of social determinants of health". The first comparison group included 306 women with higher or incomplete higher education (high educational status). The second comparison group included 260 women with secondary or specialized secondary education (lower educational status). Each of the groups was divided into four subgroups based on age characteristic (18-25, 26-3 versus 2.54% of annual gain in consumption). More significant increase in consumption of emergency medical care was observed in group of women with low educational status (annual increase 3% versus 0.22%).The article analyzes dynamics of main indices of disability in population older than able-bodied age in the Rostov Oblast. Raf kinase assay The trend of decreasing of scope of examinations of individuals of the mentioned age group, including decreasing the number of first and iteratively recognized as the disabled, against the background of increasing in the population structure of percentage of individuals older than able-bodied age. At the same time, increasing of accumulated disability was established in the studied category of population.This article discusses clauses of national standards compatible with international standards of ISO 9000-9001 family,in section of measurement of degree of satisfaction of patients with medical services quality. The main methods applied are sociological survey SERVQUAL focused on measurement of degree of satisfaction of patients, GAP-analysis (identification of discrepancies and gaps) and technique of management decision-making concerning improvement of medical services quality. The SERVQUAL survey with its five qualitative criteria was applied. The primary data was obtained from sampling of 500 well structured questionnaires. In total, 365 respondents participated in the study. The produced correlation matrix confirmed strong relations between criteria estimating expected and interpreted quality of medical services and full average interpreted quality. The analysis of reliability confirmed that questions of questionnaire are reliable and the results of statistical calculations can be used in further analysis. The analysis of descriptive statistics, correlation matrix, patient profile, reliability and qualitative GAP analysis were carried out. The requirements of assuring reliability and adequacy of questionnaire, representativeness of sample size to carry out high quality measurements were kept. The results on every criterion were obtained. The qualitative results of discrepancy of and perceptions of patients are received. The negative values of indices of discrepancy of the interpreted and expected outcomes of medical services are received. The level of satisfaction of patients remains insufficient. The study proposes to improve quality of medical services in hospital, especially by criterion "Materiality" to justify expectations of patients. The results of the study are of practical importance for executives of regional health care administrations, head physicians of medical organizations engaged in improvement of medical care quality and increasing of efficiency of medical services.The analysis of opinions of district pediatricians about state and perspectives of development of primary medical sanitary care for children in the Kabardino-Balkarian Republic permitted to obtain competent assessment of quality of polyclinic medical care. The positive tendencies in activities of children polyclinics were established. However, the problem of achieving higher quality of medical care of children continues to be actual. According to survey results, character and direction of organizational managerial decision making concerning improvement of material and technical equipment of children polyclinics in accordance with modern requirements (37.6%), elimination of defects in organization of free medication support (63.6%), improvement of organization of free nutrition supply of children (50%), etc. Among the priority tasks of pediatric service is the solution of the medical personnel issue and full staffing of pediatric districts with physicians (66.7%), paramedical personnel (29.6%) and medical speconavirus, quality of dynamic monitoring and treatment of children suffered. Factually, no dispensarization activities were implemented and prevention measures as well. The results of survey contributes to the formation of monitoring of quality of out-patient care of children at the regional level and makes the research data highly relevant.