[Children's health in zone of radioactive pollution caused by the Chernobyl accident]. / Zdorov'e detei v zone radioaktivnykh zagriaznenii, obuslovlennykh avariei na ChAES.

The Chernobyl accident led to contamination of vast territories of Russia by man-made radionuclides. One of such regions is the Tula region. For realization of programs aimed at alleviation of the accident consequences, medical and sanitary measures were taken, including many-year monitoring of radiation pollution in the region and health status of various population groups, primarily children. Complex studies were carried out, making use of radiation, sociohygienic, epidemiological, psychophysiological, anthropometric, clinical laboratory, cytogenetic, immunological, and other methods. Dynamic examinations of children of different age demonstrated that radioactive precipitations at a density of 5-15 Ci/m2 did not directly affect children's health; however essential deviations in the health status, such as changes in morbidity, physical development, and incidence of immunodeficiencies have been revealed. The authors consider that realization of health protection programs should concern primarily children.

[Work time losses of medical personnel at a rural medical center]. / Zatraty rabochego vremeni meditsinskogo personala se'lskogo vrachebnogo uchastka.

Proceeding from the study of the work of medical personnel at the rural physician's station, a set of recommendations has been developed. They involve improvement of management of medical facilities at the rural physician's station, planning and information supply, outpatient and inpatient care, labour organization and vocational training of the staff, raising efficacy of preventive work. Application of the above recommendations help us decrease significantly inadequate work time losses and increase the share of the main types of work of the medical personnel. Thus, it is shown that work efficiency of medical staff can be raised and health care delivery to the rural population improved.