[The experience of organization of combined screening of uterine neck cancer in the Republic of Bashkortostan].

The article considers organizational issues of cervical cancer screening in the Russian Federation. In particular, experience of implementation of the Project "HPV testing within the framework of combined cervical cancer screening (HPV and cytologic screening) in the Republic of Bashkortostan is considered. The cervical cancer is a widespread disease that requires early diagnosis and timely medical care. The main aspects of organization of medical care of patients with gynecological diseases in relevant normative legal regulatory documents are described. The algorithm and scheme of routing patients with suspected cervical cancer and with this disease are presented. The study covered more than 60,000 women aged 30-39 years from 14 medical organizations of Ufa. Such methods as sociological, statistical, analytical, content-analysis and organizational experiment were applied. The study permitted to substantiate and to approve both the Project "HPV testing as part of combined screening for cervical cancer (HPV screening and cytologic screening) and the algorithm of combined screening of cervical cancer during preventive examinations of female adult population aged 30-39 years of the Republic of Bashkortostan. The scheme was developed for routing patients with suspected cervical cancer or diagnosed disease to medical organizations for timely medical care support. By implementing developed routing and screening scheme for patients at risk of developing cervical cancer, as well as those who already suffer this pathology, it is possible to improve quality of organization and delivery of medical care, to reduce morbidity, mortality and disability because of this pathology and to assure early diagnosis and prevention of cervical cancer.

[PATIENT SATISFACTION AS AN INDICATOR OF PATIENT ORIENTATION IN ORGANIZATION OF PAID MEDICAL SERVICES].

Nowadays, the idea of the patient as the main subject of medical care is being established in the public consciousness. It is around the patient that all types of professional medical activities and all forms of relationships with other subjects of modern health care are organized.In the professional sphere, this idea is seen as a principle of patient focus. In the provision of paid care, this factor acquires special relevance and is largely determined by the compliance of the process and results of the provision of medical care with the expectations of consumers of medical services. In this regard, the study of the expectations of the contingent of people applying for paid medical services to state medical organizations, and the degree of their satisfaction with receiving paid medical care was the purpose of this study.

[The satisfaction of patients and medical organization workers as one of indicators of effective interaction of participants of treatment-and-diagnostic process].

The article is devoted to main aspects of interaction of parties of treatment and diagnostic process and the perspectives of development of key indicators of its effectiveness. The main issues of relationship between quality of medical care and effective interaction of parties of treatment and diagnostic process are marked. The issues of satisfaction of patients, medical and non-medical workers of medical organizations, main motivating and demotivating factors during medical activity, models of relationship between medical workers and patients are described. The main perspectives of developing criteria targeted to effective interaction of all parties of treatment and diagnostic process in professional activities of medical and non-medical workers and improving quality of medical care of population are presented. The most important criteria of satisfaction of patients, medical and non-medical workers of medical organization during medical activities are analyzed. The main problems affecting quality of medical care from the side of participants in treatment and diagnostic process are considered. Some preliminary data of development of key indicators of effective interaction between parties of treatment and diagnostic process are presented. The development of these indicators in perspective can result in new approach in health care, targeted to improving quality of medical care and establishing most comfortable environment for workers of medical organization.

[Argumentation for use of laser fluorescence spectrometry in identification of inflammatory diseases of pharynx]. / Obosnovanie primeneniya lazerno-flyuorestsentnoi spektrometrii v identifikatsii vospalitel'nykh zabolevanii glotki.

OBJECTIVE: The article demonstrates the experience of using laser fluorescence spectrometry (LFS) in the diagnosis of inflammatory diseases of pharynx, describes a method for recording spectra of pharyngeal tissues using the EnSpectr L405 hardware-software complex operating on the basis of laser radiation with a wavelength of 405 nm, and identifies characteristic features of spectral curves. PATIENTS AND METHODS: The authors presented the characteristics of the spectra from the surface of the pharynx tissue of healthy volunteers, patients with chronic tonsillitis and granular pharyngitis. RESULTS: The most informative parameters of the spectral curves were calculated, analyzing which it is possible to identify the morphometric, metabolic, functional features of the tissue of the tonsils and posterior pharyngeal wall in normal and pathological conditions. CONCLUSION: The article illustrates the importance of developing highly sensitive and highly specific methods for the rapid diagnosis of inflammatory diseases of the pharynx. The presented technology can be used in clinical practice in future.

[Olfactory disorders in patients with psychiatric diseases].

In recent times, there were a lot of different investigations dedicated to olfactory disorders in patients with psychiatric diseases.Nevertheless,olfactory discrimination and olfactory identification usually are not used in everyday clinical neurological and psychiatric examination, if a patient hasn't got any complaints. A review of research over the past two decades on olfactory disorders and their diagnosis in patients with schizophrenia, depression, epilepsy, and alcohol dependency is presented.