[The criteria of increasing of quality of medical care of population in conditions of anthropogenic impact].

The assessment of medical care quality of different strata and groups of population is a priority direction of preventive medicine and public health. Nowadays, application of the riskometry theory considering external modifying factors is relevant. The registration of risk indices in the process of development of model of health preservation can be considered as a criterion of medical care quality. The purpose а study was to optimize managerial decisions in the area of increasing medical care quality related to special contingent on the basis of evaluation of carcinogenic danger and reproductive risk in conditions of anthropogenic impact. The study applied such modern research methods as social hygienic, biochemical and statistical techniques. The methodological basis of assessing reproductive risk for population in conditions of anthropogenic impact can serve as a criterion of assessing level of impact and developing management decisions in area of improving health care quality. The public health and health care organization are the fields of application of study results.

[Age characteristics of the bile duct system functioning in the norm and in the gastrointestinal system pathology]. / Vozrastnye osobennosti funktsionirovaniia zhelchevyvodiashchei sistemy v norme i pri patologii zheludochno-kishechnogo trakta.

At the present the age-specific particularities of many organs and systems used in diagnostics are determined. The function--morphological state of the biliary system in different age groups is poorly studied. The age-specific particularities of biligenesis in norm (control group--90 persons) and in pathology were studied by the following traditional methods: multifractional chromatic duodenal catheterization, dynamic scintigraphy of gallbladder, dynamic ultrasonic cholecystography. There were 167 patients with gastroduodenal diseases (chronic gastritis, gastric, duodenal and intestinal ulcers) and 115 patients with calculous cholecystites and chronic hepatites. The gastroduodenal affections reinforced the appearnce and the course of typical age alterations of biliary system. Patients sufferin from hepatobiliary pathology over 5 years biliation ability has remained in normal values.