[The medical mistakes as consequence of poor communication].

The article is devoted to medical errors and complaints of patients, as well as to role that communications of interested parties plays in this. The patients complaints are often caused by lack of information, unprofessional approach (lacking of respect to patient and lack of empathy, poor communication skills, abusing of one's official position). The models of response of medical workers to mistakes made are described. The algorithm of physician's actions in case of accomplishing medical error is proposed.

[COMMUNICATIONS OF DOCTORS AND NURSES. TEAMWORK].

The article deals with the issues of communication between doctors and nurses. Attention is paid to the obstacles which affect effective communication between doctors and nurses, which include the increase of the workload, the constant change of staff, the use of high-tech terminology, the previous negative experience of communication between nurses and doctors, etc. Recommendations for improving communication in a medical team are given. It is emphasized that the factors contributing to effective communication between hospitals and organizations providing primary health care are multidisciplinary medical care plans drawn up in cooperation with patients and caregivers.

The information communication technologies in medicine.

The article discusses some aspects of information and communication technologies in medicine. In view of the COVID-19 pandemic, special attention is paid to development of telemedicine. The informational computer technologies are especially relevant where there is shortage of medical personnel. Taking into account that by the year 2035 there will be shortage of 12.9 million medical workers worldwide due to aging of population, increase in prevalence of non-communicable diseases, migration and turnover of medical personnel, remote consultations of patients are becoming increasingly relevant. The examples of information and communication technologies in health care that proved their effectiveness are given.

[The medical rehabilitation: planning work load and number of positions].

The article presents the results of analysis of normative legal documents and their changes related to planning of volume of medical care in "medical rehabilitation" profile. The calculation of planned normative number of beds of this profile from 2014 to 2021 is presented according to the number of bed-days and planned beds turnover. The number of arithmetic errors in planned indices of specialized medical care in hospital conditions for medical rehabilitation is demonstrated in the letters of the Minzdrav of Russia related to formation and economic validation of territorial program of state guarantees. So, significant decrease (by 44%) in recommended volumes in 2021 contradicts data presented in the Decree of the Government the Russian Federation. The violations of nomenclatures of positions of medical workers, double standard of the number of positions for day-and-night work are defects of vast majority of Orders about Procedures of provision of medical care that may testify severe problems in actual health planning. At the same time, such changes in Orders on Procedures of organizing medical rehabilitation as division into adults and children, alterations of set of units, staging in provision of medical care and corresponding staff standards, increasing of standard number of positions should result in improvement of quality of medical rehabilitation, including its implementation at early stages and expanding possibilities of rehabilitation without hospitalization related to organization of day hospital.

[The physicians and the patients: who are they one to another?]

The article considers issues of communication between physicians and patients and presents several models of corresponding relationships. The importance of involving patients in therapeutic partnership is emphasized. The barriers to effective communication between physician and patient and ways to overcome them are considered. The attention is paid to rules of effective listening to patients. The problem of receiving from patients their informed consent for particular procedures is considered, including rules of effective conducting "difficult conversation".

[Role of the medulla oblongata in regulating the rhythmogenic function of the smooth musculature]. / O roli prodolgovatogo mozga v reguliatsii ritmogennoi funktsii gladkoi muskulatury.

Effect of stimulation of some medulla oblongata's areas on the spontaneous rhythmogenesis in smooth muscles of the ureter as well as on heart activity and systemic arterial blood pressure revealed certain structures in medulla oblongata with activating and inhibiting influences on motor activity of the ureter in cats. In most cases the changes in the ureter rhythmic activity were synchronous with those of systemic arterial blood pressure as well as heart activity rhythm (heart pulse). Complete cutting of the spinal cord at C1-C2 level eliminated the above changes.