[The Analysis of Causes of Dissatisfaction of Patients with Medical Care Based on Appeals of Citizen and Independent Evaluation of Quality of Medical Services by Medical Organizations].

The article presents the main approaches to analysis of the causes of the patients' dissatisfaction with medical care based on the appeals of citizen and independent assessment of medical care quality in medical institutions of various levels. The results of evaluation of web-sites testify good results of functioning of medical institutions. The number of sound complaints of citizen on inadequate medical care services in particular medical organizations continues to be high. The main causes of patients' dissatisfaction with medical care are analyzed.

[The Specialized Medical Care Support of Patients with Acute Disorders of Cardio-Vascular System in Vascular Centers of the Moscow Oblast].

The article presents analysis of population morbidity with diseases of blood circulation system, routing of patients in case of acute coronary syndrome, acute disorder of cerebral blood circulation and other conditions requiring emergency diagnostic and treatment in vascular centers (departments) of me4dical organizations of the Moscow oblast. The main information concerning organization of specialized medical care to patients with acute disorders of cardiovascular system (myocardium infarction, stroke) in vascular centers and vascular departments is expounded. The main directions of amelioration of activities related to specialized medical care of patients with diseases of cardiovascular system in vascular centers and departments of medical organizations of the Moscow oblast.

[The Analysis of Oncologic Morbidity as a Function of Perspective Planning of Infrastructure of Regional Radiotherapy Service].

The appropriate application of remote radiotherapy ensures significant increasing of survival rate of oncologic patients. The purpose of study is to determine need of the Moscow region in radiotherapy care of patients with the most frequently detected tumors on the basis of oncologic morbidity data. The calculation of minimal regional need in devices of remote radiotherapy was implemented according particular formula. In 2017, number of patients with the most frequently detected tumor localizations, requiring application of remote of radiotherapy, amounted to 4245 individuals. The minimal need in radiotherapy care for the mentioned number of patients amounted to 9.4 devices of remote radiotherapy. The optimal need of the Moscow region health care amounts to 27 devices of remote radiotherapy in case of planning of this type of medical care to all regional radiotherapy institutions in need and with consideration for indices of oncologic morbidity. The resume of carried out study testify that in radiotherapy institutions of the Moscow region health care exists an additional need in supply of such devices. The optimal perspectives of development of the radiotherapy service are outlined.

[Comparative characteristics of treatment quality and quality of life in gastroenterological patients supervised by gastroenterologist and therapeutist]. / Sravnitel'naia kharakteristika kachestva lecheniia i kachestva zhizni gastroénterologicheskikh bol'nykh v usloviiakh nabliudeniia gastroénterologom i terapevtom.

There was an analysis of the results of a 5-year observation over 226 patients with the most prevailing digestive apparatus diseases: stomach ulcer and duodenal ulcer (SU and DU), chronic pancreatitis (CP), irritable bowel syndrome (IBS) in an outpatient clinic. Patients were supervised by gastroenterologists (168 patients) and therapeutists (58 patients). It was noted that supervision of the patients by gastroenterologists authentically reduces the frequency of hospitalizations and duration of their stay on the sick-list as compared with the patients being observed by therapeutists and results in higher indices of life quality (LQ) among the patients.

[The theory and practice of medical service management in peacetime]. / Teoriia i praktika upravleniia meditsinskoi sluzhboi v mirnoe vremia.

The author investigates the problem of medical service management as a special branch of a medical service chief activities (management office). He studies aspects of executive control, in particular--standards setting (norms and rates, estimates, necessary corrections together with the management functions--planning, organization, motivation and control. Basing on the principles of classic executive school for troops' health care, this study suggests a number of approaches to the optimization of medical service supply to make it adequate, systematic and cost-effective. This article contains an analysis of a medical executive's office timing for everyday activities.

[Effect of active medium on sclera creep]. / Vliianie aktivnoí sredy na polzuchest' sklery glaza.

Irreversible stretching (creep) of the eye sclera, regarded as the cause of high myopia, has been studied experimentally. Both dramatic acceleration and appreciable deceleration of the bovine sclera creep have been observed in the presence of some enzymes. Connective tissue creep caused by static and cyclic mechanical stress (gravitation, blood pressure, etc.) can be associated with many age-specific and pathological changes. The authors believe that detection of appropriate creep inhibitors will make it possible to replace surgery with preventive therapy in ophthalmology and cosmetology.

[The significance of the experience in organizing medical support for the troops during the war years for the development of the modern military medical infrastructure]. / Znachenie opyta organizatsii meditsinskogo obespecheniia voisk v gody voiny dlia razvitiia sovremennoi voenno-meditsinskoi infrastruktury.

In the present period when combat activities are being carried out at the territory of Russia, namely in Chechnya, it is very important to solve the problem of the improvement of the infrastructure of medical service as a basis of territorial system of medical support of troops. That's why we are looking at the experience of medical support of troops in the period of the Great Patriotic war in order to determine the basic characteristic features of military medical infrastructure (MMI) of that time. Using the experience of medical support in the period of the Great Patriotic war it is necessary to draw the main attention on studying the medico-geographical aspects of the Armed Forces deployment over the whole territory of the country, state of health service system (taking into account its reformation), influence of natural, socio-economic and ecological factors of different regions upon the health of servicemen, organization of medical support of troops, proliferation of infectious and parasitic diseases, local resources and availability of medication materials, medical supplies, equipment and technique, as well as other indices which must be taken into consideration in routine situations or during disaster relief. All this information is very valuable for the process of the formation of an adequate MMF in the zone of responsibility of medical support of troops.

[A computer system for the analysis of television images as a new objective clinical method for assessing the status of the crystalline lens]. / Komp'iuterno-analizatornaia sistema televizionnykh izobrazhenii kak novyi ob''ektivnyi klinicheskii metod otsenki sostoianiia khrustalika.

The aim of study was the development of a diagnostic device for the determination and analysis of the optic densities of various lenticular laminae on the basis of computer-aided system for analysis of TV images (CASATI). The potentialities of the developed system were evaluated in examinations of 57 diabetics, aged 27 to 78, with opacities beneath the posterior capsule and in the cortical layers of the lens. The reference group consisted of 48 normal subjects without noticeable lens opacities, aged 23 to 76. Comparative densitometry of the lens was carried out in the same patients by reproductive microdensitometry and CASATI. The new method permitted an objective assessment of the optic densities of various layers of the lens and may be used to predict the development of opacities therein. Another possible application of this method is the assessment of the conjunctival vessels status and prediction of the course of various diseases and monitoring the efficacy of therapy thereof.

Properties of oil/water emulsions stabilized by casein-acid polysaccharide mixtures.

Properties of oil/water emulsions stabilized with the soluble casein-acid polysaccharide mixtures were investigated. Compared to initial protein solutions, higher emulsifying properties of the mixtures are demonstrated. A study is made on the influence of the properties of the mixtures for obtaining thermostable emulsions of hard consistency which could be applied in production of a great variety of foodstuffs. The role of the formation of protein-acid polysaccharide complexes is discussed.

Protein-polysaccharide complexes as surfactants.

A study has been made of surface pressure (pi) and maximum shear stress (Ps) (at a constant shear rate) of decane-water interface on which bovine serum albumin (BSA) and its complexes with dextran sulfate (DS) were adsorbed. The pi values have been monitored by the Wilhelmy plate technique. The Ps values have been measured with a surface viscoelastometer. The changes of pi with time for BSA and BSA-DS complexes in general takes place in two stages which can be attributed to two corresponding limiting factors: diffusion of molecules (or particles) to the interface, and rearrangements of adsorbed molecules. The diffusion-controlled stage for the BSA-DS complexes was found to be several times as long as for BSA. The relaxation time of the second stage is a function of protein concentration Cp, for the complexes having maximum value at Cp = 10(-3)-10(-2) g/l. These maxima are coincident with midpoints of the surface pressure isotherms. The latter one of the BSA-DS complexes is shifted towards greater protein concentrations in comparison with that of BSA. The Ps assumes maximum values at Cp corresponding to the midpoints of surface pressure isotherms. These values for the complexes are 15-20 times greater the that for free BSA.