[Evidence-based proposals for improving the Zemsky Doctor program].

Currently, more and more attention is paid to the shortage of medical staff in rural and remote areas. In order to ensure the staffing of medical institutions with workers in rural areas, in the regions one-time compensations are paid as part of an event called "Zemsky Doctor". However, "Zemsky Doctor" has shown a fading effect over the years of implementation, including due to the unwillingness of medical students to participate in this program. The purpose of the work is to identify the attitude of students of medical universities to participation in the "Zemsky Doctor" program and develop measures to increase the attractiveness of the program. To achieve the goal of the study, we conducted a survey of 250 medical students from all over Russia, interviews with medical students, with medical staff, including former and current participants. The novelty of the work lies in the study of the attitude of current and potential participants in the program in order to develop proposals for its improvement. To improve the program, it is necessary to choose the term for concluding the contract, differentiate payments depending on the distance from the regional center, create an information site, defer the army for the duration of the contract.

[Comparative hydrodynamic evaluation of variants of the cavopulmonary anastomosis]. / Sravnitel'naia gidrodinamicheskaia otsenka variantov vypolneniia kavapul'monal'nogo anastomoza.

An analysis of the range of postoperative complications following cavapulmonary anastomosis reveals a number of medical engineering problems in surgery techniques. The severity of the surgery due to the nonphysiological rearrangement of blood circulation makes it necessary to search for the most optimal types of anastomosis in terms of the hemo- and hydrodynamics of circulation. To optimize the performance of cavapulmonary anastomosis, namely to define the mutual localization and orientation of the implanted anastomoses against the axes of inflow and outflow, hemo- and hydrodynamic studies were made by Doppler laser anemometry. From the hydrodynamic point of view, the findings indicate the most optimal type of cavapulmonary anastomosis-cruciform anastomosis by displacing 0.5 d from the outflow axis at an angle of 60ë5 degrees.

[Hydrodynamic criteria in the choice of surgical tactics in implanting pulmonary artery trunk prosthesis]. / Gidrodinamicheskie kriterii vybora khirurgicheskoi taktiki pri implantatsii proteza stvola legochnoi arterii.

The paper is concerned with the present-day problem of modern medicine, namely with surgical correction of the diseases of the initial part of the pulmonary circulation. The authors suggest hemohydrodynamic simulation of the right heart complicated by extracardial conduit. The simulation was performed at the high theoretical, practical and methodological level to obtain highly significant information which is likely to have paramount importance for clinical practice.

[Flow structure in artificial heart ventricle]. / Issledovanie struktury potoka v iskusstvennom zheludochke serdtsa.

The flow structure in the artificial heart ventricle has been investigated by laser knife visualization method using fluorescence. It is shown that the flow structure is essentially three-dimensional. The effect of inlet artificial valve orientation on the flow structure is demonstrated. The artificial ventricle elastic cover deformation process is reviewed.