[The system of criteria and indicators of accessibility of laboratory diagnostic in the Subject of The Russian Federation].

The modern health care is characterized by constant increasing need in laboratory tests. The quality and accessibility of laboratory diagnostics becomes one of key determinants of social well-being in aspect of maintaining population health. The purpose of the study is in developing system of criteria and indicators of accessibility of laboratory diagnostics applicable in organization of health care at the level of the Subject of the Russian Federation. The methods. The study was carried out based on principles of system approach. The methodological approach developed by Professor O. Yu. Alexandrova was applied. The analytical research methods (analysis, synthesis) were implemented. The results and discussion. The set of criteria, including three groups of measurable indicators, applicable in the field of laboratory diagnostics was developed. The original approach to determine time indicators of laboratory tests accessibility was proposed. The system can be applied as organizational technology permitting to establish specific requirements for laboratory diagnostics accessibility at the level of the Subject of the Russian Federation. These requirements can be included in local normative legal acts. The conclusions. The developed system of criteria and indicators of laboratory diagnostics accessibility can be used in development of medical care system that meets the best of characteristics and needs of particular Subject of the Russian Federation.

[Is possible to decrease the risk of development of undesirable effects of medications applying computer technologies? (a review)].

The article presents overview of modern concepts about application of artificial intelligence (AI) in pharmacotherapy to decrease risk of developing undesirable side effects of medications. The possibilities of applying AI in selection of optimal medicine or combination of medicines and prediction of treatment results are considered. The choice of the best medicine for patient usually requires integration of data of results of comprehensive examination of patient considering success of genetics and/or proteomics as well as data about chemical descriptors of compounds of medications. The prognosis of medication interactions is often based on indicators of similarity assuming that medications with analogous structures or targets will have comparable behavior or may impede each other. The optimization of scheme of dosage of medicines is implemented applying mathematical models to interpret pharmacokinetic and pharmacodynamic data.

[The motivation and consumer preferences in medical tourism].

The article considers issues reflecting characteristics of motivation of medical tourists to travel to country other than their residence placement to receive medical care. The most popular directions of medical tourism are identified as well as medical services for which travels are made.

[The lipid spectrum of the skin in psoriasis]. / Lipidnyi spektr kozhi pri psoriaze.

The study was undertaken to examine the lipid composition of and the activity of phospholipase A2 in the skin of patients with psoriasis. There were increases in the levels of phosphatidylcholine, phosphatidylethanolamine and the activity of phospholipase A2 in psoriatic papule as compared to the normal skin. A possible role of glucocorticoids and the revealed abnormalities in the pathogenesis of psoriasis is discussed.

[Effect of hydrocortisone on the activity of lysosomal enzymes in skin]. / Vliianie gidrokortizona na aktivnost' lizosomal'nykh fermentov kozhi.

The mechanisms of glucocorticoids' effect on the functional activity of lysosomes in rats dermis and epidermis have been studied. The activity of enzymes in both parts of skin in females was more than in ones in males. Intraperitoneal injection of hydrocortisone doesn't change the functional activity of lysosomes in skin in doses less than 1 mg per 100 g of weight apart from the sex of rats. The hormone in dose 1 mg/100 g of weight causes statistically reliable releasing of lysosomal glycosidases from the epidermis and dermis of both of the sex of rats, and cathepsin D in females as well. In experiments in vitro the concentration of hormone 10(-8) M causes the fall of possibility of enzymatic fission of substrates in dermis, but the concentration 10(-3) M causes the increasing of the one on the contrary. Enzymatic alterations in the results of action of glucocorticoids in dermis and in epidermis as in males so in females of rats and the causes of their distinguishes have been discussed.